Aiming for Global Safety Net—An Interpretation and Lessons

  • Satoru Kimura
  • Yasuhide Nakamura
Part of the Trust book series (TRUST, volume 5)


Global-scale dissemination and distribution of poor quality pharmaceuticals is the “problem” that threatens profits of pharmaceutical companies in developed countries and, at the same time, is the “problem” that threatens public health in emerging and developing countries. The two “problems” become intertwined with each other to produce a complex phenomenon, which shows different aspects when viewed at different angles and can be interpreted differently. The economy of a single state consists of four units, i.e., foreign countries, government, companies, and household budgets. The aggregate of these units forms regional and international societies. The problem of poor quality pharmaceuticals results from mutual economic activities between formal and informal sectors both inside individual countries and in the international society. When arguing public health as a horizontal axis and the actual situations and challenges in the four units as a vertical axis, we should have a pluralistic perspective. Ultimately, we end up with reaching the question: What are our values so as to have better behavioral principles.


Informal sector Political commitment Public health Safety net 


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Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Satoru Kimura
    • 1
  • Yasuhide Nakamura
    • 2
  1. 1.Department of Reference StandardsPharmaceutical and Device Regulatory Science Society of JapanOsakaJapan
  2. 2.School of Nursing and RehabilitationKonan Women’s UniversityKobeJapan

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