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Global Health Watch 1 in one file

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A1 | <strong>Health</strong> for all <strong>in</strong> the ‘borderless world’?<br />

‘The current path of globalization must change. Too few share <strong>in</strong> its benefits.<br />

Too many have no voice <strong>in</strong> its design and no <strong>in</strong>fluence <strong>in</strong> its course’ – World<br />

Commission on the Social Dimensions of <strong>Global</strong>ization, 2004<br />

In rural Ch<strong>in</strong>a, high school student Zheng Q<strong>in</strong>gm<strong>in</strong>g kills himself by jump<strong>in</strong>g<br />

<strong>in</strong> front of a tra<strong>in</strong>. Friends say it was because he could not afford the last US$<br />

80 of school fees, which meant he could not take the college admission test.<br />

The overall annual tuition is more than the average village family <strong>in</strong> his region<br />

earns <strong>in</strong> a year. <strong>Health</strong> care, like education, has become scarce and expensive<br />

s<strong>in</strong>ce Ch<strong>in</strong>a embraced the market economy, and his grandfather had already<br />

spent the family sav<strong>in</strong>gs on treat<strong>in</strong>g a lung disease.<br />

In Zambia, Chileshe waits pa<strong>in</strong>fully to die from AIDS. The global funds and<br />

antiretroviral programmes are too little and too late for her. She was <strong>in</strong>fected<br />

by her now dead husband, who once worked <strong>in</strong> a textile plant along with thousands<br />

of others but lost his job when Zambia opened its borders to cheap,<br />

second-hand cloth<strong>in</strong>g. He moved to the city as a street vendor, sell<strong>in</strong>g castoffs<br />

or donations from wealthier countries. He would get drunk and pay for<br />

sex – often with women whose own husbands were somewhere else work<strong>in</strong>g,<br />

or dead, and desperately needed m<strong>one</strong>y for their children. Desperation, she<br />

thought, is what makes this disease move so swiftly; she recalls that a woman<br />

from the former Zaire pass<strong>in</strong>g through her village once said that the true mean<strong>in</strong>g<br />

of SIDA, the French acronym for AIDS, was ‘Salaire Insuffisant Depuis des<br />

Années’ – too little m<strong>one</strong>y for too many years (Schoepf 1998).<br />

In northern Mexico, a young girl named Antonia is suffer<strong>in</strong>g from severe<br />

asthma. She is fall<strong>in</strong>g far beh<strong>in</strong>d <strong>in</strong> school. Her parents do not have enough<br />

m<strong>one</strong>y to pay for specialists or medic<strong>in</strong>es, and wonder whether her problems<br />

are connected to the <strong>in</strong>dustrial haze and foul-smell<strong>in</strong>g water that come from<br />

the nearby factory. They cannot afford to move. All their sav<strong>in</strong>gs were used up<br />

when corn prices plunged after the market opened to exports from the US, and<br />

it is not clear how they would make a liv<strong>in</strong>g. How could so much corn grow so<br />

cheaply, her father Miguel used to wonder.<br />

In a Canadian suburb two people die when a delivery van swerves <strong>in</strong>to<br />

oncom<strong>in</strong>g traffic and slams <strong>in</strong>to their car. The van driver, Tom, survives. He<br />

either fell asleep at the wheel or suffered a mild heart attack. No <strong>one</strong> knows,<br />

11

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