The health case for economic and social rights against the gobal marketplace

“All observations of life are harsh, because life is. I lament that fact, but I cannot change it.” —Margaret Atwood, The Tent (McClelland and Stewart 2006) Over the past few decades, most of the world's economies and societies have been integrated into the global marketplace, revealing and deepening various socioeconomic divisions. In this article, I undertake three major tasks. First, I outline the processes that have led to that deepening, identify the underlying set of values, and indicate the connection with influences on population health. Second, I compare and contrast a policy perspective that takes seriously economic and social rights related to health with the values of the global marketplace. Third, I argue that emerging aspects of globalization underscore the urgency of the human rights challenge to the global marketplace. I also suggest a research agenda focusing on the conditions under which governments are likely to respond in ways that strengthen their commitment to economic and social rights domestically and internationally, while at the same time offering some rather pessimistic observations about the prospects for policy change