scholarly journals ‘Choking the national demos’: research partnerships and the material constitution of global health

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).

2019 ◽  
Vol 37 (2) ◽  
pp. 139-156
Author(s):  
Keith Syrett

Now widely accepted as a component of the international human rights framework, the concept of access to medicines nonetheless continues to generate controversial questions as to its scope and application. Through critical analysis of relevant documentary materials, this article seeks to explore the conjunction between human rights and the list of essential medicines compiled biennially by the World Health Organization in the particular context of the recent expansion of this list to embrace a number of very costly medical interventions. Such extension is intended to stimulate access in the long run, but the expense of such medicines may limit accessibility in the short term, as governments struggling to ensure the sustainability of health systems choose to allocate finite resources elsewhere. This article therefore examines the compatibility of limitations to access on grounds of unaffordability, with international human rights obligations. It focuses especially upon Article 12 of the International Covenant on Economic, Social and Cultural Rights but also considers other human rights which may be engaged.


2012 ◽  
Vol 40 (2) ◽  
pp. 220-233 ◽  
Author(s):  
Joo-Young Lee ◽  
Paul Hunt

The Constitution of the World Health Organization (WHO) affirms that “the enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being.” The Universal Declaration of Human Rights lays the foundations for the international framework for the right to health. This human right is now codified in numerous national constitutions, as well as legally binding international human rights treaties, such as the International Covenant on Economic, Social and Cultural Rights.Although medical care and access to medicines are vital features of the right to health, almost two billion people lack access to essential medicines, leading to immense avoidable suffering. Improving access to essential medicines could save 10 million lives each year, four million of them in Africa and South-East Asia alone. Gross inequity is a shocking feature of the world pharmaceutical situation.


Author(s):  
Peter Hägel

Chapter 7 examines two cases of how billionaires use philanthropy to promote social change in foreign countries. Through the massive funding of research and public–private partnerships, Bill Gates, via the Bill & Melinda Gates Foundation, has advanced international vaccination programs to fight communicable diseases. His influence on agenda-setting and policy implementation in the governance of global health can be seen in the World Health Organization’s declaration of a “Decade of Vaccines.” The second case is George Soros, whose attempts to build open societies as a “stateless statesman” are extremely wide-ranging. The chapter focuses on his efforts to promote human rights and democracy, putting the spotlight on his role in regime change during the so-called “Rose Revolution” in Georgia (2002–4).


2019 ◽  
Vol 61 (1) ◽  
pp. 73-102
Author(s):  
Anika Klafki

The world is increasingly vulnerable to infectious diseases. Although the fundamental reform of the International Health Regulations (IHR) in 2005 was heralded as the beginning of a new era of international health law, the Ebola outbreak 2014 shattered all hopes that the world would now be adequately equipped for epidemic outbreaks of transmissible diseases. The Ebola crisis is perceived as an epic failure on the part of the World Health Organization (WHO). The many dead are a sad testimony to the world's inability to adequately respond to the threat posed by contagions. In reaction to this defeat, policymakers now focus on hands-on initiatives to foster global health instead of reformulating international health law. So far, extensive investments and innovations within the WHO, the United Nations system, and in the private sector have multiplied rapidly. The mushrooming of various health initiatives, however, increases the complexity and reduces the consistency of the current global health landscape. The leadership role of the WHO needs to be restored to provide a coherent response for the next global scale public health emergency. To this end, a fundamental reform of the presently widely neglected international regulatory framework in the field of public law, the IHR, is of vital importance. Keywords: World Health Organization, International Health Regulations, Infectious Diseases, Ebola, Influenza, Public Health, Public Health Emergency


Author(s):  
Gostin Lawrence O ◽  
Sirleaf Matiangai V S ◽  
Friedman Eric A

This chapter provides an understanding of the legal foundations of human rights, examining human rights under international law as a basis for social justice in public health. International human rights law has codified the rights first enumerated in the Universal Declaration of Human Rights (UDHR), evolving through the politics of the Cold War to develop the International Covenant on Economic, Social and Cultural Rights (ICESCR). This seminal covenant and the international treaties that derived from it have framed the legal foundations of the human right to health and the evolution of health-related human rights. Yet, where challenges remain in responding to the health needs of a globalizing world, scholars and advocates have looked to a shift from international health law to global health law, facilitating collaboration between state and nonstate actors in an expanding global health policy landscape.


Author(s):  
Meier Benjamin Mason ◽  
Cinà Margherita Marianna ◽  
Gostin Lawrence O

This chapter addresses the international organizations that have accepted human rights obligations as a way of framing their global health policies, programs, and practices. International organizations within the United Nations (UN) system are engaged in implementing human rights—in both the mission they carry out and the way in which they carry out that mission. The UN has called on all programs, funds, and specialized agencies to mainstream human rights across their efforts, and various agencies have taken up this call to advance human rights for public health – beginning with the evolving role of the World Health Organization and expanding to encompass a sweeping set of international organizations that address health determinants. While there remain obstacles to the systematic operationalization of human rights across the global health governance landscape, international organizations are seeking to integrate their efforts to mainstream human rights in global health.


Author(s):  
Lawrence O. Gostin ◽  
Matiangai V. S. Sirleaf ◽  
Eric A. Friedman

This chapter provides an understanding of the legal foundations of human rights, examining human rights under international law as a basis for social justice in public health. International human rights law has codified the rights first enumerated in the Universal Declaration of Human Rights (UDHR), evolving through the politics of the Cold War to develop the International Covenant on Economic, Social and Cultural Rights (ICESCR). This seminal covenant and the international treaties that derived from it have framed the legal foundations of the human right to health and the evolution of health-related human rights. Yet, where challenges remain in responding to the health needs of a globalizing world, scholars and advocates have looked to a shift from international health law to global health law, facilitating collaboration between state and nonstate actors in an expanding global health policy landscape.


Author(s):  
Benjamin Mason Meier ◽  
Margherita Marianna Cinà ◽  
Lawrence O. Gostin

This chapter addresses the international organizations that have accepted human rights obligations as a way of framing their global health policies, programs, and practices. International organizations within the United Nations (UN) system are engaged in implementing human rights—in both the mission they carry out and the way in which they carry out that mission. The UN has called on all programs, funds, and specialized agencies to mainstream human rights across their efforts, and various agencies have taken up this call to advance human rights for public health – beginning with the evolving role of the World Health Organization and expanding to encompass a sweeping set of international organizations that address health determinants. While there remain obstacles to the systematic operationalization of human rights across the global health governance landscape, international organizations are seeking to integrate their efforts to mainstream human rights in global health.


2020 ◽  
Vol 48 (4) ◽  
pp. 796-799
Author(s):  
Benjamin Mason Meier ◽  
Allyn Taylor ◽  
Mark Eccleston-Turner ◽  
Roojin Habibi ◽  
Sharifah Sekalala ◽  
...  

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