Where are we now? The Open Working Group, a chaotic and unruly committee of nations (chaired by the Governments of Kenya and Hungary), has proposed 17 Sustainable Development Goals (SDGs) in its June 2 “zero draft” for the post-2015 era. It begins: “End poverty in all its forms everywhere”. Sustainable development? No. Try utopia instead. The SDGs are fairy tales, dressed in the bureaucratese of intergovernmental narcissism, adorned with the robes of multilateral paralysis, and poisoned by the acid of nation-state failure. Yet this is served up as our future. The health goal—”Attain healthy life for all at all ages”—is a mixture of business-as-usual (the MDGs rebooted), non-communicable diseases and universal health coverage (deservedly new entrants), and a strange assortment of promises about healthy life expectancy, essential medicines, and air pollution. Is this negotiated wish-list really the best we can do?
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