Making Trade Policies More Accountable and Human Rights-Consistent: A NGO Perspective of Using Human Rights Instruments in the Case of Access to Medicines

2021 ◽  
Vol 17 (1) ◽  
pp. 122-127
Author(s):  
John Harrington

By foregrounding a widened view of the rule of law in transnational legal processes, the works under discussion in this symposium can support innovative critical perspectives on global health law –a field that has gained wide attention due to the spread of COVID-19 around the world (Lander, 2020; Bhatt, 2020). Legal and socio-legal scholars in the decade and a half before the pandemic worked on locating global health law and articulating its underlying principles. Lawrence Gostin's 2014 monograph offers a synoptic view centred on international institutions (e.g. the World Health Organization, World Trade Organization, UN Human Rights Council) and problems (e.g. infectious-disease response, tobacco control), along with an elaboration of its normative basis in universal moral principle and international human rights law (Gostin, 2014). Struggles over access to essential medicines and intellectual property in the early 2000s are, for example, represented in terms of the right to health constraining international trade law. Andreas Fischer-Lescano and Guenther Teubner's 2004 reading is oriented more by social theory than by doctrinal or ethical frames (Fischer-Lescano and Teubner, 2004, pp. 1006, 1008). A functional health regime has ‘differentiated out’, they observe, and operates as a discrete communication system across borders, albeit one that is threatened by the preponderant economic system. On this model, the battle for access to medicines amounts to ensuring, via human rights guarantees, that the rationality of the health system is not replaced by that of its economic rival in legal and policy communications (Fischer-Lescano and Teubner, 2004, pp. 1030, 1046).


Author(s):  
Suerie Moon ◽  
Thirukumaran Balasubramaniam

The ability of governments to protect and promote health-related human rights can be constrained by international trade rules, including those of the World Trade Organization (WTO). The WTO rules can increase medicine prices, challenge tobacco control measures, restrict national food safety policies, and facilitate brain drain from public health services. This chapter offers a brief history of the WTO’s origins, a high-level overview of the health implications of various WTO agreements, and a closer look at how two key issues—access to medicines and tobacco control—have created greater policy space for health within the WTO. It then identifies the institutional factors that promote or hinder human rights protection and offers conclusions on the prospects for institutionalization of health-related human rights. This chapter concludes that protecting health within the WTO and broader global trade regime is possible, but remains a significant challenge due to major power asymmetries.


2019 ◽  
pp. 157-171
Author(s):  
Mathias Risse ◽  
Gabriel Wollner

This chapter explores particular domestic obligations of states in the domain of trade, including obligations and prerogatives to protect their labor force and industries from competition and obligations that arise in the context of dealing with authoritarian regimes. The grounds-of-justice approach dilutes contrasts between domestic and foreign policy. Governments must attend to matters of domestic justice, as well as make appropriate contributions to the global advancement of human rights and to trade justice. There are additional duties of justice and other moral duties that apply to states in domains such as immigration, climate change, or protection of future generations. The state has obligations to protect its labor force and look after its vulnerable citizens. But it also has duties towards people elsewhere. The challenge is to reap gains of cooperation in trade, culture, education, environmental protection, among others, while respecting the world’s many local peculiarities and making sure those gains do not accrue only to a few. The grounds-of-justice approach offers guidance for how to pursue these tasks.


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