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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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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2020. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 24 November 2020

Globalizing health systems

Globalizing health systems

Chapter:
(p.164) Chapter 8 Globalizing health systems
Source:
Health Equity in a Globalizing Era
Author(s):

Ronald Labonté

Arne Ruckert

Publisher:
Oxford University Press
DOI:10.1093/oso/9780198835356.003.0008

Strengthening health systems in poorer countries has long been a focal point in development aid debates. Visionary models of comprehensive primary health care caught the global imagination in the late 1970s but were quickly eclipsed with the rise of neoliberal globalization in the 1980s, truncated into ‘selective’ silos appealing to donor nations. ‘Investing in health’ for economic growth eclipsed more humanitarian principles for health assistance. Corporate philanthropies began to set health agendas resonant with those of a century earlier, while private health care financing and delivery models that grew under neoliberalism’s first wave (structural adjustment) have yet to yield to the evidence of the efficiencies of public health care models. The current push to achieve Universal Health Coverage captures the ongoing tension between the interests of private capital and the need for public goods.

Keywords:   primary health care, Alma-Ata, selective primary health, privatization, global health initiatives, public private partnerships, medical poverty, Universal Health Coverage

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