The document discusses globalization and its impact on healthcare in Malaysia. It describes how globalization has led to increased privatization and deregulation of healthcare systems according to free market ideology. However, this approach has also been criticized for worsening inequality and limiting access to healthcare. The roles of international organizations like the IMF and World Bank in promoting this structural adjustment are also examined.

1. Globalisation and Healthcare in Malaysia Dr David KL Quek, KMN MBBS (Mal), MRCP (UK), FRCP (London), FAMM (Malaysia), FASCC (ASEAN), FAPSC (Asia-Pacific), FCCP (USA), FACC (USA) MMA Selangor Symposium FUTURE CHALLENGES FOR HEALTHCARE FOR MALAYSIA, Sunway Resort Hotel & Spa Jan 18, 2009

6. Globalisation Globalisation – a definition The intensification of global flows of capital, goods, ideas and people across borders and the institutions and rules established to regulate these flows.

8. “ The power to become habituated to his surroundings is a marked characteristic of mankind. Very few of us realise with conviction the intensely unusual, unstable, complicated, unreliable, temporary nature of the economic organisation by which western Europe has lived for the last century. We assume some of the most peculiar and temporary of our late advantages as natural, permanent and to be depended on, and we lay our plans accordingly.” ~ John Maynard Keynes, 1919

11. Recent Banking and Financial Crises put paid that globalism & unfettered free-market capitalism is anything but benign and self-regulatory…

12. UNITED NATIONS DEVELOPMENT PROGRAM (UNDP) 1997 “Globalization—Poor Nations, Poor People.” Pp. 82-93 in Human Development Report 1997. New York: Oxford University Press. 1999 Human Development Report 1999: Globalization with a Human Face. New York: Oxford University Press. Retrieved March 9, 2003 (http://hdr.undp.org/reports/global/1999/en/default.cfm). “ Money, gentlemen, money! The virus That infects mankind with every sickness We have a name for no greater scourge Than that!” ~ Sophocles

20. Globalisation and health Openness Cross border flows technology Regional/global rules and institutions National Policies GCP/HSD June 2000 Health risks Health systems Level and distribution of household income Education Water Energy Transport Other sectors Health Outcomes

31. Driving forces, facilitating factors and constraints Technology political influences economy ideas global concerns GLOBALISATION World Markets National Economy, Politics & Society Health Related Sectors Population Level Health Influences Individual Health Risks Household Economy Health Care System HEALTH

32. GLOBALISATION Openness Cross-border flows Rules & Institutions Population-level Health Influences Health-related Factors World Markets Health Care System

33. Health Care System Regulation Inputs/costs financing organisation delivery Health service access Health service quality Health service price

62. People’s Health Movement

63. People’s Charter for Health

64. Health as a Human Right; Is a Human Right?

70. Health worker density – Global Discrepancy / Inequity

71. Health workers migrate toward richer countries; loss from poorer lower-income country esp. public sector

72. Migrant health workers from poorer nations usually drift toward richer nations