Mobilizing for Health Justice: Global Health Watch 7 (English edition)

Since its first edition in 2005, Global Health Watch (GHW) – the flagship publication of the People’s Health Movement (PHM) – has been critically reporting on the state of the world’s health. Published every three or four years, it comments on developments in global health while focusing on continuities with past popular struggles.

As with previous editions, GHW7 comes to life with contributions from over one hundred activists around the world, sharing experiences and analysis on issues affecting people’s health in the contexts they live in and efforts to progress towards greater health justice. This process was energized by the fifth People’s Health Assembly (PHA5), the global gathering of PHM, that took place in Argentina in April 2024 under the motto “Making ‘Health for All’ our struggle for ‘Buen Vivir”.

Political contributions from Latin America are manifest in the first GHW7 section, dedicated to “The global political and economic architecture”, where an up-to-date analysis of current health crises is followed by contributions that frame them in an eco-feminist perspective, showing how alternatives can be rooted in ancestral wisdoms and the practice of ‘Buen Vivir’. The second section addresses old and new challenges for public and global health systems through the critical lenses of gender justice and decoloniality. The third section, “Beyond Healthcare,” addresses key social and environmental determinants of health, while the “Watching” section critically apprises the state of global governance for health with a focus on several key institutions. The final section, “Resistance, struggles and alternatives,” highlights areas of transformative change by health activists in a global context of increasing repression. The book ends with a chapter on PHA5, highlighting how collective action is the most powerful medicine against ill health and health inequality at the human and planetary levels.

Global Health Watch 7 will include the following chapters

Summaries of the chapters that are currently available together with the respective downloadable PDF can be viewed by scrolling down and clicking on the “Description” tab.

Introduction
A1. From a Political Economy of Disease to a Political Economy for Wellbeing
A2. Advancing an Eco-Feminist Political Economy for Health
A3. Ancestral and Popular Knowledge for Buen Vivir
B1. Privatization and Financialization of Health Systems: Challenges and Public Alternatives
B2. Artificial Intelligence, Digital Technologies, and Health
B3. Building Equitable Health Systems: A Transformative Proposal from an Intersectional Gender Perspective
B4. Abolition Medicine as a Tool for Health Justice
B5. Decolonizing Global Health
C1. War, Conflict and Displacement
C2. People on the Move
C3. Putting the Right to Health to Work
C4. Tax Justice: A Pathway to Better Health
C5. Commercial/Corporate Determination of Health
D1. WHO’s Compromised Role in Global Health Leadership
D2. Unpacking Our Pandemic Failures for Future Pandemic Prevention, Preparedness, and Response
D3. Financing Pandemic Recovery, Prevention, Preparedness and Response
E1. National Struggles for the Right to Health
E2. Taking Extractives to Court
E3. Fear and Hope in ‘Speaking Truth to Power’: Struggles for Health in Times of Repression and Shrinking Spaces
E4. 5th People’s Health Assembly: Advancing in the Struggle for Liberation and Against Capitalism

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People's Health Movement and the GHW7 co-producing organizations: ALAMES, Equinet, Health Poverty Action, Medact, Medico International, Sama, Third World Network, Viva Salud; Editorial committee members: Ron Labonte (Canada; PHM, coeditor of GHW7), Chiara Bodini (Italy; PHM, coeditor of GHW7), Rene…

    Chapters available

    GHW_CH_A1: Chapter A1: From a Political Economy of Disease to a Political Economy for Wellbeing

    This chapter critiques capitalism as the root cause of global crises, including inequality, environmental collapse, and mass displacement. It highlights how neoliberal and financialized capitalism exacerbate these issues, with wealth concentrated among a few while austerity measures burden the majority. The text explores alternatives like degrowth, which advocates reducing excessive consumption in wealthy nations, and the “wellbeing economy,” prioritizing equitable resource distribution within planetary limits. It also revisits the New International Economic Order (NIEO) as a framework for Global South solidarity. Despite challenges, the chapter calls for progressive taxation, labor rights, and ecosocialism to dismantle exploitative systems. Emphasizing activism and policy shifts, it underscores the urgency of transforming economic paradigms to achieve health justice and ecological sustainability. The chapter concludes with a Gramscian reflection on the struggle to birth a new, equitable world amid capitalist decline.

    GHW_CH_B5: Chapter B5: Decolonizing Global Health

    This chapter examines the intersection of colonialism and global health, highlighting how historical and contemporary colonial practices perpetuate inequities. It introduces a three-part framework for analysis: (1) Colonialism within global health, addressing power imbalances between Global North and South institutions, such as parachute research and marginalization of indigenous knowledge; (2) Colonization of global health, where governance systems are dominated by entities like the Bill & Melinda Gates Foundation, prioritizing privatized, technocratic solutions; and (3) Colonialism through global health, where healthcare systems enable wealth extraction, exemplified by pharmaceutical profiteering during COVID-19. The chapter critiques neocolonialism, emphasizing how financialized capitalism exacerbates global inequities. It calls for decolonizing actions, including democratizing global health governance, challenging exploitative practices, and centering grassroots voices. The goal is to align global health with justice, equity, and anti-colonial resistance, moving beyond Western-centric models toward pluralistic, inclusive approaches.

    GHW_CH_C3 Chapter C3: Putting the Right to Health to Work

    This chapter explores the critical relationship between work and health, emphasizing how employment conditions act as a social determinant of health. It highlights the COVID-19 pandemic’s role in exposing disparities in workplace safety, particularly for essential and informal workers, and underscores the importance of decent work, unionization, and social dialogue. The text examines how capitalism exacerbates health risks through precarious employment, exploitation, and poor working conditions, with examples from industries like meatpacking, healthcare, and domestic work. It discusses global labor struggles, such as those by Kenyan health workers and Colombian domestic workers, which have secured rights and improved conditions. The document also outlines strategies to advance workers’ right to health, including enforcing safety standards, promoting social protection, and empowering worker organizations. Ultimately, it argues that collective action and inclusive policies are essential to achieving health equity in the workplace.

    GHW_CH_C4: Chapter C4: Tax Justice: A Pathway to Better Health

    This chapter explores how tax justice can significantly improve global health by addressing inequalities and funding public services. Taxes, described as society’s “superpower,” play a critical role in revenue generation, wealth redistribution, and discouraging harmful products. However, current tax systems are undermined by corporate tax avoidance, regressive policies, and international tax havens, disproportionately affecting low-income countries. The chapter highlights the 5Rs of tax justice—Revenue, Redistribution, Repricing, Representation, and Reparations—as key principles for reform. It critiques the OECD-dominated tax architecture and advocates for a UN-led Framework Convention on Tax to ensure fairness. Examples from Africa and Latin America illustrate the impact of tax reforms on health and climate resilience. The chapter calls for collective action to combat tax abuse, promote transparency, and ensure equitable health financing, emphasizing the need for progressive taxation and global solidarity to achieve health justice.

    GHW_CH_D1: WHO’s Compromised Role in Global Health Leadership

    This chapter examines the declining leadership of the World Health Organization (WHO) in global health governance. It highlights how geopolitical tensions, ideological divides, and funding constraints have compromised WHO’s ability to fulfill its mandate. Key issues include the politicization of the World Health Assembly (WHA), where debates on gender and sexual health are often derailed by conservative governments, and the financial reliance on volatile voluntary contributions, which skews priorities toward donor interests. The chapter also critiques the shrinking space for civil society participation in WHO processes, contrasting it with the growing influence of private stakeholders and multistakeholder initiatives. The U.S. withdrawal from WHO under Trump’s administration exacerbates these challenges, threatening the organization’s financial stability and multilateral role. The chapter calls for reforms to democratize WHO, ensure flexible funding, and strengthen its capacity to address politically charged health determinants, such as conflict and reproductive rights, to restore its role as a leader in global health justice.

    GHW_CH_E2 Chapter E2: Taking Extractives to Court

    This chapter examines the rise of climate litigation as a tool to hold governments and corporations accountable for environmental and health harms. Highlighting cases like the Swiss elders’ victory against their government and Shell’s emissions reduction mandate, it showcases how courts are increasingly recognizing the right to a healthy environment. However, legal victories are often contested, as seen in Shell’s successful appeal. The chapter also explores challenges like investor-state dispute settlements (ISDS), which corporations use to sue governments over environmental regulations, and SLAPP lawsuits aimed at silencing activists. Examples from Panama, Ecuador, and El Salvador illustrate both successes and setbacks in grassroots legal battles. The text emphasizes strategic litigation as part of broader advocacy, including people’s tribunals that amplify marginalized voices. While court rulings alone won’t solve the climate crisis, they play a crucial role in advancing justice, especially for Indigenous and frontline communities disproportionately affected by environmental degradation.

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