The Lancet, Volume 373, Issue 9668, Pages 987 – 989, 21 March 2009 Comment
Author: Andy Guise, David Woodward, Patrick T Lee, Roberto De Vogli, Taavi Tillman, *David McCoy
The upcoming G20 has set a broad objective: “stability, growth, jobs” but will it be broad enough to tackle arising issues of utmost importance for poor countries: the rising poverty, the hunger and stress resulting from the crisis, and the threat to public resources for health and education.
Actual governance of economic system undermines health. As the Commission on Social Determinants of Health notes, global health inequity is thus “the result of a toxic combination of poor social policies and programmes, unfair economic arrangements, and bad politics”.
There is therefore a need for civil society, including the international health community, to advocate for a genuinely democratic process to ensure effective and just long-term reforms.
“Economic Governance for Health” is a new initiative that could help and the article describes its goals.
The health community can and should help to re-engineer a system that has failed, not only for health but also for development, poverty, and the environment.

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