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Commercialisation?  Rationale: curb public spendingsDeveloped countries Inefficiency Ageing of the population Improvements of medical techniques Rising expectations `t Developing countries Inefficiency General poverty on the part of the government Pressure from IFI s and TNC sYn,^ The promise:LEnhance the consumer s range of choice Trends(health insurance health care provision  BMA - 2006z There should be no further involvement of the commercial private sector in providing NHS care. The BMA will campaign to restore an integrated publicly provided health service in England. P The public health perspectiveMackintosh and Koivusalo: More of GDP spent by government or social insurance funds on health care: better care at birth; Higher primary care commercialisation: greater exclusion of children from treatment when ill. *  Mackintosh and Koivusalo: ` Health systems are part of the public policy sphere  Policies towards commercialization within health systems should and can be within national and local democratic control  The human rights perspective?@ Human rights impact assessment  Relevant human rightsdRights to information and political participation Right to health Right to a remedy Right to privacy 'Information and political participation(((,Information and consultation of the public Right to healthRAAAQ Minimum core  obligation to protect AAAQAvailability Accessibility Non-discrimination Physical accessibility Affordability Information accessibility Acceptability QualityFRQMinimum core obligationsMProgramme of Action ICPD Primary Health Care WHO Millennium Development GoalsObligation to protect Regulate Monitor Provide redressAccountabilityRight to an effective remedyProtection of privacyData protection"The human rights impact assessmentPublic informed and consulted? 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Commercialisation?  Rationale: curb public spendingsDeveloped countries Inefficiency Ageing of the population Improvements of medical techniques Rising expectations `t Developing countries Inefficiency General poverty on the part of the government Pressure from IFI s and TNC sYn,^ The promise:LEnhance the consumer s range of choice Trends@health insurance health care provision multinational expansion  BMA - 2006z There should be no further involvement of the commercial private sector in providing NHS care. The BMA will campaign to restore an integrated publicly provided health service in England. P The public health perspectiveMackintosh and Koivusalo: More of GDP spent by government or social insurance funds on health care: better care at birth; Higher primary care commercialisation: greater exclusion of children from treatment when ill. *  Mackintosh and Koivusalo: ` Health systems are part of the public policy sphere  Policies towards commercialization within health systems should and can be within national and local democratic control  The human rights perspective?@ Human rights impact assessment  Relevant human rightsdRights to information and political participation Right to health Right to a remedy Right to privacy 'Information and political participation(((,Information and consultation of the public Right to healthRAAAQ Minimum core  obligation to protect AAAQAvailability Accessibility Non-discrimination Physical accessibility Affordability Information accessibility Acceptability QualityFRQMinimum core obligationsMProgramme of Action ICPD Primary Health Care WHO Millennium Development GoalsObligation to protect Regulate Monitor Provide redressAccountabilityRight to an effective remedyProtection of privacyData protection"The human rights impact assessmentPublic informed and consulted? 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Commercialisation?  Rationale: curb public spendingsDeveloped countries Inefficiency Ageing of the population Improvements of medical techniques Rising expectations `t Developing countries Inefficiency General povert      !"#$y on the part of the government Pressure from IFI s and TNC sYn,^ The promise:LEnhance the consumer s range of choice Trends@health insurance health care provision multinational expansion  BMA - 2006z There should be no further involvement of the commercial private sector in providing NHS care. The BMA will campaign to restore an integrated publicly provided health service in England. P The public health perspectiveMackintosh and Koivusalo: More of GDP spent by government or social insurance funds on health care: better care at birth; Higher primary care commercialisation: greater exclusion of children from treatment when ill. *  Their conclusion:` Health systems are part of the public policy sphere  Policies towards commercialization within health systems should and can be within national and local democratic control  The human rights perspective?@ Human rights impact assessment  Relevant human rightsdRights to information and political participation Right to health Right to a remedy Right to privacy 'Information and political participation(((,Information and consultation of the public Right to healthRAAAQ Minimum core  obligation to protect AAAQAvailability Accessibility Non-discrimination Physical accessibility Affordability Information accessibility Acceptability QualityFRQMinimum core obligationsMProgramme of Action ICPD Primary Health Care WHO Millennium Development GoalsObligation to protect Regulate Monitor Provide redressAccountabilityRight to an effective remedyProtection of privacyData protection"The human rights impact assessmentPublic informed and consulted? 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P The public health perspectiveMackintosh and Koivusalo: More of GDP spent by government or social insurance funds on health care: better care at birth; Higher primary care commercialisation: greater exclusion of children from treatment when ill. *  Their conclusion:` Health systems are part of the public policy sphere  Policies towards commercialization within health systems should and can be within national and local democratic control  The human rights perspective?@ Human rights impact assessment  Relevant human rightsdRights to information and political participation Right to health Right to a remedy Right to privacy 'Information and political participation(((,Information and consultation of the public Right to healthRAAAQ Minimum core  obligation to protect AAAQAvailability Accessibility Non-discrimination Physical accessibility Affordability Information accessibility Acceptability QualityFRQMinimum core obligationsMProgramme of Action ICPD Primary Health Care WHO Millennium Development GoalsObligation to protect Regulate Monitor Provide redressAccountabilityRight to an effective remedyProtection of privacyData protection"The human rights impact assessmentPublic informed and consulted? Effects on the adequacy of the services? Regulatory mechanisms in place? Means of redress? Medical data protected?The international community6WHO; International Health Authority?; General Comment./L  0 ( / l  C P   l  C     l  C L p   H  0޽h ? f3f3r3 S 1(   Fhttp://www.abdn.ac.uk/law/hhr.shtmlFhttp://www.abdn.ac.uk/law/hhr.shtml/ 0DTimes New RomanTTܖx: 0ܖDArialNew RomanTTܖx: 0ܖ DWingdingsRomanTTܖx: 0ܖ@ .  @n?" dd@  @@`` 0El%     v /X$b$h\¹~zC <AA@8* g4KdKdCx: 0ppp@ <4!d!d  0T<4BdBd  0Tg49d9dEx: 0p@ ppʚ;ʚ;<4dddd U 0 80___PPT10 pp?8% $Toebes, April 2007O =?Taking a human rights approach to health care commercialisationODr Brigit Toebes, The University of Aberdeen School of Law b.toebes@abdn.ac.uk<Health and Human Rightshttp://www.abdn.ac.uk/law/hhr.shtml : Honours course  Health and Human Rights  Monitoring the Right to Health: a Multi-country study Research on health care commercialisation PhD Research Dabney Evans on Race and Health$&X 0#Where do I come fromResearch on  Right to Health Advising on the privatisation of the Dutch health care system \] Health care commercialisationAHuman rights law: neutral yet: serious human rights consequences/B This presentationTerminology Rationale and causes Trends Public health perspective Human Rights perspective A  human rights impact assessment  Terminology!Privatisation? Commercialisation?  Rationale: curb public spendingDeveloped countries Inefficiency Ageing of the population Improvements of medical techniques Rising expectations Over-consumption? r Developing countries Inefficiency General poverty on the part of the government Pressure from IFI s and TNC sYn,^ The promise:LEnhance the consumer s range of choice Trends@health insurance health care provision multinational expansion  BMA - 2006z There should be no further involvement of the commercial private sector in providing NHS care. The BMA will campaign to restore an integrated publicly provided health service in England. P The public health perspectiveMackintosh and Koivusalo: More of GDP spent by government or social insurance funds on health care: better care at birth; Higher primary care commercialisation: greater exclusion of children from treatment when ill. *  Their conclusion:` Health systems are part of the public policy sphere  Policies towards commercialization within health systems should and can be within national and local democratic control  The human rights perspective?@ Human rights impact assessment  Relevant human rightsdRights to information and political participation Right to health Right to a remedy Right to privacy 'Information and political participation(((,Information and consultation of the public Right to healthRAAAQ Minimum core  obligation to protect AAAQAvailability Accessibility Non-discrimination Physical accessibility Affordability Information accessibility Acceptability QualityFRQMinimum core obligationsMProgramme of Action ICPD Primary Health Care WHO Millennium Development GoalsObligation to protect Regulate Monitor Provide redressAccountabilityRight to an effective remedyProtection of privacyData protection"The human rights impact assessmentPublic informed and consulted? Effects on the adequacy of the services? Regulatory mechanisms in place? Means of redress? Medical data protected?The international community6WHO; International Health Authority?; General Comment./r k[ 1Root EntrydO)enPicturesCurrent User#SummaryInformation(,,U      !"#$bv` htsWhere do I come fromHealth care commercialisationThis presentation Terminology!Rationale: curb public spending The promise:Trends BMA - 2006The public health perspectiveTheir conclusion:The human rights perspective?Relevant human rights(Information and political participationRight to healthAAAQMinimum co_k  Toebesre obligationsObligation to protectAccountability  !"#$%&'()*+c-./0123456789:;<=>?@ABCDEFGHIJKLMNOQRSTUVWXYZ[\]^_pamdefghijklPo)qrstuwxyz{|}~