<div dir="ltr"><br><br><div class="gmail_quote">From: Ip-health [mailto:<a href="mailto:ip-health-bounces@lists.keionline.org">ip-health-bounces@lists.keionline.org</a>] On Behalf Of Patrick Bond<br>
Sent: Monday, March 17, 2014 5:25 AM<br>
<br>
<br>
The Lancet, Volume 383, Issue 9921<br>
<<a href="http://www.thelancet.com/journals/lancet/issue/vol383no9921/PIIS0140-6736%2814%29X6075-7" target="_blank">http://www.thelancet.com/journals/lancet/issue/vol383no9921/PIIS0140-6736%2814%29X6075-7</a>>,<br>
Page 949, 15 March 2014<br>
doi:10.1016/S0140-6736(14)60473-6<<a href="http://www.thelancet.com/popup?fileName=cite-using-doi" target="_blank">http://www.thelancet.com/popup?fileName=cite-using-doi</a>>Cite<br>
or Link Using DOI <<a href="http://www.thelancet.com/popup?fileName=cite-using-doi" target="_blank">http://www.thelancet.com/popup?fileName=cite-using-doi</a>><br>
Copyright © 2014 Elsevier Ltd All rights reserved.<br>
<br>
<br>
Investing in health<br>
<br>
David Chiriboga<br>
<<a href="http://www.thelancet.com/search/results?fieldName=Authors&searchTerm=David+Chiriboga" target="_blank">http://www.thelancet.com/search/results?fieldName=Authors&searchTerm=David+Chiriboga</a>><br>
a<br>
<<a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#aff1" target="_blank">http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#aff1</a>>Email<br>
Address <mailto:<a href="mailto:dechiriboga@gmail.com">dechiriboga@gmail.com</a>>, Paulo Buss <<a href="http://www.thelancet.com/search/results?fieldName=Authors&searchTerm=Paulo+Buss" target="_blank">http://www.thelancet.com/search/results?fieldName=Authors&searchTerm=Paulo+Buss</a>><br>
b<br>
<<a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#aff2" target="_blank">http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#aff2</a>>,<br>
Anne-Emanuelle Birn<br>
<<a href="http://www.thelancet.com/search/results?fieldName=Authors&searchTerm=Anne-Emanuelle+Birn" target="_blank">http://www.thelancet.com/search/results?fieldName=Authors&searchTerm=Anne-Emanuelle+Birn</a>><br>
c<br>
<<a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#aff3" target="_blank">http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#aff3</a>>,<br>
Juan Garay<br>
<<a href="http://www.thelancet.com/search/results?fieldName=Authors&searchTerm=Juan+Garay" target="_blank">http://www.thelancet.com/search/results?fieldName=Authors&searchTerm=Juan+Garay</a>><br>
d<br>
<<a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#aff4" target="_blank">http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#aff4</a>>,<br>
Carles Muntaner<br>
<<a href="http://www.thelancet.com/search/results?fieldName=Authors&searchTerm=Carles+Muntaner" target="_blank">http://www.thelancet.com/search/results?fieldName=Authors&searchTerm=Carles+Muntaner</a>><br>
e<br>
<<a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#aff5" target="_blank">http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#aff5</a>>,<br>
Laura Nervi<br>
<<a href="http://www.thelancet.com/search/results?fieldName=Authors&searchTerm=Laura+Nervi" target="_blank">http://www.thelancet.com/search/results?fieldName=Authors&searchTerm=Laura+Nervi</a>><br>
f<br>
<<a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#aff6" target="_blank">http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#aff6</a>>,<br>
on behalf of 42 signatories<br>
<br>
As public health professionals devoted to global health equity, we would like to express our deep concern with the /The Lancet/ Commission /Global health 2035: a world converging within a generation/ (Dec 7, p<br>
1898),1<br>
<<a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#bib1" target="_blank">http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#bib1</a>><br>
a re-run of the 1993 World Development Report, whose policies contributed to the shrinkage of government institutions and massive privatisation and fragmentation of health-care systems, effectively decreasing coverage and accessibility.2 <<a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#bib2" target="_blank">http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#bib2</a>>,<br>
3<br>
<<a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#bib3" target="_blank">http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#bib3</a>><br>
/The Lancet/ Commission on Investing in Health comprised mostly of individuals affiliated with or funded by international financial institutions, corporations, public---private partnerships, bilateral donor agencies, and their philanthropic and academic partners, mostly from high-income countries, presents a biased perspective reminiscent of failed neoliberal prescriptions rooted in the reinvention of formulas by co-opting terms like universal health care and access. The recommendations are based on the principle of return on investment, not on health equity, while creating a double standard: one for the rich and another for the rest of us. Any policy for the poor is by definition a poor policy.<br>
/<br>
The Lancet/ Commission's recommendations do not represent the global health community and are fundamentally flawed by neglecting the principle of the right to health. The report analyses Millennium Development Goals progress without reference to stagnant levels of health inequity: 20 million deaths each year, more than a third of all deaths, are avoidable and caused by socio-economic injustice---a number and a proportion that have not changed for the past 40 years.4 <<a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#bib4" target="_blank">http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#bib4</a>><br>
Every individual, organisation, or government working to promote heath equity and WHO's objective of enjoyment by all peoples of the best attainable level of health should be on their guard.<br>
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We declare that we have no competing interests.<br>
<br>
<br>
References<br>
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Jamison DT, Summers LH, Alleyne G, et al. Global health 2035: a world converging within a generation. Lancet 2013; 382: 1898-1955. Full Text <<a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2813%2962105-4/fulltext" target="_blank">http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2813%2962105-4/fulltext</a>>|<br>
PDF(2940KB)<br>
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Garay J, Harris L, Beam M, Zompi S. Global inequity death toll:<br>
targeting global health equity and estimating the burden of inequity.<br>
141st American Public Health Association Annual Meeting; Boston, MA, USA; Nov 2---6, 2013. Abstr 291133.<br>
a<br>
<<a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#back-aff1" target="_blank">http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#back-aff1</a>>Hospital<br>
de Zumbahua, Zumbahua, Cotopaxi, Ecuador b <<a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#back-aff2" target="_blank">http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#back-aff2</a>>Oswaldo<br>
Cruz Foundation's Center for Global Health, Rio de Janeiro, Brazil c <<a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#back-aff3" target="_blank">http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#back-aff3</a>>Dalla<br>
Lana School of Public Health, Centre for Critical Development Studies, University of Toronto, ON, Canada d <<a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#back-aff4" target="_blank">http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#back-aff4</a>>Andalusian<br>
School of Public Health, Granada, Spain<br>
e<br>
<<a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#back-aff5" target="_blank">http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#back-aff5</a>>Bloomberg<br>
Faculty of Nursing, Department of Psychiatry and Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada f <<a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#back-aff6" target="_blank">http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960473-6/fulltext#back-aff6</a>>Human<br>
Ecology Institute, Concepcion, Chile<br>
<br>
SIGNED:<br>
<br>
David Chiriboga, MD, MPH (au)<br>
Former Pro-Tempore President of the Council of Health Ministers of UNASUR (Unión de Naciones Suramericanas) and former Minister of Health of Ecuador<br>
<br>
Paulo Buss, MD, MPH (au)<br>
Director of the Oswaldo Cruz Foundation's Center for Global Health, Full Member of the National Academy of Health, Brazil<br>
<br>
Anne-Emanuelle Birn, MA, ScD (au)<br>
Professor, Dalla Lana School of Public Health, Centre for Critical Development Studies University of Toronto, Canada<br>
<br>
Juan Garay, MD, MPH, MSc (au)<br>
Professor of Global Health, Andalusian School of Public Health, Granada, Spain<br>
<br>
Carles Muntaner, MD, PhD<br>
Professor<br>
Bloomberg Faculty of Nursing Dept of Psychiatry and Dalla Lana School of Public Health University of Toronto, Canada<br>
<br>
Laura Nervi, PhD, MPH, MSSc<br>
Senior Researcher<br>
Human Ecology Institute<br>
Concepción, Chile<br>
<br>
María Cristina Alvarez Degregori, MD, MSSc, MSc Expert Global Health International Organization for Equity in Global Health and Social<br>
Justice- AIxESS, Barcelona, Spain<br>
<br>
Carlos M. Artundo, MD, Psych, MSc<br>
Director<br>
Andalusian School of Public Health-EASP<br>
Granada, Spain<br>
<br>
Joan Benach, MD, MPH, PhD<br>
Director Health Inequalities Research Group, Employment Conditions Network (GREDS-EMCONET) Universitat Pompeu Fabra, Barcelona, Spain<br>
<br>
Patrick Bond, PhD<br>
Senior Professor<br>
University of KwaZulu-Natal School of Built Environment and Development Studies South Africa<br>
<br>
Pedro Brito, MD, MPH<br>
Professor, Faculty of Public Health and Health Administration Cayetano Heredia University Lima, Perú<br>
<br>
Xochtil Castañeda, MSc<br>
Director of Health Initiative of the Americas University of California, Berkeley, USA<br>
<br>
Meei-shia Chen, MPH, PhD<br>
Distinguished Professor<br>
Department of Public Health<br>
College of Medicine, National Cheng Kung University Taiwan<br>
<br>
Anna Cirera Viladot, MD, MPH<br>
Expert Global Health<br>
International Organization for Equity in Global Health and Social Justice - AIxESS Barcelona, Spain<br>
<br>
Ms. Nicoletta Dentico<br>
President<br>
Italian Global Health Watch-OISG<br>
Italy<br>
<br>
Mr. Daniele Dionisio, MD<br>
Head Research Project Geopolitics, Public Health and Access to Medicines<br>
(GESPAM)<br>
Member, European Parliament Working Group on Innovation, Access to Medicines and Poverty-Related Diseases, Italy<br>
<br>
Oscar Feo, MD, MPH<br>
Former Executive Secretary of the Andean Health Organization Alternate Coordinator of ALAMES Professor of the University of Carabobo, Venezuela<br>
<br>
Sergio Galan , MD, MPH<br>
Head of Health Sector Unit<br>
Spanish Agency for International Development Spain<br>
<br>
Eva Harris, PhD<br>
Director, Center for Global Public Health Professor, Division of Infectious Diseases & Vaccinology, School of Public Health University of California, Berkeley, USA<br>
<br>
Ida Hellander, MD<br>
Director of Policy and Programs<br>
Physicians for a National Health Program Chicago, IL, USA<br>
<br>
David U. Himmelstein, M.D.<br>
City University of New York School of Public Health New York, USA<br>
<br>
Celia Iriart, PhD, MPH<br>
Associate Professor<br>
Associate Director Public Health Program School of Medicine, Health Sciences Center University of New Mexico-UNM, USA<br>
<br>
MiRa Lee, MD<br>
Doctors for Humanism, Busan<br>
Republic of (South) Korea.<br>
<br>
Luis Andrés López-Fernández, MD, MPH<br>
Senior Lecturer<br>
Andalusian School of Public Health-EASP<br>
Granada, Spain<br>
<br>
Miguel Machuca, MD, MPH<br>
Independent Scholar<br>
El Salvador and Panama<br>
<br>
Juan Ignacio Martínez Millán, MD, MPH<br>
Senior Lecturer<br>
Andalusian School of Public Health-EASP<br>
Granada, Spain<br>
<br>
Paloma Menendez, MD, MPH<br>
Expert Occupational Health<br>
International Organization for Equity in Global Health and Social<br>
Justice- AIxESS<br>
Barcelona, Spain<br>
<br>
Juan Jose Mercader Casas, MD, MPH<br>
Senior Lecturer<br>
Andalusian School of Public Health-EASP<br>
Granada, Spain<br>
<br>
Joan Muela Ribera, PhD, MSc<br>
Senior Researcher<br>
PASS-International<br>
Universitat Rovira i Virgili, Cataluña, Spain<br>
<br>
José Ignacio Oleaga Usategui, MD, MPH<br>
Coordinator, Global Health Area<br>
Andalusian School of Public Health-EASP<br>
Granada, Spain<br>
<br>
Victor Penchaszadeh, MD, MPH<br>
Professor, Department of Health Sciences National University of La Matanza, Buenos Aires, Argentina.<br>
<br>
Ted Schrecker, MA<br>
Professor of Global Health Policy<br>
School of Medicine, Pharmacy and Health<br>
Wolfson Research Institute<br>
Queen's Campus, Durham University, UK<br>
<br>
Eduardo Siqueira MD, ScD<br>
Associate Professor<br>
College of Public and Community Service (CPCS) The Mauricio Gastón Institute for Latino Community Development and Public Policy University of Massachusetts-UMass, Boston, USA<br>
<br>
Angelo Stefanini MD, MPH<br>
Director, Centre for International Health Dept. of Medical and Surgical Sciences University of Bologna, Italy<br>
<br>
Mario Testa, MD, MPH<br>
Professor<br>
Department of Community Health<br>
National University of Lanus, Buenos Aires, Argentina<br>
<br>
Fabiano Tonaco Borges, PhD, MPH<br>
Assistant Professor<br>
Institute of Public Health<br>
Federal University of Mato Grosso, Brazil<br>
<br>
Jean-Pierre Unger, MD, PhD<br>
Senior Lecturer Institute of Tropical Medicine, Antwerp Honorary Senior Research Fellow, Queen Mary University of London, UK<br>
<br>
Josep Vargas, PhD<br>
Senior Public Health Officer<br>
UNHCR N'Djamena, Chad<br>
<br>
Juan Carlos Verdugo Urrejola, MD<br>
Executive Director<br>
Inclusive Health Institute-ISIS<br>
Guatemala<br>
<br>
Gastão Wagner S Campos, MD, PhD<br>
Full Professor Collective Health<br>
School of Medicine University of Campinas San Pablo, Brazil<br>
<br>
Howard Waitzkin, MD, PhD, FACP<br>
Distinguished Professor Emeritus, Sociology Clinical Professor of Medicine University of New Mexico, USA<br>
<br>
Steffie Woolhandler, M.D., M.P.H.<br>
City University of New York School of Public Health New York, USA<br>
<br>
The views and opinions expressed in this letter are those of the authors and do not necessarily reflect the official policy or position of the institutions with which the authors are affiliated.<br></div></div>