IDST 1000Y Lecture Notes - Lecture 16: Arms Control, Neocolonialism, Edward Said

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Document Summary

The social dimensions of health policy, practice and outcomes must in turn be located within several processes. Medicalization is driven by elite concerns around health. Entrepreneurial interventions are driven by corporate interests. So elites and corporate interests drive investment patterns in health care in both the private and public sector. The actual practice and delivery of healthcare is always local this depends in part on local conditions, resources, and needs. The global aspect of health care provision is pharmaceuticals etc. entering the health care systems. 16 companies control 90% of the prescription drug market globally. These companies invest heavily in research to produce extremely expensive, high cost drugs for wealthy markets. These drugs are not directed towards the diseases of the poor because those markets do not pay. The most current research in health care issues is now done in developing countries that have good medical infrastructure (india, china, etc.

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