Description of Sickness and Wealth.
In this powerful and accessible collection of new essays, international scholars
and activists examine how official and corporate actors of globalization—including
multinationals, the IMF and World Bank, the World Trade Organization, and "first
world" governments—have enacted policies that limit medical access and
promote disease and death for many in the poor world. The contributors to Sickness
and Wealth provide a history of health and "development" strategies;
reveal the grim health consequences of these policies throughout the world;
and highlight the work of activists and organizations currently working for
improved global health.
Contributors include
Stephen Bezruchka, Joseph Brenner, Patrick Bond, Alejandro Cerón, Abhijit Das,
Paul Davis, Meredith Fort, Oscar Gish, Stephen Gloyd, Tim Holtz, Evelyne Hong,
Celia Iriart, Patrick Kachur, Mary Anne Mercer, Emerson Merhy, Ellen Shaffer,
Vandana Shiva, Juan Carlos Verdugo, Howard Waitzkin, and Seiji Yamada.
Table of Contents
Preface Diagnosing Global Injustice by
Joia Mukherjee
Introduction Globalization and Health by Meredith Fort
SECTION
ONE: Brief
history of health and development strategies
1 The Lethal Divide: How Economic Inequality Affects Health by Stephen
Bezruchka and Mary Anne Mercer
2 The Legacy of Colonial Medicine by Oscar Gish
3 The Primary Health Care Movement Meets the Free Market by Evelyne
Hong
4 Sapping the Poor: The Impact of Structural Adjustment Programs by
Steve Gloyd
SECTION
TWO: Expansion
of the neoliberal model
5 The Failures of Neoliberalism: Health Sector Reform in Guatemala by
Juan Carlos Verdugo
6 HMO’S Abroad: Managed Care in Latin America by Celia Iriart, Howard
Waitzkin, and Emerson Merhy
7 Trade and Health Care: Corporatizing Vital Human Services by Ellen
Shaffer and Joseph Brenner
8 Militarism and the Social Production of Disease by Seiji Yamada
SECTION
THREE: How
economic globalization policies affect health
9 Stolen Harvest: The Hijacking of the Global Food Supply by Vandana
Shiva
10 The Political Roots of South Africa's Epidemic by Patrick Bond
11 The Reglobalization of Malaria by Timothy ...
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Excerpt
From the Preface
In 2003, I met Dr. Steve Gloyd, one of the contributors to this fine book,
at a meeting about implementing HIV treatment in resource poor settings. The
meeting was held at our hospital in rural Haiti and was attended by AIDS experts
from many developed countries. While many well meaning, European and North American
medical academics, very new to the health landscape in the developing world,
debated the merits of one HIV treatment regimen over another, Steve and I bemoaned
the profound and entrenched poverty that underlies the fragile existence of
the poor and the abysmal state of the public health sector that is charged with
caring for them. At this well attended HIV treatment meeting, only the small
group of us who regularly face the stark contrast between the developed and
developing worlds continually returned from the important clinical discussion
of HIV treatment to the more pressing problem of the international financial
policies that foment poor health; the corporate interests and the neoliberal
economic "reforms" which demand that governments decrease their public
service budgets to promote the unfettered march toward the "free"
market. No doubt, our clinical and scientific colleagues from places like United
States, France, and England thought that such policy arguments should be vetted
elsewhere, after all, we had come to Haiti to talk about scaling up access to
...
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Praise
A
timely, radical, and accessible tool for understanding the corporate attack
on health care as a right. An exceptional mix of activist and scholarly voices
makes Sickness and Wealth stand apart. This book is indispensable to
those interested in health and social justice.
Sarah Shannon, Hesperian Foundation
Sickness
and Wealth arrives none too soon. This important book is published as
a growing unease spreads among those who have access to books, whether published
in English or any other language. The reading classes are learning what the
worlds bottom billion have long been forced to know: that global economic
and social arrangements are increasingly inegalitarian and are bad for our
health. Militarization, privatization, and unfair trade policies are in fact
tightly linked to diseases such as malaria, cholera, and AIDS; current policies
have sapped the movement for primary health care for all. Sickness and
Wealth exposes the mechanisms of these connections. Knowledge is
power now sounds like a silly piety in large part because the vast preponderance
of knowledge long available buttresses the central theses of this book. Power
is power. But Sickness and Wealth gives teachers and activists and
other concerned citizens of a sickly planet a new tool, one designed to help
us do more than merely...
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Interview
Sickness and Wealth contributors Stephen Bezruchka and Timothy Holtz were interviewed on KPFA's
Against the Grain program on April 19, 2006. To listen to the program, visit
KPFA's archives, or click
here to download an mp3 of the program.
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