What is it about?

Global initiatives improve access to healthcare worldwide have been based on different political outlooks and premises. This article shows that currently dominant ones have prevented better and more promising alternatives from becoming realised. The UN's 2030 Sustainable Development Goals agenda remains committed to a model that priorities the concerns of investors over the needs of patients.

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Why is it important?

Large sums of money and enormous amounts of activity from public, private, international and charitable bodies are devoted to the goal of expanding healthcare. A consensus-view emerged in the 1990s that stressed the importance of public-private partnerships, and investor-led growth in the health-sector. This has made realising Primary Healthcare for all more difficult to achieve, and there is plenty of evidence to show why. It is possible to make better political choices.


The article takes stock of developments since 2005.

Martin Weber
University of Queensland

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This page is a summary of: From Alma Ata to the SDG s, Global Governance A Review of Multilateralism and International Organizations, April 2020, Brill, DOI: 10.1163/19426720-02601005.
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