Shaping Global Health Policy: Global Social Policy Actors and Ideas about Health Care Systems PDF
Preview Shaping Global Health Policy: Global Social Policy Actors and Ideas about Health Care Systems
Shaping Global Health Policy This page intentionally left blank Shaping Global Health Policy Global Social Policy Actors and Ideas about Health Care Systems Alexandra Kaasch BielefeldUniversity,Germany Palgrave macmillan ©AlexandraKaasch2015 Softcoverreprintofthehardcover1stedition2015978-1-137-30888-7 Allrightsreserved.Noreproduction,copyortransmissionofthis publicationmaybemadewithoutwrittenpermission. Noportionofthispublicationmaybereproduced,copiedortransmitted savewithwrittenpermissionorinaccordancewiththeprovisionsofthe Copyright,DesignsandPatentsAct1988,orunderthetermsofanylicence permittinglimitedcopyingissuedbytheCopyrightLicensingAgency, SaffronHouse,6–10KirbyStreet,LondonEC1N8TS. Anypersonwhodoesanyunauthorizedactinrelationtothispublication maybeliabletocriminalprosecutionandcivilclaimsfordamages. Theauthorhasassertedherrighttobeidentifiedastheauthorofthis workinaccordancewiththeCopyright,DesignsandPatentsAct1988. Firstpublished2015by PALGRAVEMACMILLAN PalgraveMacmillanintheUKisanimprintofMacmillanPublishersLimited, registeredinEngland,companynumber785998,ofHoundmills,Basingstoke, HampshireRG216XS. PalgraveMacmillanintheUSisadivisionofStMartin’sPressLLC, 175FifthAvenue,NewYork,NY10010. PalgraveMacmillanistheglobalacademicimprintoftheabovecompanies andhascompaniesandrepresentativesthroughouttheworld. Palgrave®andMacmillan®areregisteredtrademarksintheUnitedStates, theUnitedKingdom,Europeandothercountries. ISBN978-1-349-57237-3 ISBN978-1-137-30889-4(eBook) DOI 10.1057/9781137308894 Thisbookisprintedonpapersuitableforrecyclingandmadefromfully managedandsustainedforestsources.Logging,pulpingandmanufacturing processesareexpectedtoconformtotheenvironmentalregulationsofthe countryoforigin. AcataloguerecordforthisbookisavailablefromtheBritishLibrary. AcatalogrecordforthisbookisavailablefromtheLibraryofCongress. To Imke, Gitte and Bernhard This page intentionally left blank Contents Acknowledgements viii ListofAbbreviationsandAcronyms ix 1 GlobalSocialPolicyActorsandHealthCareSystemIdeas 1 2 UNOrganisations:HealthforAllandAllforHealthCare Systems? 19 3 TheOECDandtheWTO:OutsidetheUNbut IncreasinglyImportant? 71 4 TheNewCentresofPower?G8,G20andtheBRICSand HealthCareSystems 84 5 TheGlobalFundtoFightAIDS,Tuberculosisand Malaria:AHybridOrganisationastheBestHealthCare SystemActor? 97 6 Non-GovernmentalOrganisationsandHealthCare SystemIdeas 102 7 ThePolishHealthCareSystemUnderGlobalScrutiny 113 8 Conclusions:MultipleActors,UncertainIdeas,Nested Discourses 129 Notes 145 Bibliography 150 Index 168 vii Acknowledgements This book was written during the turbulent times of a junior researcher fighting to achieve the dream of “getting in”. In my first yearofstudiesattheFreeUniversityofBerlin,myfavouriteprofessor, Gesine Schwan, asked me about my future plans. I told her I would liketoworkinacademia.Sheencouragedmebutalsosaid“itisavery hardroad”.Luckily,inone’searlytwenties,itiseasytobelieve“Iam strongenough”.Lateron,Ioftenthoughtaboutwhatshe’dsaid,and it helped to know that somebody like Gesine Schwan, a role model inmanyways,didnotsuggestitwaseasy. Now, looking back at some of the stages of this “hard road”, this book is finally published. This would have never happened without Bob Deacon’s constant support and encouragement. Thank you so much, for everything! I discussed my work with many colleagues overtheyears;thereisn’tspacetomentionallofthemhere.Special thankstoLutzLeisering,RianneMahon,KerstinMartens,PaulStubbs and Rebecca Surender for encouragement and “mentoring”. Thanks alsotoMeriKoivusalo,VeronikaWodsak,JoIngold,AmyBarnesand Claus Wendt for comments on my work. Katharina and Derya pro- vidededitorialhelpinthefinalstagesofwriting.ThankstoDominic Walker and colleagues from Palgrave Macmillan for being endlessly patient. IamdeeplyindebtedtoImke,whohassupportedmeineverypos- sible way, and to my children Marieke, Joshua and Sophie. I would also like to thank my parents, Gitte and Bernhard, for “giving the horse the legs to run”. Thanks to all of you, as well as Margarete, Hans, Mocki, Hilde, Siegfried and a number of babysitters and au-pairs who made it possible for me to enjoy working and travel- ling even when the children fell ill and we were lacking childcare. My brother Andreas was always there when the computer went on strike. viii Abbreviations and Acronyms BCA Biennialcollaborativeagreement BRICS Brazil,Russia,India,China,SouthAfrica CCM CountryCoordinationMechanism CEAS Centredeestudiosyasesoriaensalud CMH CommissiononMacroeconomicsandHealth(WHO) CRC ConventionontheRightsoftheChild CSDH CommissionontheSocialDeterminantsofHealth(WHO) CSO Civilsocietyorganisation DAC DevelopmentAssistanceCommittee(OECD) DAH Developmentassistanceforhealth DALY Disability-adjustedlifeyear DELSA DirectorateforEmployment,LabourandSocialAffairs (OECD) EB ExecutiveBoard(WHO) ECOSOC EconomicandSocialCouncil(UN) EDRC EconomicDevelopmentReviewCommittee(OECD) EU EuropeanUnion GA GeneralAssembly(UN) GASPP GlobalismandSocialPolicyProgramme GATS GeneralAgreementonTradeinServices(WTO) GAVI GlobalAllianceforVaccinesandImmunization GDN GlobalDevelopmentNetwork GEGA GlobalEquityGaugeAlliance GTZ GermanEnterpriseforTechnicalCooperation HEG G8HealthExperts’Group HFA HealthforAll HIA HealthImpactAssessment HiT Healthsystemsintransition HMO HealthMaintenanceOrganisations HNP Health,NutritionandPopulation(WorldBank) IBRD InternationalBankforReconstructionandDevelopment ICCPR InternationalCovenantonCivilandPoliticalRights ICESCR InternationalCovenantonEconomic,SocialandCultural Rights ix
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