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Global Health Watch 1 in one file

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<strong>Health</strong> and globalization | A1<br />

<strong>in</strong> 2002, more than double the amount <strong>in</strong> 1990 – have become an important<br />

source of foreign currency for many countries (Kapur and McHale 2003). Nevertheless,<br />

large-scale migration rema<strong>in</strong>s ‘the miss<strong>in</strong>g flow <strong>in</strong> today’s globalization’<br />

(Dollar 2002), ma<strong>in</strong>ly because of policy changes <strong>in</strong> <strong>one</strong> dom<strong>in</strong>ant nation,<br />

the US, ‘which has switched from a protectionist welcom<strong>in</strong>g immigrants to a<br />

free trader restrict<strong>in</strong>g their entrance’ (Williamson 2002).<br />

<strong>Global</strong>ization is not new. The history of humank<strong>in</strong>d has been <strong>one</strong> of<br />

push<strong>in</strong>g aga<strong>in</strong>st borders, explor<strong>in</strong>g, expand<strong>in</strong>g, trad<strong>in</strong>g, conquer<strong>in</strong>g and assimilat<strong>in</strong>g<br />

(Diamond 1997). By the 16th century the geographic and resource<br />

endowments of Europe, comb<strong>in</strong>ed with new sail<strong>in</strong>g and navigation technologies,<br />

ushered <strong>in</strong> the first truly global era of colonization and trade. <strong>Global</strong>ization<br />

came to a temporary halt <strong>in</strong> the early 20th century, with two world wars<br />

and the Great Depression. The ensu<strong>in</strong>g devastation spurred the creation of<br />

new <strong>in</strong>ternational organizations to promote reconstruction and development,<br />

<strong>in</strong> an effort to avoid the economic shocks that partly underp<strong>in</strong>ned both wars.<br />

The UN would provide political oversight to global peace and development.<br />

The IMF would ma<strong>in</strong>ta<strong>in</strong> global economic stability by help<strong>in</strong>g countries with<br />

balance of payments problems. The World Bank would provide concessional<br />

(low <strong>in</strong>terest) loans or grants for postwar reconstruction and, later, for global<br />

development. The General Agreement on Tariffs and Trade (GATT) would be<br />

a venue for negotiat<strong>in</strong>g the removal of protectionist barriers to <strong>in</strong>ternational<br />

trade.<br />

<strong>Global</strong>ization was back on track, even if its new rules and <strong>in</strong>stitutions represented<br />

the <strong>in</strong>terests of the world’s dom<strong>in</strong>ant, victorious nations, and even if<br />

<strong>in</strong>ternational trade as a percentage of global economic output did not reach<br />

levels characteristic of the late 19th and early 20th centuries until the 1990s<br />

(Cameron and Ste<strong>in</strong> 2000). The collapse of the USSR and the fall of the Berl<strong>in</strong><br />

Wall, mark<strong>in</strong>g the end of an ideological counterweight to capitalism, arguably<br />

accelerated the pace of global market <strong>in</strong>tegration and certa<strong>in</strong>ly enhanced its<br />

legitimacy.<br />

International trade <strong>in</strong> goods is only <strong>one</strong> dimension of globalization. Several<br />

other trends reveal how and why today’s globalization differs from earlier<br />

eras.<br />

The scale of <strong>in</strong>ternational private f<strong>in</strong>ancial flows result<strong>in</strong>g from capital market<br />

liberalization. Aided by technologies that allow round-the-clock global trade<br />

and new forms of f<strong>in</strong>ance capital such as hedge funds and derivatives, currency<br />

transactions worth US$ 1.5–2 trillion occur daily. Much of this is speculative<br />

portfolio m<strong>one</strong>y chas<strong>in</strong>g short-term changes <strong>in</strong> currency valuations, rather than<br />

foreign direct <strong>in</strong>vestment that may go <strong>in</strong>to new productive capacity. The scale<br />

14

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