GLOBAL
GLOBAL HEALTH GOVERNANCE AS SHARED HEALTH GOVERNANCE
With the exception of key 'proven successes' in global health, the current regime of global health governance can be understood as transnational and national actors pursuing their own interests under a rational actor model of international cooperation, which fails to provide sufficient justification for an obligation to assist in meeting the health needs of others. An ethical commitment to providing all with the ability to be healthy is required. We developed a framework of social agreement based on 'overlapping consensus' is contrasted against one based on self-interested political bargaining. A global health constitution delineating duties and obligations of global health actors and a global institute of health and medicine for holding actors responsible are proposed. Global health actors, including states, must work together to correct and avert global health injustices through a framework of SHG based on shared ethical commitments.
GOVERNING FOR THE COMMON GOOD
The proper object of global health governance (GHG) should be the common good, ensuring that all people have the opportunity to flourish. A well-organized global society that promotes the common good is to everyone’s advantage. Enabling people to flourish includes enabling their ability to be healthy. The common good forms the basis for political legitimacy in global health politics. If the common good shapes governance, then governance promotes the well-being of all individuals, and everyone benefits. The provincial globalism framework, with a constitution, an unimpeachable scientific body and a Global Health Council, can construct an alternative global health enterprise and promote the common good.
