Abstract
The turn of the millennium reveals an apparent paradox: the intensification of the glo-balization process, which, according to spokesmen from international organizations, constitutes a sure path for poor countries to overcome their historical socio-economic deprivation, and the resurgence of several infectious diseases, which place many countries in a catastrophic situation characterized by declining populations and medieval life expectancy levels. This paradox is reflected in the crisis of medicine production by the market. The major actors are the transnational pharmaceutical companies and the organizations that defend patien1 interests. In this article, Iwill review the health crisis on an international level, and discuss two trends which are emerging; first, the privatization of the world public health system, through Private-Public-Parterships (PPPs); and, second, greater autonomy of countries in the satisfaction of their needs through public health and against the pressure imposed by international institutions.
Highlights
The tum of the millennium reveáis an apparent paradox: the intensification of the globalization process, which, according to spokesmenfi-omintemational organizations, constitutes a sure path for poor countries to overeóme their historical socio-economic deprivation, and the resurgence of several infectious diseases, which place many countries in a catastrophic situation characterized by declining populations and medieval life expectancy levéis
Algunas veces los intereses de estos grupos se expresan en posiciones de países o de organizaciones internacionales
Pero debido a pandemias como el SIDA, la tuberculosis y otras enfermedades infecciosas, este logro se puede revertir en pocos años en muchos países, y retroceder a niveles incluso inferiores
Summary
PALABRAS CLAVE ADICIONALES Salud pública, Enfermedades infecciosas, Asociaciones público-privado. La intensificación del proceso de globalización que, según los voceros de los organismos internacionales, constituye el camino para que los países pobres salgan de su atraso histórico, y el resurgimiento y profiíndización de enfermedades infecciosas, que colocan a muchos de los países pobres en situación catastrófica, viendo su población diezmada y reducida la esperanza de vida a niveles medievales. Esa paradoja ha cristalizado en una crisis del sistema de producción mercantil de medicamentos. En este artículo pretendemos hacer una revisión de esta crisis de la salud a nivel mundial. La privatización de la salud pública a través de las asociaciones público-privado (Private-Public Partnerships-???), y por otro, una mayor autonomía de los países en la satisfacción de sus necesidades a través de la salud pública y en contra de las tendencias impuestas por las instituciones internacionales
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