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21st-century capitalism: structural challenges for universal health care

Authors
  • Sell, Susan K.1
  • 1 The Australian National University, Acton, Australia , Acton (Australia)
Type
Published Article
Journal
Globalization and Health
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Nov 28, 2019
Volume
15
Issue
Suppl 1
Identifiers
DOI: 10.1186/s12992-019-0517-3
Source
Springer Nature
Keywords
License
Green

Abstract

The structural perspective outlined here sheds light on some of the fundamental challenges involved in achieving Universal Health Care (UHC) in this twenty-first-century era of trade and financialized capitalism. This commentary explores connections between the structure of twenty-first-century capitalism and challenges to achieving UHC, discussing three features of today’s capitalism: financialized capitalism; trade, intangibles and global value chains; and inequality (as exacerbated by the first two features). The final section discusses the various opportunities for reform to facilitate UHC—from tinkering with the status quo, to deeper regulatory reform and fundamental structural change.

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