Skip to main content

Advertisement

Log in

Globalization and health care: global justice and the role of physicians

  • Scientific Contribution
  • Published:
Medicine, Health Care and Philosophy Aims and scope Submit manuscript

Abstract

In today’s globalized world, nations cannot be totally isolated from or indifferent to their neighbors, especially in regards to medicine and health. While globalization has brought prosperity to millions, disparities among nations and nationals are growing raising once again the question of justice. Similarly, while medicine has developed dramatically over the past few decades, health disparities at the global level are staggering. Seemingly, what our humanity could achieve in matters of scientific development is not justly distributed to benefit everyone. In this paper, it will be argued that a global theoretical agreement on principles of justice may prove unattainable; however, a grass-roots change is warranted to change the current situation. The UNESCO Declaration on Bioethics and Human Rights will be considered as a starting point to achieve this change through extracting the main values embedded in its principles. These values, namely, respecting human dignity and tending to human vulnerability with a hospitable attitude, should then be revived in medical practice. Medical education will be one possible venue to achieve that, especially through role models. Future physicians will then become the fervent advocates for a global and just distribution of health care.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Alexander, M., P. Lenahan, and A. Pavlov (eds.). 2005. Cinemeducation: A comprehensive guide to using film in medical education. Oxford, Seattle: Radcliffe.

    Google Scholar 

  • Andorno, R. 2009. Human dignity and human rights as a common ground for a global bioethics. Journal of Medicine and Philosophy 34(3): 223–240.

    Article  PubMed  Google Scholar 

  • Beauchamp, T.L., and J.F. Childress. 2009. Principles of biomedical ethics. New York: Oxford University Press.

    Google Scholar 

  • Buber, Martin. 1937. I and Thou [Ich und du]. Ronald G. Smith (trans.) Edinburgh: T&T Clark.

  • Colt, H.G., S. Quadrelli, and L.D. Friedman. 2011. The picture of health: Medical ethics and the movies. New York: Oxford University Press.

    Google Scholar 

  • Daniels, N. 2008. Just health: Meeting health needs fairly. Cambridge, New York: Cambridge University Press.

    Google Scholar 

  • Derrida, Jacques. 2000. Hospitality. ANGELAKI 5(3): 3–18.

    Article  Google Scholar 

  • Dever, A.G.E., et al. 2001. Impact of a population-based medical curriculum on specialty choice. Journal of Health Care for the Poor and Underserved 12(3): 261–271.

    Article  CAS  PubMed  Google Scholar 

  • Dwyer, J. 2007. What’s wrong with the global migration of health care professionals? Individual rights and international justice. Hastings Center Report 37(5): 36–43.

    Article  PubMed  Google Scholar 

  • Farmer, Paul. 2003. Pathologies of power: Health, human rights, and the new war on the poor California series in public anthropology, vol. 4. Berkeley: University of California Press.

    Google Scholar 

  • Fox, R., and J.P. Swazey. 2005. Examining American bioethics: Its problems and prospects. Cambridge Quarterly of Healthcare Ethics 14(4): 361–373.

    Article  PubMed  Google Scholar 

  • Furin, J., P. Farmer, et al. 2006. A novel training model to address health problems in poor and underserved populations. Journal of Health Care for the Poor Underserved 17(1): 17–24.

    Article  PubMed  Google Scholar 

  • Ganguli-Mitra, Agomoni, and Nikola Biller-Andorno. 2011. Vulnerability in healthcare and research ethics. In The SAGE handbook of health care ethics: Core and emerging issues, ed. R. Chadwick, 239–250. Los Angeles: SAGE Publishers.

    Chapter  Google Scholar 

  • Gustavsson, J., et al. and FAO of the United Nations. 2011. Global food losses and food waste: Extent, causes and prevention: Study conducted for the international congress “Save Food!” at Interpack 2011 Düsseldorf, Germany. Rome: FAO of the United Nations. http://www.fao.org/docrep/014/mb060e/mb060e00.pdf.

  • Hunt, Lynn. 2007. Inventing human rights. A history. New York/London: W.W. Norton & Company.

    Google Scholar 

  • Jaeggi, Rahel. 2001. Solidarity and indifference. In Solidarity in health and social care in Europe, ed. R. Ter Meulen, et al., 287–308. Dordrecht: Kluwer Academic Publishers.

    Chapter  Google Scholar 

  • Jonsen, Albert R. 1998. The birth of bioethics. New York, NY: Oxford University Press.

    Google Scholar 

  • Kass, Leon R. 1999. The hungry soul: Eating and the perfecting of our nature. Chicago, Ill: University of Chicago Press.

  • Kateb, George. 2011. Human dignity. Cambridge (Massachusetts) and London (England): The Belknap Press of Harvard University Press.

    Google Scholar 

  • Kidder, Tracey. 2003. Mountains beyond mountains, 1st ed. New York: Random House.

    Google Scholar 

  • Knowles, L.P. 2001. The lingua franca of human rights and the rise of a global bioethics. Cambridge Quarterly of Healthcare Ethics 10(3): 253–263.

    Article  CAS  PubMed  Google Scholar 

  • Lawlor, Leonard. 2011. Jacques Derrida. The Stanford encyclopedia of philosophy (Fall 2011 Edition), Edward N. Zalta (ed.), http://plato.stanford.edu/archives/fall2011/entries/derrida/.

  • Lebacqz, Karen. 1986. Six theories of justice: Perspectives from philosophical and theological ethics. Minneapolis: Augsburg Pub. House.

    Google Scholar 

  • Mackey, T.K., and B.A. Liang. 2012. Rebalancing brain drain: Exploring resource reallocation to address health worker migration and promote global health. Health Policy 107: 66–73.

    Article  PubMed  Google Scholar 

  • Makoul, G., and L. Peer. 2004. Dissecting the doctor shows. In Cultural sutures: Medicine and media, ed. L.D. Friedman, 244–260. Durham, N.C.: Duke University Press.

    Google Scholar 

  • Marmot, M., and R. Bell. 2008. The socioeconomically disadvantaged. In Social injustice and public health, ed. B.S. Levy, et al., 25–45. Oxford, New York: Oxford University Press.

    Google Scholar 

  • Martensen, Robert. 2008. American “Medical Professionalism”: At home and in the world. In Global bioethics, ed. R.M. Green, et al., 207–228. Oxford, New York: Clarendon Press.

    Google Scholar 

  • Mill, John Stuart. 1863. Utilitarianism. In: Westphal J. 1996. Justice. Hackett Readings in Philosophy. Indianapolis, Ind.: Hackett Pub. pp. 157–177.

  • Miller, D. 2007. National responsibility and global justice. Oxford, New York: Oxford University Press.

    Book  Google Scholar 

  • Nandiwada, D.R., and C. Dang-Vu. 2010. Transdisciplinary health care education: Training team players. Journal of Health Care for the Poor Underserved 21(1): 26–34.

    Article  PubMed  Google Scholar 

  • Ogilvie, L., J.E. Mill, et al. 2007. The exodus of health professionals from sub-Saharan Africa: Balancing human rights and societal needs in the twenty-first century. Nursing Inquiry 14(2): 114–124.

    Article  PubMed  Google Scholar 

  • Pallangyo, K. 2008. Professionalism and medical education in the developing world. In Global bioethics, ed. R.M. Green, et al., 229–239. Oxford, New York: Clarendon Press.

    Google Scholar 

  • Potter, V.R. 1970. Bioethics: The science of survival. Perspectives in Biology and Medicine 14: 127–153.

    Google Scholar 

  • Rawls, J. 1999. A theory of justice, Rev ed. Cambridge, Mass.: Belknap Press of Harvard University Press.

    Google Scholar 

  • Reich, W.T. 1995. The word “Bioethics”: The struggle over its earliest meaning. Kennedy Institute of Ethics Journal 5(1): 19–34.

    Article  PubMed  Google Scholar 

  • Reich, W.T. 1994. The word “bioethics”; its birth and the legacies of those who shaped it. Kennedy Institute of Ethics Journal 4(4): 319–335.

    Article  CAS  PubMed  Google Scholar 

  • Rothman, D.J., and S.M. Rothman. 2006. Trust is not enough. Bringing human rights to medicine. New York: New York Review Books.

    Google Scholar 

  • Ruger, J.P. 2010. Health and social justice. Oxford, New York: Oxford University Press.

    Google Scholar 

  • Saravia, N.G., and J.F. Miranda. 2004. Plumbing the brain drain. Bulletin of the WHO 82(8): 608–615.

    Google Scholar 

  • Shapshay, S. (ed.). 2009. Bioethics at the movies. Baltimore: Johns Hopkins University Press.

    Google Scholar 

  • Stewart, R., et al. 2012. Urban health and primary care at Johns Hopkins: Urban primary care medical home resident training programs. Journal of Health Care for the Poor Underserved 23(3): 103–113.

    Article  PubMed  Google Scholar 

  • Solbakk, J.H. 2011. Vulnerability: A futile or useful principle in healthcare ethics? In The SAGE handbook of health care ethics: core and emerging issues, ed. R. Chadwick, et al., 228–238. Los Angeles: SAGE Publishers.

    Chapter  Google Scholar 

  • ten Have, H. 2012. Potter’s notion of bioethics. Kennedy Institute of Ethics Journal 22(1): 59–82.

    Article  PubMed  Google Scholar 

  • ten Have, H., and M.S. Jean (eds.). 2009. The UNESCO universal declaration on bioethics and human rights. Background, principles and application. Paris: UNESCO Publishing.

    Google Scholar 

  • UNESCO. 2006. Universal Declaration on Bioethics and Human Rights. Paris: UNESCO. http://unesdoc.unesco.org/images/0014/001461/146180E.pdf.

  • Verghese, A. 2008. Culture shock—Patient as icon, icon as patient. New England Journal of Medicine 359: 2748–2751.

    Article  PubMed  Google Scholar 

  • Walker, B., C. Evans, and C. Mouton. 2006. Workshop on global health trends for health professional education. Journal of Health Care for the Poor Underserved 17(1): 12–16.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rabee Toumi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Toumi, R. Globalization and health care: global justice and the role of physicians. Med Health Care and Philos 17, 71–80 (2014). https://doi.org/10.1007/s11019-013-9494-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11019-013-9494-0

Keywords

Navigation