Abstract
Globalization has intensified economic interdependence, global communication, and international migration, giving new urgency to addressing health issues globally and inaugurating a new era in global health governance (GHG) to replace the former international health governance (IHG). IHG was relatively simple, with a smaller set of actors and clearer lines of responsibility. GHG is more complex, with more actors, resources, and interests, differing organizational forms, and uncoordinated activities. GHG lacks an architecture for health, and the operational chaos is clear. The world needs a global health constitution (GHC) to provide guiding principles and objectives, division of labor and functions, checks and balances among global health actors, and a framework for integrating global health work.
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