Governance, Globalization and Public Policy
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Governance, Globalization and Public Policy

Edited by Patricia Kennett

Governance, Globalization and Public Policy is concerned with exploring the nature of the policy arena in the context of globalization and the reconstitution of the state. The contributors to this book seek to broaden, extend and integrate theoretical, conceptual and substantive policy debates. The book begins by exploring the concepts and perspectives associated with globalization and governance, the relationship between them and the repercussions for public policy and the state. It also considers developments at the global and regional levels and the implications of the emergence of new regulatory regimes in the context of liberalization and privatization. The focus then turns to a broad range of substantive areas of public policy such as human rights, health and health care, housing markets, poverty, security and counter-terrorism.
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Chapter 8: Globalization, Governance and Health

Sarah Payne


Sarah Payne INTRODUCTION The focus of this chapter is health in a global context – particularly the ways in which globalization affects health and the role played by global health governance in protecting health on a global scale. In recent decades globalization has speeded up, while patterns of health and health inequality, both between countries and within them, have changed. While some aspects of globalization offer the prospect of improvements in health, others increase exposure to health risks. Health governance has a role to play in global health, although the nature of that role has varied over time and the success of global health governance is unclear. We begin with a brief account of recent global trends in health, and a discussion of definitions of globalization and of global health governance. This is followed by an exploration of the ways in which we might expect globalization to affect health and a more detailed look at the part played by global health governance in promoting health and protecting populations. HEALTH IN A GLOBAL PERSPECTIVE In the last half of the twentieth century global life expectancy increased by nearly 20 years. More developed countries gained an average of nine years, while developing countries with high mortality gained 17, and developing countries with lower mortality gained 26 years (WHO, 2003; Leon and Walt, 2001). This represents a significant improvement worldwide, but there continues to be a health gap between richer and poorer countries. Over 1 billion people worldwide have...

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