health, justice, benefits, global health, mortality, inequity
This article offers a way to achieve global health with justice as a global health imperative. It is possible to have global health without justice, meaning that improvements in health outcomes could be achieved, but without a fair distribution of the benefits of good health. It is also possible to have justice without global health, where health outcomes are evenly distributed across the population but overall health is not improved. With this understanding, this article challenges current ways of understanding global health, and argues that absolute reductions in morbidity and premature mortality are not robust indicators of success in the absence of equity Taking existing and prevailing global health narratives, this article focuses on answering two fundamental questions to address the question of how we can achieve global health with justice: What would an ideal state of global health look like? What would an ideal state of global health with justice look like? These may seem like narve questions, but if we could answer them, we would go a long way toward a healthier and fairer world.
Lawrence O. Gostin, "Imagining Global Health with Justice" (2016) 39:2 Dal LJ 355.