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Michelle Majeed

LECTURE 04 –GLOBALIZATOIN AND INEQUALITIES Globalization  Increase connections between people and places due to o Transportation technology: get farther faster o Advance communication technology: phones, Skype, world seems smaller  Rising global inequalities o Multinational corporations outsource: head office in one place, manufacturer in another o Smaller farmers can’t compete, move to city to look for work, paid less due to amount of people looking for work  Turn towards the market o State is responsible for the population – health, education, wellbeing o Turn towards the market: state is reducing spending, pulling back on services Packard  Two main points a. Social and economic determinants are important to health b. “Global health’ policy is similar form the colonial period to today  Colonial: health policy came from traditional colonial policies and filtered down o Most concerned with tropical medicine (colonies were located in tropics) o Health was motivated by colonial interest. Only got medical treatment if  Colonial Ministries  Direct contact with ministers o Served western interests o Technocratic: not looking at the cause, just at the vector and finding a cheap solution o Health = urban areas o Racial Segregation: white colonial masters o Traditional healers: anything other than medicine was hearsay o Biomedical/western model  Post-war: death of colonialism, don’t have money/infrastructure to run colonies o Expansion of health to wider population o Rise of global interest o Still technocratic o Internalization o Communism on the rise: division between non and communist states  Power still lies in same countries that were in control in colonial era  Post-colonial: o “Development” and “experts” o Foreign aid  Most colonies became independent (colonial powers left) but some struggled  Helped by foreign aid = link development to health. Had to create healthy population to create need for product  Still needed ex-colonies to be productive need people to buy products o Continued internalization
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