Global Health Justice and Governance

Jennifer Prah Ruger, Yale University


While there is a growing body of work on moral issues and global governance in the fields of international law and relations and global justice, very little work has connected global principles of health justice with those of global health governance for a political theory of global health law and policy. Such a theory would enable analysis and evaluation of the current global health system and ethically and empirically grounds proposals for reform. While global health governance has been “framed” in various ways (as an issue of national security, human security, human rights, or global public goods), these various frames have produced a global health governance literature that is essentially untethered to any well-developed and theorized framework able to illuminate or evaluate global health government or governance. This article ties global health justice and ethics to principles for governing the global health realm, developing a more coherent political th eory for global and domestic political and health institutions. This theory of global health law and policy has both ethical and empirical dimensions.