The International Political Economy of Universal Health Care

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From the workshop "Universal Health Care: The First Step to Global Health Equity" held last August 5-9, 2012 in Mumbai, India during the 61st General Assembly March Meeting of the International …

From the workshop "Universal Health Care: The First Step to Global Health Equity" held last August 5-9, 2012 in Mumbai, India during the 61st General Assembly March Meeting of the International Federation of Medical Students' Associations (IFMSA). Brought to you by the IFMSA Global Health Equity Initiative (http://www.ifmsa.org/Activities/Initiatives/The-IFMSA-Global-Health-Equity-Initiative).

For more information about the workshop, visit http://www.scribd.com/doc/193822108/Universal-Health-Care-PreGA-Program

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  • 1. The International Political Economy of Universal Health Care Ramon Lorenzo Luis R. Guinto, MD
  • 2. Outline• What is political economy?• The global health system• Exercise: Frames in global health• Is the current political economy conducive for UHC?
  • 3. Political Economy"aims to answer the question why policy- makers adopt the policies they adopt" (Ooms, et al. 2011)“Why would countries participate in global universal health coverage?”
  • 4. Political Economy"a body of analysis and a perspective on health policy which seeks to understand the conditions which shape population health and health service development within the wider macro economic and political context.""seeks to understand the interplay between politics and economics" (Legge, IPHU website)
  • 5. Political Economy: Linkages• economic growth leads to increased resources for health (improved living conditions and better health services)• health improvement contributes to economic growth (improved labour productivity and decreased demand for health expenditure)• peoples health is exchanged for economic growth (mining accidents, unhealthy environments) and the disease burden associated with these is the price of economic growth
  • 6. Political Economy: Linkages• stagnation damages health (for example, where unemployment, perhaps through the productivity overhang, leads to negative health outcomes)• winners and losers (distributional effects where the competitive struggle for economic and political advantage enhances the prospects of some but diminishes the prospects for others)
  • 7. The Global Health System
  • 8. From David Sanders, 2012
  • 9. The Global Health System and the link to other Sectors From Julio Frenk, 2012
  • 10. Sectors and Goals From Julio Frenk, 2012
  • 11. Frames in Global Health
  • 12. Exercise: Frames in Global HealthGroupings:1. Security perspective2. Trade perspective3. Human rights perspective4. Development perspective5. Global public goods perspective6. Ethical/moral reasoning perspective
  • 13. Exercise: Frames in Global Health• What are the key principles governing the assigned frame?• How does the frame view its linkage with health?• Who are the global actors upholding, pushing, and championing the frame?• How does the frame apply to the issue of universal health care?• What would the framers propose as the key to universal health care?
  • 14. Exercise: Frames in Global Health• Buzz groups discussion: 20 minutes• Group presentations: 5 minutes each• Open debate
  • 15. Is the current international politicaleconomy conducive for universal health care?