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Public Health Ethics Advance Access originally published online on May 30, 2008
Public Health Ethics 2008 1(2):154-170; doi:10.1093/phe/phn018
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The Author 2008. Published by Oxford University Press. Available online at www.phe.oxfordjournals.org

Correcting Globalisation in Health: Transnational Entitlements versus the Ethical Imperative of Reducing Aid-Dependency

Gorik Ooms* and Rachel Hammonds

Institute of Tropical Medicine, Antwerp

* Corresponding author: Gorik Ooms, Department of Public Health, Institute of Tropical Medicine, Nationalestraat 155, 2000 Antwerp, Belgium. Tel.: +32-3-247.66.66, Fax: +32-3-216.14.31, E-mail: gooms@itg.be

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There is growing tension between arguments for increasing foreign assistance to achieve the Millennium Development Goals and arguments for reducing foreign assistance so as to avoid a new form of colonisation. This essay argues that the impact of the global economy on access to healthcare in developing countries requires global corrective measures. It acknowledges the risk of foreign assistance being used for illegitimate purposes, but argues that if foreign assistance were provided within a human rights framework of rights-holders and duty-bearers, this risk can be mitigated. It analyses the current development aid paradigm, and how the fight against AIDS has begun to change it. It also examines why access to essential healthcare is a human right creating national and transnational entitlements and argues that foreign assistance responding to these entitlements is not a matter of discretionary spending; it is a matter of meeting legal obligations. It explores the legal implications . . . [Full Text of this Article]


   The Ethical Imperative of Reducing Aid-Dependency?
 

   The Impact of Globalisation on Health in Developing Countries
 

   The Current Aid Paradigm, and how the Fight against AIDS has Started Changing it
 

   The Right to Health
 
Core Obligations and the Obligation to Provide Assistance
The Right to Health and Access to Essential Medicines

   Transforming a Collective Obligation into Individual Transnational Entitlements: The Global Health Fund
 

   Transforming a Collective Obligation into Individual Transnational Entitlements: The Health Impact Fund (HIF) Initiative
 

   Conclusion
 

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