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Health Equity in a Globalizing EraPast Challenges, Future Prospects$
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Ronald Labonté and Arne Ruckert

Print publication date: 2019

Print ISBN-13: 9780198835356

Published to Oxford Scholarship Online: May 2019

DOI: 10.1093/oso/9780198835356.001.0001

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Globalization as a ‘determinant of the determinants of health’

Globalization as a ‘determinant of the determinants of health’

(p.24) Chapter 2 Globalization as a ‘determinant of the determinants of health’
Health Equity in a Globalizing Era

Ronald Labonté

Arne Ruckert

Oxford University Press

International health, a concern with the high burden of preventable disease in poorer countries, is long-standing. In late nineteenth century sanitary reforms and early twentieth century philanthropic financing to control infectious diseases in the Americas, this concern also foreshadows more contemporary debates over global health financing and the ‘health securitization’ of wealthier nations against diseases spreading from poorer ones. By the late twentieth century, however, there was a shift in discourse from ‘international’ to ‘global’ health underpinned by the growing awareness that there are inherently global reasons for why some countries are wealthier and healthier, while others remain poorer and sicker. Two different frameworks are used to unpack these causal pathways, in which globalization processes are regarded as meta-determinants of health inequities within and between nations. Although researchers argue that globalization processes have been good for health, others are much less sanguine on this claim.

Keywords:   international health, global health, health equity, Rockefeller Foundation, Commission on Social Determinants of Health

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