AIDS, Antiretrovirals, Brazil and the International Politics of Global Health, 1996–2008

2019 ◽  
Author(s):  
Marcos Cueto ◽  
Gabriel Lopes
Keyword(s):  
Universal Access ◽  
International Health ◽  
Developed Countries ◽  
Antiretroviral Drugs ◽  
First Century ◽  
Global Politics ◽  
Health Policies ◽  
Sexual Abstinence ◽  
Pharmaceutical Companies ◽  
Marked Decline

Abstract In the mid-1990s, Brazil became a player in the global politics of AIDS through its participation in debates on whether antiretroviral drugs were commodities or public goods. Brazilian actors not only challenged powerful pharmaceutical companies but the assumption that international health policies were solely defined in developed countries. After 1996, a coalition of Brazilian officers, health activists, people living with Aids and medical scientists advocated for universal access to generic medication (instead of costly patented drugs) and publicized its achievements at home and abroad, such as a marked decline in AIDS cases. However, during the first decade of the twenty-first century increased costs, little attention to prevention and the persistence of homophobia hindered treatment. Moreover, unilateral US programmes and conservative evangelicals glorifying sexual abstinence sabotaged anti-AIDS work. After the financial crisis of 2008, universal access to ARVs lost political momentum and sustaining treatment became difficult in Brazil.

Medical Migration and The Global Politics of Equality1

2018 ◽  
Author(s):  
Hannah Bradby
Keyword(s):  
National Health Service ◽  
Global Health ◽  
Premature Death ◽  
First Century ◽  
Global Politics ◽  
Healthcare Personnel ◽  
Medical Migration ◽  
Poor Countries ◽  
Sub Saharan ◽  
Foreign Doctors

Employing doctors and nurses who were trained overseas has been standard practice since the inception of the British National Health Service (NHS) in 1948. However, by the twenty-first century, recruitment of doctors from Africa was being compared with the slave trade in terms of its exploitative and damaging effects: ‘current policies of recruiting doctors from poor countries are a real cause of premature death and untreated disease in those countries and actively contribute to the sum of human misery.’ The assertion that employing foreign doctors was causing poor health in those doctors’ countries of origin was echoed in two reports from global health organisations, which stressed the emigration of skilled healthcare personnel from the sub-Saharan region of Africa as being related to concomitant deterioration in populations ife expectancy and declared a ‘global health workforce crisis.

Global Religion, Global Politics

2017 ◽  
Keyword(s):  
Religion And Politics ◽  
First Century ◽  
Global Politics ◽  
American Religion ◽  
American Muslims ◽  
Free Exercise ◽  
Special Obligation ◽  
Faith Traditions ◽  
Race And Sexuality

The concerns that appear throughout this book continue to resonate in the twenty-first century. For instance, courts and legislatures struggle to define the First Amendment's protection of the “free exercise of religion”; and Americans continue to look to their faith traditions for guidance on thorny conundrums of war, race, and sexuality. Two newly prevalent issues have emphasized the global dimensions of these themes. One is the role of Islam in American religion and politics. Another new area of focus is on ecology and the environment. This chapter presents the following documents: George W. Bush's “Freedom at War with Fear” (2001), Ingrid Mattson's “American Muslims Have a ‘Special Obligation’” (2001), Sam Harris' The End of Faith (2004), and Wendell Berry's “Faustian Economics” (2008).

scholarly journals Reimbursement Contracts: Application of Civil Law Mechanisms under Pandemic Restrictions

2020 ◽  
pp. 47-56
Author(s):  
Oksana KIRIIAK
Keyword(s):  
Medical Care ◽  
Respiratory Infection ◽  
Acute Respiratory Infection ◽  
Civil Law ◽  
Developed Countries ◽  
Legal Regulation ◽  
Pharmaceutical Companies ◽  
Global Spread ◽  
Key Participants ◽  
Quality Medical Care

The article contextualizes and assesses the peculiarities of using the mechanism of civil law reimbursement of medical expenses in the context of the global spread of acute respiratory infection COVID-19 caused by coronavirus SARS-CoV-2, as well as the theoretical possibility of such coverage of financial costs and revenues through the enforcement of reimbursement contracts, by analogy with the currently widespread state program «Affordable Medicines of Ukraine». The author analyses the achievements of many domestic and foreign researchers who have covered various aspects of reimbursement in their writings, including the extrapolation algorithms of such traditional institutions of civil law as the fulfilment of obligations for the third parties, compensation, etc. For the completeness of the scientific search, the article also contains an analysis of statistical indicators of the effectiveness of reimbursement contracts in our country, based on information from open official sources of the National Health Service of Ukraine. As a result of the comparison, the author concluded that the well-thought-out organization of high-quality medical care, followed by reimbursement of the full or partial cost of services received or medicines purchased under reimbursement agreements allows to comprehensively and effectively solve most problems in this area in such a way as to protect the interests of patients, doctors, and pharmaceutical companies as the key participants in such legal relations. It is also emphasized that the system of legal regulation and medical provision of access to medicines and procedures in most developed countries is considered as an integral part of public administration, the need to improve which is always an urgent challenge for every law enforcement, especially in the context of the global spread of acute respiratory infection COVID-19 caused by the coronavirus SARS-CoV-2. Particular attention is paid to the fact that the well-thought-out organization of quality medical care, followed by reimbursement of the full or partial cost of services received or drugs purchased in the context of reimbursement agreements allows comprehensive and effective solutions to most problems in this area to protect the interests of patients, doctors and pharmaceutical companies as key participants in such legal relations.

The Legacy of Transatlantic Neoliberalism

2014 ◽  
Author(s):  
Daniel Stedman Jones
Keyword(s):  
United States ◽  
Great Britain ◽  
Free Market ◽  
The United States ◽  
First Century ◽  
Global Politics ◽  
Price Mechanism ◽  
Public Officials ◽  
Economic Problems ◽  
Margaret Thatcher

This concluding chapter reviews how neoliberalism transformed British, American, and global politics. At the dawn of the twenty-first century, the triumph of the free market was almost universally accepted by mainstream politicians, public officials, and civil servants. More importantly, the distinctive neoliberal brand of free market individualism had prevailed over alternative forms of managed market-based capitalism. Transatlantic neoliberal politics successfully transformed the commonsense assumptions of policymakers in Great Britain and the United States when confronted with social and economic problems, especially in the years after Margaret Thatcher left office. Value for money is effectively delivered through the discipline of the market to satisfy consumer wants. An equilibrium is achieved through the price mechanism, guiding the activities of disparate sellers and producers.

Diritto alla salute, equità e governance delle malattie neglette e della povertà / Right to health, equity and governance of neglected diseases and poverty

2016 ◽  
Vol 65 (4) ◽  
pp. 477-493
Author(s):  
Elena Mancini
Keyword(s):  
Neglected Tropical Diseases ◽  
Universal Access ◽  
International Health ◽  
Right To Health ◽  
Martha Nussbaum ◽  
Neglected Diseases ◽  
Amartya Sen ◽  
Justice In Health Care ◽  
The Right ◽  
The Impact

L’articolo esamina la salute quale diritto umano fondamentale nelle principali Carte internazionali. Sarà in particolare ricostruito il percorso storico-concettuale che ha portato al riconoscimento della natura complessa e inclusiva del diritto alla salute. Il fallimento delle politiche sanitarie mirate a sconfiggere singole malattie - come avvenuto nel caso della malaria - ha imposto una maggiore attenzione verso i determinanti sociali della salute, dando origine ad un processo che ha portato a concepire la salute quale problema di equità internazionale la cui soluzione richiede la realizzazione di condizioni sociali, economiche e ambientali e la promozione di libertà umane fondamentali. Il diritto a godere del più alto livello di salute ricomprende oltre al diritto all’accesso a cure mediche e a farmaci di qualità, anche la disponibilità di misure igieniche, di corrette informazioni sanitarie e la protezione di libertà fondamentali quali la libertà dall’esclusione sociale e il possesso di titoli per l’accesso concreto alle cure essenziali primarie. Viene proposta una interpretazione dei diversi modelli di giustizia sanitaria elaborati per l’individuazione delle priorità nella utilizzazione delle risorse sanitarie, nella pianificazione degli interventi anche a livello internazionale e per la valutazione dei risultati da questi conseguiti in termini di equità e di protezione dei diritti umani. Sono esaminati gli indicatori e i parametri utilizzati per monitorare la progressiva realizzazione del diritto alla salute e l’efficacia degli interventi internazionali nel promuovere l’accesso universale alle cure con particolare attenzione alle strategie di contrasto delle malattie neglette e della povertà. In particolare viene illustrato il modello delle libertà sostanziali quali “capacitazioni” teorizzato da Amartya Sen e sviluppato da Martha Nussbaum nelle sue possibili applicazioni nell’ambito dell’accesso universale alle cure e delle possibili linee di azione della solidarietà internazionale.----------The aim of this article is to study health as a fundamental right in the main International Charters. We want to underline the historical and conceptual way that led to the recognition of the complex and inclusive nature of right to health. The failure of some sanitary policies supposed to defeat some illnesses – as it happened for malaria fever – obliged to give a better attention towards the social and economic determinants of health and consider the process that led to a new meaning of health: health as a problem of international equity. To realize this goal, is necessary, first of all, to understand social, economic and environmental conditions and to promote fundamental human freedoms. The right to enjoy a good level of health means not only to have the right to access to medical treatments or to high qualities medicines, but also to have a high level of sanitary measures and a correct sanitary information and to enjoy the right of freedom in order to avoid social exclusion and to obtain the access to primaries health treatment. In this article there is a proposal to help a better interpretation of the different models of justice in health care which are supposed to define equity in allocating main resources that are necessary to the international planning of the interventions. The results reached by international health policies are evaluated with regard to equity and protection of human rights. This proposal analyses the indicators and the parameters used to realize and control the progressive realization of the right to health and the impact of the international interventions used in order to promote a universal access to treatments; in particular it examines the strategies used against the neglected tropical diseases. In details it explains the model of substantial freedoms as capabilities, as it has been theorized by Amartya Sen and developed by Martha Nussbaum, used in their possible applications with regards to universal access to treatments and also to feasible international solidarity actions.

scholarly journals Beyond the BRICS: Power, Pluralism, and the Future of Global Order

2018 ◽  
Vol 32 (1) ◽  
pp. 89-101 ◽  
Author(s):  
Andrew Hurrell
Keyword(s):  
International Relations ◽  
Early Years ◽  
First Century ◽  
Global Politics ◽  
Rising Powers ◽  
Global Order ◽  
Story Line ◽  
Global System ◽  
The Core ◽  
Emerging Powers

AbstractIn the early years of the twenty-first century the narrative of “emerging powers” and “rising powers” seemed to provide a clear and powerful picture of how international relations and global politics were changing. Yet dramatic changes in the global system have led many to conclude that the focus on the BRICS and the obsession with the idea of rising powers reflected a particular moment in time that has now passed. The story line is now about backlash at the core; and, with the exception of China, rising powers have returned to their role as secondary or supporting actors in the drama of global politics. Such a conclusion is profoundly mistaken for three sets of reasons: the continued reality of the post-Western global order; the need to understand nationalist backlash as a global phenomenon; and the imperative of locating and strengthening a new pluralist conception of global order.

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