Why, despite vast resources being expended on health and health care, is there still so much ill health and premature death? Why do massive inequalities in health - both within and between countries - remain? In this devastating critique, internationally renowned health economist Gavin Mooney places the responsibility for these problems firmly at the door of neoliberalism. 'The Health of Nations' analyses how power is exercised both in health-care systems and in society more generally. In doing so, it reveals how too many vested interests hinder efficient and equitable policies to promote healthy populations, while too little is done to address the social determinants of health. Instead, Mooney argues, health services and health policy more generally should be returned to the communities they serve. Taking in a broad range of international case studies - from the UK to the US, South Africa to Cuba - this provocative book places issues of power and politics in health care systems centre stage, making a compelling case for the need to re-evaluate how we approach health care globally.
Chapter 1. Introduction Chapter 2. Why has the economics of health care policy gone wrong? Chapter 3. Why have broader policies affecting health been inadequate ? Chapter 4. The malaise of neoliberalism in health, health care and health economics Chapter 5. Neoliberalism, the global institutions and health Chapter 6. The US: the fear of 'socialised' health care Chapter 7. The UK NHS and the market Chapter 8. South Africa, neoliberalism and HIV/AIDS Chapter 9. Australia and victim blaming Chapter 10. A local community versus a corporation Chapter 11. The pharmaceutical industry Chapter 12. Neoliberalism and global warming Chapter 13. The solutions in theory: communitarian claims Chapter 14. The solutions in health care Chapter 15. The solutions on society more generally Chapter 16. Kerala: community participation Chapter 17. Cuba: health care and social determinants of Chapter 18. Venezuela: power to the community Chapter 19. Conclusion