Trade agreements and policy space for achieving universal health coverage (SDG target 3.8)
Sakiko Fukuda-Parr and
Kim Treanor
CDP Background Papers from United Nations, Department of Economics and Social Affairs
Abstract:
Achieving universal health coverage (UHC) is one of the core priorities of the Sustainable Development Goal health agenda, and much of the debates on the means to achieve this target has focused on financing and benefits models. However, little attention has been paid to the challenges related to the costs of providing UHC, such as the affordability of medicines. This paper explores the challenges countries face in negotiating trade and investment agreements that could restrict their ability to manage access to medicines and the public health systems more generally. The paper outlines the key provisions in recent trade agreements—strengthened intellectual property (TRIPS plus) requirements, government procurement, dispute settlement—that constrain policy space for implementing universal health coverage. These consequences can have particularly dramatic effects for countries that made effective use of medicines and intellectual property policies to expand access to medicines. The paper elaborates on the case of Bangladesh to illustrate these consequences.
Keywords: Universal Health Coverage; SDGs; integrated goals; policy space; Public health; trade and investment agreements; trade and health linkages (search for similar items in EconPapers)
JEL-codes: F13 I14 I15 (search for similar items in EconPapers)
Pages: 23 pages
Date: 2018-02
References: Add references at CitEc
Citations:
Downloads: (external link)
https://www.un.org/development/desa/dpad/wp-conten ... ites/45/publication/ (application/pdf)
Our link check indicates that this URL is bad, the error code is: 403 Forbidden
Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.
Export reference: BibTeX
RIS (EndNote, ProCite, RefMan)
HTML/Text
Persistent link: https://EconPapers.repec.org/RePEc:une:cpaper:038
Access Statistics for this paper
More papers in CDP Background Papers from United Nations, Department of Economics and Social Affairs Contact information at EDIRC.
Bibliographic data for series maintained by Aimee Gao ().