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Global Health Watch 1 in one file

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1 Medic<strong>in</strong>e cannot deal with the many factors that cause ill-health.<br />

lead to improvements <strong>in</strong> health, such as redistribut<strong>in</strong>g wealth, either directly<br />

or through public provision and f<strong>in</strong>anc<strong>in</strong>g of goods and services, and regulat<strong>in</strong>g<br />

the operation of markets and for-profit enterprises. The more steps <strong>in</strong> the<br />

pathway from globalization to the health of any particular <strong>in</strong>dividual, group or<br />

community, the more difficult it becomes to describe the web of causation. In<br />

order to address these difficulties we first describe globalization and extract a<br />

few health lessons from its history.<br />

<strong>Global</strong>ization past and present<br />

<strong>Global</strong>ization is best described as ‘a process of greater <strong>in</strong>tegration with<strong>in</strong><br />

the world economy through movements of goods and services, capital, technology<br />

and (to a lesser extent) labour, which lead <strong>in</strong>creas<strong>in</strong>gly to economic decisions<br />

be<strong>in</strong>g <strong>in</strong>fluenced by global conditions’ (Jenk<strong>in</strong>s 2004). The focus of this<br />

chapter is on trade liberalization (<strong>in</strong>creas<strong>in</strong>g the cross-border flow of goods)<br />

and deregulation of national and <strong>in</strong>ternational f<strong>in</strong>ancial markets (facilitat<strong>in</strong>g<br />

rapid transnational movements of capital).<br />

Historically, the transnational movement of people has been a crucial element<br />

of globalization, and to some extent rema<strong>in</strong>s so. Over 175 million people<br />

lived outside their country of birth <strong>in</strong> 2000. Remittances of foreign-born workers<br />

to their low- or middle-<strong>in</strong>come countries of orig<strong>in</strong> – some US$ 80 billion<br />

<strong>Health</strong> for all <strong>in</strong> a ‘borderless world’?<br />

13

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