Abstract
This chapter progresses across three associated fields of crisis. These fields are grounded in an issue which has been of interest in other parts of this book — the value of individual (bodily) integrity and human dignity. Differentially valuing life within the global community has not only skewed our appreciation of the nature and location of global crisis, but it has also discriminated the allocation of regulatory resources far from objective considerations of relative harm and most pressing need. Moving on from contention about individual integrity as (or not as the case may be) a sound measure of regulatory need, this chapter considers the relationship between health research and wealth gap. Is the response to health crisis mediated by commercial rather than humanitarian markets? The focus then moves on to considerations of regulating global health pandemics wherein recently has been evidenced a collaborative capacity beyond nation state or wealth interests. Is it in the challenge to global health that we see emerged the connection between communities of shared risk transforming them into communities of shared fate?
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See for example: Yamin, A. and Gloppen, S. (eds.) (2011) Litigating Health Rights: Can Courts Bring More Justice to Health? Cambridge: Harvard University Press. This text includes case studies from Costa Rica, South Africa, India, Brazil, Argentina and Colombia.
Foucault uses the term ‘securitise’ to refer to techniques that foster life and that work at the level of population, see, for example, Foucault, M. (2007) Security, Territory, Population: Lectures at the Collège De France, 1977–1978 (trans. G. Burchell) Basingstoke: Palgrave Macmillan
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For a more detailed consideration of this matter, see Clarke, K. and Ogus, A. (1978) ‘What is a Wife Worth?’, British Journal of Law and Society, 5/1: 1–25.
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Clamon argues that conflicts of interests between the competing interests — such as those between commercial research interests and public university-based research — is a major factor compromising patient safety: Clamon, J. (2003) ‘The Search for a Cure: Combating the Problem of Conflicts of Interest That Currently Plagues Biomedical Research’, Iowa Law Review 89/1: 235–271.
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It is interesting to see pandemic prevention securitised in order to increase risk and sharpen fate. Katz, R. and Fischer, J. (2010) ‘The Revised International Health Regulations: A Framework for Global Pandemic Response’, Global Health Governance 3/2: 1–18.
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For instance, in 2004, the Cambodian government reversed its permission for a trial of HIV pre-exposure antiretroviral drug Tenofovir within Cambodia’s sex worker population after HIV and sex worker activists brought the disparities between participation and benefits for Cambodia to public attention: Singh, J. and Mills, E. (2005) ‘The Abandoned Trials of Pre-Exposure Prophylaxis for HIV: What Went Wrong?’, Public Library of Science Medicine 2/9: 824–827.
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I am not suggesting that cooperation across boundaries is not limited or does not require improvement; see, for instance, the discussion in: Kumanan, W., Brownstein, J., and Fidler, D. (2010) ‘Strengthening the International Health Regulations: Lessons from the H1N1 Pandemic’, Health Policy Plan 25/6: 505–509.
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Oscar Wilde, as quoted in Beaumont, M. (2004) ‘Reinterpreting Oscar Wilde’s Concept of Utopia: The Soul of Man under Socialism’, Utopian Studies 15/1: 13–29.
Brennan and Berwick argue that organisational capacity relies on innovation and the ability to learn from innovation, see Brennan, T. and Berwick, D. (1996) New Rules: Regulation, Markets and the Quality of American Health Care. San Francisco, CA: Jossey-Bass.
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© 2013 Mark Findlay
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Findlay, M. (2013). Regulating Human Integrity — Who Owns Your Body?. In: Contemporary Challenges in Regulating Global Crises. International Political Economy. Palgrave Macmillan, London. https://doi.org/10.1057/9781137009111_6
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