Globalization and health: political grand challenges

Ted Schrecker

Review of International Political Economy, 2020, vol. 27, issue 1, 26-47

Abstract: The central task of any critical social science is speaking truth about power. After a brief review of ‘glass half full’ and ‘glass half empty’ perspectives on recent developments in global health, I argue that such a critical perspective need not answer the question about the glass, but rather ask what more could have been achieved under different social arrangements. I continue with a discussion of how globalization has re-scaled distributional conflicts so they need no longer be resolved within national borders, and enhanced the power of transnational corporations and the ultra-wealthy to the probable detriment of national policy space. I then examine the structural adjustment programs of the 1980s and the 1990s as an early step in the normalization of austerity, and the associated human collateral damage. I conclude by arguing that the constraints in improving health and reducing health inequalities associated with globalization are substantial, while suggesting that they should not be overstated – a point underscored by the selective nature of the policy choices comprising austerity.

Date: 2020
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DOI: 10.1080/09692290.2019.1607768

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