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Advancing Health Rights in a Globalized World: Responding to Globalization through a Collective Human Right to Public Health

Published online by Cambridge University Press:  01 January 2021

Benjamin Mason Meier
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Extract

In confronting the insalubrious ramifications of globalization, human rights scholars and activists have argued for greater national and international responsibility pursuant to the human right to health. Codified seminally in Article 12 of the International Covenant on Economic, Social and Cultural Rights (ICESCR), the right to health proclaims that states bear an obligation to realize the “highest attainable standard” of health for all. However, in pressing for the highest attainable standard for each individual, the right to health has been ineffective in compelling states to address burgeoning inequalities in underlying determinants of health, focusing on individual medical treatments at the expense of public health systems. This article contends that the paradigm of individual health, focused on a right to individual medical care, is incapable of responding to health inequities in a globalized world and thereby hampers efforts to operationalize health rights through public health systems. While the right to health has evolved in international discourse over time, this evolution of the individual right to health cannot address the harmful societal ramifications of economic globalization. Rather than relying solely upon an individual right to medical care, envisioning a collective right to public health – a right applied at the societal level to address underlying determinants of health – would alleviate many of the injurious health inequities of globalization.

Type
Symposium
Information
Journal of Law, Medicine & Ethics , Volume 35 , Issue 4 , Winter 2007 , pp. 545 - 555
Copyright
Copyright © American Society of Law, Medicine and Ethics 2007

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References

Hunt, P., Economic, Social and Cultural Rights: The Right of Everyone to the Enjoyment of the Highest Attainable Standard of Physical and Mental Health: Report of the Special Rapporteur, U.N. Commission on Human Rights, Geneva, 2003; Toebes, B. C. A., The Right to Health as a Human Right in International Law (Antwerp, Belgium: Intersentia, 1999); Yamin, A. E., “Not Just a Tragedy: Access to Medications as a Right under International Law,” Boston University International Law Journal 21 (2003): 325–70; Kinney, E. D., “The International Human Right to Health: What Does This Mean for Our Nation and World?” Indiana Law Review 34 (2001): 1457–75; Nielsen, H. K., The World Health Organisation: Implementing the Right to Health (Copenhagen, Denmark: Europublishers, 2001); Taylor, A. L., “Governing the Globalization of Public Health,” Journal of Law, Medicine & Ethics 32, no. 3 (2004): 500–8.Google Scholar
International Covenant on Economic, Social and Cultural Rights, General Assembly Resolution 2200A (XXI), 993 U.N.T.S. 3, December 16, 1966, entered into force January 3, 1976.Google Scholar
McMichael, A. J. Beaglehole, R., “The Changing Global Context of Public Health,” Lancet 356, no. 9228 (2000): 577–82.CrossRefGoogle Scholar
Millen, J. V. Irwin, A. Kim, J. Y., “Introduction: What Is Growing? Who Is Dying?” in Kim, J. Y. Millen, J. V. Irwin, A. Gershman, J., eds., Dying for Growth: Global Inequality and the Health of the Poor (Monroe, Maine: Common Courage Press, 2000): 3–15.Google Scholar
Parker, R., “Administering the Epidemic: HIV/AIDS Policy, Models of Development, and International Health,” in Whiteford, L. M. Manderson, L., eds., Global Health Policy, Local Realities: The Fallacy of the Level Playing Field (Boulder: Lynn Reinner Publishers, 2000): 39–55.Google Scholar
Cohen, J. Rogers, J., eds., Is Inequality Bad for Our Health? (Boston: Beacon Press, 2000).Google Scholar
Link, B. G. Phelan, J., “Social Conditions as Fundamental Causes of Disease,” Journal of Health and Social Behavior 35, Supplement (1995): 80–94.CrossRefGoogle Scholar
Mann, J. M., “Medicine and Public Health, Ethics and Human Rights,” in Mann, J. Gruskin, S. Grodin, M. Annas, G., eds., Health and Human Rights (New York: Routledge Publishing, 1999): 439–52; Fairchild, A. L. Oppenheimer, G. M., “Public Health Nihilism vs. Pragmatism: History, Politics, and the Control of Tuberculosis,” American Journal of Public Health 88, no. 7 (1998): 1105–17.Google Scholar
Waitzkin, H. Iriart, C. Estrada, A. Lamadrid, S., “Social Medicine Then and Now: Lessons from Latin America,” American Journal of Public Health 91, no. 10 (2001): 1592–1601.CrossRefGoogle Scholar
Beauchamp, D. E. Steinbock, B., “Population Perspective,” in Beauchamp, D. E. Steinbock, B., eds., New Ethics for the Public's Health (New York: Oxford University Press, 1999).Google Scholar
McKeown, T., The Role of Medicine: Dream, Mirage, or Nemesis? (London: Nuffield Prov. Hospitals Trust, 1976): At 179; McKeown, T., The Origins of Human Disease (Oxford: Basil Blackwell, 1988); Colgrove, J., “The McKeown Thesis: A Historical Controversy and Its Enduring Influence,” American Journal of Public Health 92, no. 5 (2002): 725–29.Google Scholar
Jacobson, P. D. Soliman, S., “Co-Opting the Health and Human Rights Movement,” Journal of Law, Medicine & Ethics 30, no. 4 (2002): 705–15.CrossRefGoogle Scholar
Susser, M. Susser, E., “Choosing a Future for Epidemiology: II. From Black Box to Chinese Boxes and Eco-Epidemiology,” American Journal of Public Health 86, no. 5 (1996): 668–73; Berkman, L. Kawachi, I., “A Historical Framework for Social Epidemiology,” in Berkman, L. Kawachi, I., eds., Social Epidemiology (New York: Oxford University Press, 2000): 3–12; March, D. Susser, E., “The Eco- in Eco-Epidemiology,” International Journal of Epidemiology 35, no. 6 (2006): 1379–83.Google Scholar
Oppenheimer, G. M. Bayer, R. Colgrove, J., “Health and Human Rights: Old Wine in New Bottles?” Journal of Law, Medicine & Ethics 30, no. 4 (2002): 522–32.CrossRefGoogle Scholar
Farmer, P., “On Suffering and Structural Violence: A View from Below,” in Kleinman, A. Das, V. Lock, M., eds., Social Suffering (Berkeley: University of California Press, 1997).Google Scholar
Meyer, I. H. Schwartz, S., “Social Issues as Public Health: Promise and Peril,” American Journal of Public Health 90, no. 8 (2000): 1189–91.Google Scholar
See Parker, , supra note 5, at 41.Google Scholar
McMichael, A. J., “Prisoners of the Proximate: Loosening the Constraints on Epidemiology in an Age of Change,” American Journal of Epidemiology 149 (1999): 887–97, at 887; Gostin, L. O. Powers, M., “What Does Social Justice Require for the Public's Health? Public Health Ethics and Policy Imperatives,” Health Affairs 25, no. 4 (2006): 1053–60, at 1054; Susser, M., “Does Risk Factor Epidemiology Put Epidemiology at Risk? Peering into the Future,” Journal of Epidemiology & Community Health 52 (1998): 608–11, at 609–10.CrossRefGoogle Scholar
Gostin, L. O. Burris, S. Lazzarini, Z., “The Law and the Public's Health: A Study of Infectious Disease Law in the United States,” Columbia Law Review 99 (1999): 59–128.CrossRefGoogle Scholar
Arhin-Tenkorang, D. Conceição, P., “Beyond Communicable Disease Control: Health in the Age of Globalization,” in Kaul, I. Conceição, P. Le Goulven, K. Mendoza, R. U., eds., Providing Global Public Goods: Managing Globalization (New York: Oxford University Press, 2003); Chen, L. C. Evans, T. G. Cash, R. A., “Health as a Global Public Good,” in Kaul, I. Grunberg, I. Stern, M. A., eds., Global Public Goods: International Cooperation in the 21st Century (Oxford: Oxford University Press, 1999): 284–304.Google Scholar
World Health Organization, The World Health Report 2000: Health Systems – Improving Performance, 2001, at 1; Freedman, L. P., “Achieving the MDGs: Health Systems as Core Social Institutions,” Development 48, no. 1 (2005): 19–24, at 21.Google Scholar
Beauchamp, D., “Community: The Neglected Tradition of Public Health,” Hastings Center Reports 15, no. 6 (1985): 28–36; Faust, M. Kaul, I., “Global Public Goods and Health: Taking the Agenda Forward,” Bulletin of the World Health Organization 79, no. 9 (2001): 869–74.Google Scholar
See McMichael, Beaglehole, , supra note 3, at 496.Google Scholar
Braveman, P. Gruskin, S., “Poverty, Equity, Human Rights and Health,” Bulletin of the World Health Organization 81, no. 7 (2003): 539–45, at 542.Google Scholar
Evans, T., “A Human Right to Health,” Third World Quarterly 23, no. 2 (2002): 197–215.CrossRefGoogle Scholar
Chapman, A., “Core Obligations Related to the Right to Health,” in Chapman, A. Russel, S., eds., Core Obligations: Building a Framework for Economic, Social, and Cultural Rights (Antwerp, Belgium: Intersentia, 2002): 185–215.Google Scholar
Pannenborg, C. O., A New International Health Order: An Inquiry into the International Relations of World Health and Medical Care (Germantown, Maryland: Sijthoff & Noordhoff, 1979).Google Scholar
See Chapman, , supra note 26, at 187.Google Scholar
World Health Organization, Global Strategy for Health for All by the Year 2000, Geneva, 1981; Health-for-All Policy for the Twenty-First Century, WHA Resolution 51.7, World Health Assembly, 51st Assembly, Agenda Item 19, WHO Doc. A51/VR/10, May 16, 1998.Google Scholar
Meier, B. M. Mori, L. M., “The Highest Attainable Standard: Advancing a Collective Human Right to Public Health,” Columbia Human Rights Law Review 37 (2005): 101–47.Google Scholar
See Chapman, , supra note 26.Google Scholar
Tomasevski, K., “Health,” in Schachter, O. Joyner, C. C., eds., United Nations Legal Order, vol. 2 (New York: Cambridge University Press, 1995): At 859; Freedman, L., “Strategic Advocacy and Maternal Mortality: Moving Targets and the Millennium Development Goals,” Gender & Development 11, no. 1 (2003): 97–108, at 103–4.Google Scholar
Universal Declaration of Human Rights, U.N. General Assembly Resolution 217 A., U.N. Doc. A/311, December 10, 1948, at art. 25(1).Google Scholar
See International Covenant on Economic, Social and Cultural Rights, supra note 2, at art. 12(1).Google Scholar
Convention on the Rights of the Child, 144 U.N.T.S. 123, November 20, 1989, entered into force September 2, 1990; Convention on the Elimination of All Forms of Discrimination Against Women, 1249 U.N.T.S. 13, December 18, 1979, entered into force September 3, 1981; International Convention on the Elimination of All Forms of Racial Discrimination, 660 U.N.T.S. 195, March 7, 1966, entered into force January 4, 1969.Google Scholar
Taylor, A. L., “Making the World Health Organization Work: A Legal Framework for Universal Access to the Conditions for Health,” American Journal of Law & Medicine 18, no. 4 (1992): 301–46, at 327.CrossRefGoogle Scholar
Fidler, D. P., International Law and Infectious Diseases (New York: Oxford University Press, 1999): at 188.Google Scholar
Kirby, M., “The Right to Health Fifty Years On: Still Skeptical?” Health & Human Rights 4, no. 1 (1999): 7–25, at 13.CrossRefGoogle Scholar
Turner, B. S., “The Interdisciplinary Curriculum: From Social Medicine to Postmodernism,” Sociology of Health and Illness 12, no. 1 (1990): 1–23, at 5.CrossRefGoogle Scholar
Taylor, A. L., “Controlling the Global Spread of Infectious Diseases: Toward a Reinforced Role for the International Health Regulations,” Houston Law Review 33 (1997): 1327–62, at 1332; Susser, M., “Ethical Components in the Definition of Health,” International Journal of Health Services 4, no. 3 (1974): 539–48.Google Scholar
See Pannenborg, , supra note 27, at 82–5.Google Scholar
Inter-Departmental Commission on Social Insurance and Allied Services, Social Insurance and Allied Services: Report by Sir William Beveridge, Inter-Departmental Commission on Social Insurance and Allied Services, London, 1942.Google Scholar
Mahoney, J., “Path Dependence in Historical Sociology,” Theory and Society 29, no. 4 (2000): 507–48.CrossRefGoogle Scholar
Leary, V. A., “Implications of a Right to Health,” in Mahoney, K. E. Mahoney, P., eds., Human Rights in the Twenty-First Century: A Global Challenge (Dordrecht: Martinus Nijhoff, 1993): 481–93; Alston, P. Quinn, G., “The Nature and Scope of States Parties' Obligations Under the International Covenant on Economic, Social and Cultural Rights,” Human Rights Quarterly 9, no. 2 (1987): 156–229, at 177.Google Scholar
See International Covenant on Economic, Social and Cultural Rights, supra note 2, at art. 2.Google Scholar
Fidler, D. P., “International Law and Global Public Health,” University of Kansas Law Review 48 (1999): 1–46.Google Scholar
Craven, M. C. R., International Covenant on Economic, Social and Cultural Rights: A Perspective on Its Development (New York: Oxford University Press, 1995): At 107–15.Google Scholar
United Nations Committee on Economic, Social and Cultural Rights, The Right to the Highest Attainable Standard of Health, CESCR General Comment 14, 2000, U.N. Doc. E/C12/2000/4, at para. 31.Google Scholar
Smith, G. P., “Human Rights and Bioethics: Formulating a Universal Right to Health, Health Care, or Health Protection?” Vanderbilt Journal of Tansnational Law 38 (2005): 1295–1322, at 1295.Google Scholar
Chapman, A., “A Violations Approach for Monitoring the International Covenant on Economic, Social, and Cultural Rights,” Human Rights Quarterly 18, no. 1 (1996): 23–66, at 35.CrossRefGoogle Scholar
See United Nations Committee on Economic, Social and Cultural Rights, supra note 48.Google Scholar
Id.Google Scholar
See Chapman, , supra note 26.Google Scholar
Gostin, L. O. Gable, L., “The Human Rights of Persons with Mental Disabilities: A Global Perspective on the Application of Human Rights Principles to Mental Health,” Maryland Law Review 63 (2004): 20–121.Google Scholar
Bloche, M. G., “Is Privatization of Health Care a Human Rights Problem?” in de Feyter, K. Isa, F. G., eds., Privatisation and Human Rights in the Age of Globalisation (Antwerp/Oxford: Intersentia, 2005): At 209; Felice, W. F., “The Viability of the United Nations Approach to Economic and Social Human Rights in a Globalized Economy,” International Affairs 75, no. 3 (1999): 563–72.Google Scholar
See Toebes, , supra note 1, at 140–58.Google Scholar
See United Nations Committee on Economic, Social and Cultural Rights, supra note 48, at para. 11.Google Scholar
Id., at para. 37.Google Scholar
Id., at n. 30.Google Scholar
Id., at para. 35; Gruskin, S. Loff, B., “Do Human Rights Have a Role in Public Health Work?” The Lancet 360, no. 9348 (2002): 1880.CrossRefGoogle Scholar
Donnelly, J., Universal Human Rights in Theory & Practice, 2nd ed. (Ithaca, New York: Cornell University Press, 2003): at 25.Google Scholar
Gorove, K., “Remarks at the Ninety-Eighth Annual Meeting of the American Society of International Law: Shifting Norms in International Health Law (April 1, 2004),” American Society of International Law Proceedings 98 (2004): 18–21.Google Scholar
Alston, P., “Conjuring up New Human Rights: A Proposal for Quality Control,” American Journal of International Law 78 (1984): 607–21, at 607.CrossRefGoogle Scholar
See Yamin, , supra note 1, at 330.Google Scholar
Aginam, O., Global Health Governance: International Law and Public Health in a Divided World (Toronto: University of Toronto Press, 2005).CrossRefGoogle Scholar
Falk, R., Human Rights Horizons: The Pursuit of Justice in a Globalizing World (New York: Routledge, 2000); British Medical Association, The Medical Profession and Human Rights: Handbook for a Changing Agenda (London: Zed Books, 2001).Google Scholar
Institute of Medicine, The Future of Public Health, Washington, D. C., 1988, at 7.Google Scholar
Ruger, J. P., “Health and Social Justice,” The Lancet 364, no. 9439 (2004): 1075–80, at 1076.Google Scholar
Marks, S., “The Human Right to Development: Between Rhetoric and Reality,” Harvard Human Rights Journal 17 (2004): 137–68, at 138.Google Scholar
Ishay, M. R., The History of Human Rights: From Ancient Times to the Globalization Era (Berkeley: University of California Press, 2004).Google Scholar
See Donnelly, , supra note 61.Google Scholar
Howard, R., “Evaluating Human Rights in Africa: Some Problems of Implicit Comparisons,” Human Rights Quarterly 6, no. 2 (1984): 160–79.CrossRefGoogle Scholar
Universal Declaration of the Rights of Peoples, Algiers, July 4, 1976, in Shivji, I. G., The Concept of Human Rights in Africa (Dakar, Senegal: Codesria, 1989): 111–15.Google Scholar
Declaration on the Right to Development, Preamble, General Assembly Resolution 41/128, Annex, U.N. GAOR, 41 Sess., 97th plen. mtg., U.N. Doc. A/RES/41/128, December 4, 1986; World Conference on Human Rights, June 14–25, 1993; Vienna Declaration and Programme of Action, U.N. Doc. A/CONF.157/23, July 12, 1993, at art. 1, para. 10Google Scholar
Marks, S. P., “Emerging Human Rights: A New Generation for the 1980s?” Rutgers Law Review 33 (1981): 435–52.Google Scholar
Baehr, P. R. VanderWal, K., “Human Rights as Individual and as Collective Rights,” in Berting, J. Baehr, P., eds., Human Rights in a Pluralist World: Individuals and Collectivities, UNESCO, Geneva, 1990, at 33–50.Google Scholar
Yamin, A. E., “Defining Questions: Situating Issues of Power in the Formulation of a Right to Health under International Law,” Human Rights Quarterly 18, no. 2 (1996): 398–438.CrossRefGoogle Scholar
See Donnelly, , supra note 61.Google Scholar
See Alston, , supra note 63, at 609.Google Scholar
See Meyer, Schwartz, , supra note 16, at 1191.Google Scholar
Mann, J. M., “Human Rights and AIDS: The Future of the Pandemic,” in Mann, J. M. Gruskin, S. Grodin, M. A. Annas, G. J., eds., Health and Human Rights: A Reader, 1st ed. (New York: Routledge, 1999): 216–26.Google Scholar
VanderWal, K., “Collective Human Rights: A Western View,” in Berting, J. Baehr, P. R. Burgers, J. H. Flinterman, C. de Klerk, B. van Minnen, C. A. VanderWal, K., eds., Human Rights in a Pluralist World: Individuals and Collectivities (Westport, CT: Meckler, 1990): 83–98.Google Scholar
Beauchamp, D. E., “Public Health as Social Justice,” in Hofrichter, R., ed., Health and Social Justice: Politics, Ideology, and Inequity in the Distribution of Disease (San Francisco: Jossey-Bass, 2003): 267–80.Google Scholar
See Link, Phelan, , supra note 7.Google Scholar
Ruger, J. P., “Toward a Theory of a Right to Health: Capability and Incompletely Theorized Agreements,” Yale Journal of Law & Humanities 18 (2006): 273–326, at 289, n. 70; Campbell, A. V., Medicine, Health and Justice: The Problem of Priorities (New York: Churchill Livingstone, 1978); see Smith, , supra note 49.Google Scholar
Sen, A., “Development as Capability Expansion,” in Griffin, K. Knight, J., eds., Human Development and the International Development Strategy for the 1990s (New York: Macmillan, 1990).Google Scholar
Gostin, L. O. Bloche, M. G., “The Politics of Public Health: A Response to Epstein,” Perspectives in Biology and Medicine 46, no. 3 (2003): S160–75.CrossRefGoogle Scholar
See Arhin-Tenkorang, Conceição, , supra note 20.Google Scholar
McMichael, A. Butler, C. Ahern, M., “Global Environment,” in Smith, R. Beaglehole, R. Woodward, D. Drager, N., eds., Global Public Goods for Health: Health Economic and Public Health Perspectives (Oxford: Oxford University Press, 2003): 94–118, at 106.Google Scholar
Stiglitz, J. E., The Theory of International Public Goods and the Architecture of International Organizations, Background Paper No. 7 presented at the Third Meeting, High Level Group on Development Strategy and Management of the Market Economy 1–9 UNU/WIDER, Helsinki, Finland, July 8–10, 1995.Google Scholar
Childress, J. F. Bernheim, R. G., “Beyond the Liberal and Communitarian Impasse: A Framework and Vision for Public Health,” Florida Law Review 55 (2003): 1105–70.Google Scholar
See Chen, Evans, Cash, , supra note 20.Google Scholar
World Health Organization, Constitution of the World Health Organization Geneva, 1948.Google Scholar
Hendriks, A., “The Right to Health in National and International Jurisprudence,” European Journal of Health Law 5, no. 4 (1998): 389–408.CrossRefGoogle Scholar
See VanderWal, , supra note 82.Google Scholar
See Donnelly, , supra note 61.Google Scholar
Annas, G. J., “Human Rights and Health – The Universal Declaration of Human Rights at 50,” New England Journal of Medicine 339, no. 24 (1998): 1778–80.CrossRefGoogle Scholar
Stuttaford, M., “Balancing Collective and Individual Rights to Health and Health Care,” Law, Social Justice & Global Development Journal 1 (2004), available at <http://www2.warwick.ac.uk/fac/soc/law/elj/lgd/2004_1/stuttaford/> (last visited September 17, 2007).Google Scholar