Abstract
In the coming weeks and months SARS-CoV-2 may ravage countries with weak health systems and populations disproportionately affected by HIV, tuberculosis (TB), and other infectious diseases. Without safeguards and proper attention to global health equity and justice, the effects of this pandemic are likely to exacerbate existing health and socio-economic inequalities. This paper argues that achieving global health equity in the context of COVID-19 will require that notions of reciprocity and relational equity are introduced to the response.
Highlights
While much of the world’s attention is currently focused on Europe and the United States, experts worry that in the coming weeks and months SARS-CoV-2 may ravage countries with weak health systems and populations disproportionately affected by HIV, tuberculosis (TB), and other infectious diseases (Nordling 2020)
Global coordinated efforts in response to COVID-19 led by international organizations such as UNICEF and the World Health Organization (WHO) have attempted to integrate notions of global “solidarity” into practice and policy
We argue that achieving global health equity in the context of COVID-19 will require that other equityorientated perspectives, namely reciprocity and relational equity, must be introduced to the response
Summary
Global collaboration requires a collective response to shared risks and fundamental rights, where all states have mutual responsibilities. They “hold solidarity to be a deep and enmeshed concept, a value that supports and structures the way we do and ought to see other kinds of moral considerations” (Dawson and Jennings 2012, 73) and suggest that “the foundational aspect of solidarity can be captured by the fundamental idea of ‘standing up beside’” (74) This is taken to have several key elements: solidarity requires a public action; the purpose of the action is orientated towards improving or correcting past or present disadvantage or injustice; and what is important is that action does not derive out of expectation of benefit from the other but out of moral concern for that other (Dawson and Jennings 2012). “solidarity,” by most accounts, fails to account for the contributions that LMICs make to global health security and what they may be owed in return
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