What matters in health (care) universes: delusions, dilutions, and ways towards universal health justice

Abstract The presumed global consensus on achieving Universal Health Coverage (UHC) masks crucial issues regarding the principles and politics of what constitutes “universality” and what matters, past and present, in the struggle for health (care) justice. This article focuses on three dimensions of...

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Main Authors: Anne-Emanuelle Birn, Laura Nervi
Format: Article
Language:English
Published: BMC 2019-11-01
Series:Globalization and Health
Subjects:
Online Access:https://doi.org/10.1186/s12992-019-0521-7
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spelling doaj-cc7a7b15e1134d3f9c49ab49fab119392020-11-29T12:21:34ZengBMCGlobalization and Health1744-86032019-11-0115S111210.1186/s12992-019-0521-7What matters in health (care) universes: delusions, dilutions, and ways towards universal health justiceAnne-Emanuelle Birn0Laura Nervi1Dalla Lana School of Public Health, University of TorontoCollege of Population Health, University of New MexicoAbstract The presumed global consensus on achieving Universal Health Coverage (UHC) masks crucial issues regarding the principles and politics of what constitutes “universality” and what matters, past and present, in the struggle for health (care) justice. This article focuses on three dimensions of the problematic: 1) we unpack the rhetoric of UHC in terms of each of its three components: universal, health, and coverage; 2) paying special attention to Latin America, we revisit the neoliberal coup d’état against past and contemporary struggles for health justice, and we consider how the current neoliberal phase of capitalism has sought to arrest these struggles, co-opt their language, and narrow their vision; and 3) we re-imagine the contemporary challenges/dilemmas concerning health justice, transcending the false technocratic consensus around UHC and re-infusing the profoundly political nature of this struggle. In sum, as with the universe writ large, a range of matters matter: socio-political contexts at national and international levels, agenda-setting power, the battle over language, real policy effects, conceptual narratives, and people’s struggles for justice.https://doi.org/10.1186/s12992-019-0521-7Universal health systemsUniversal health coverageUniversal health justiceNeoliberalismLatin AmericaGlobal health agendas
collection DOAJ
language English
format Article
sources DOAJ
author Anne-Emanuelle Birn
Laura Nervi
spellingShingle Anne-Emanuelle Birn
Laura Nervi
What matters in health (care) universes: delusions, dilutions, and ways towards universal health justice
Globalization and Health
Universal health systems
Universal health coverage
Universal health justice
Neoliberalism
Latin America
Global health agendas
author_facet Anne-Emanuelle Birn
Laura Nervi
author_sort Anne-Emanuelle Birn
title What matters in health (care) universes: delusions, dilutions, and ways towards universal health justice
title_short What matters in health (care) universes: delusions, dilutions, and ways towards universal health justice
title_full What matters in health (care) universes: delusions, dilutions, and ways towards universal health justice
title_fullStr What matters in health (care) universes: delusions, dilutions, and ways towards universal health justice
title_full_unstemmed What matters in health (care) universes: delusions, dilutions, and ways towards universal health justice
title_sort what matters in health (care) universes: delusions, dilutions, and ways towards universal health justice
publisher BMC
series Globalization and Health
issn 1744-8603
publishDate 2019-11-01
description Abstract The presumed global consensus on achieving Universal Health Coverage (UHC) masks crucial issues regarding the principles and politics of what constitutes “universality” and what matters, past and present, in the struggle for health (care) justice. This article focuses on three dimensions of the problematic: 1) we unpack the rhetoric of UHC in terms of each of its three components: universal, health, and coverage; 2) paying special attention to Latin America, we revisit the neoliberal coup d’état against past and contemporary struggles for health justice, and we consider how the current neoliberal phase of capitalism has sought to arrest these struggles, co-opt their language, and narrow their vision; and 3) we re-imagine the contemporary challenges/dilemmas concerning health justice, transcending the false technocratic consensus around UHC and re-infusing the profoundly political nature of this struggle. In sum, as with the universe writ large, a range of matters matter: socio-political contexts at national and international levels, agenda-setting power, the battle over language, real policy effects, conceptual narratives, and people’s struggles for justice.
topic Universal health systems
Universal health coverage
Universal health justice
Neoliberalism
Latin America
Global health agendas
url https://doi.org/10.1186/s12992-019-0521-7
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