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Universal health coverage and capital accumulation: a relationship unveiled by the critical political economy approach

Author

Listed:
  • Mario Hernández-Álvarez

    (Universidad Nacional de Colombia)

  • Juan Carlos Eslava-Castañeda

    (Universidad Nacional de Colombia)

  • Liliana Henao-Kaffure

    (Universidad Nacional de Colombia)

  • José Orozco-Díaz

    (Universidad Nacional de Colombia)

  • Luis Edgar Parra-Salas

    (Universidad Nacional de Colombia)

Abstract

Objectives To analyze the fundamentals of the global health agenda from 1944 to 2018, especially regarding Universal Health Coverage, in order to unveil its relations with capital accumulation in health services and to contribute to world social mobilization to change this tendency. Methods A historical study was carried out based on a purposeful selection of primary sources on the global health agenda from multilateral organizations and secondary sources about the changes of capitalism from the study period. Results The global health agenda changed from the state responsibility for health to an insurance healthcare system based on markets. The medical–industrial complex pressured national economies, broke postwar pacts, and urged economic globalization. The neoliberal, neoclassical, and neo-institutional discourse that promoted a new state–market relationship eased the new capital accumulation in healthcare into financial and cognitive capitalism. Conclusions Understanding these relationships allows us to provide elements for social mobilization geared to transform the healthcare sector toward a new vision of health with a nature–society relationship that contributes to socially constructing human and environmental health, rather than gaining profits based on illness and chronic suffering.

Suggested Citation

  • Mario Hernández-Álvarez & Juan Carlos Eslava-Castañeda & Liliana Henao-Kaffure & José Orozco-Díaz & Luis Edgar Parra-Salas, 2020. "Universal health coverage and capital accumulation: a relationship unveiled by the critical political economy approach," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(7), pages 995-1001, September.
    • Handle: RePEc:spr:ijphth:v:65:y:2020:i:7:d:10.1007_s00038-020-01437-9
    DOI: 10.1007/s00038-020-01437-9
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    References listed on IDEAS

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    1. Amadae, S.M., 2003. "Rationalizing Capitalist Democracy," University of Chicago Press Economics Books, University of Chicago Press, edition 1, number 9780226016535, December.
    2. World Health Organization & World Bank, 2017. "Tracking Universal Health Coverage," World Bank Publications - Books, The World Bank Group, number 29042.
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