a number of individuals and organizations have considerable influence over the selection of global health priorities and strategies. for some that influence derives from control over financial resources. for others it comes from expertise and claims to moral authority—what can be termed, respectively, epistemic and normative power. in contrast to financial power, we commonly take for granted th...

this article agrees with recent arguments suggesting that normative and epistemic power is rife within global health policy and provides further examples of such. however, in doing so, it is argued that it is equally important to recognize that global health is, and always will be, deeply political and that some form of power is not only necessary for the system to advance, but also to try and ...

actors working in global health often portray it as an enterprise grounded in principled concerns, advanced by individuals and organizations who draw on scientific evidence to pursue health equity. this portrait is incomplete. it is also a field of power relations—a social arena in which actors claim and draw on expertise and moral authority to gain influence and pursue career, organizational a...

a recent editorial by naoki ikegami has proposed three key lessons from japan’s experience of achieving virtually universal coverage with primary healthcare services: the need to integrate the existing providers of primary healthcare services into the organised health system; the need to limit government commitments to finance hospital services and the need to empower providers of primary healt...

In this comment, I build on Shiffman's call for the global health community to more deeply investigate structural and productive power. I highlight two challenges we must grapple with as social scientists carrying out the types of investigation that Shiffman proposes: the politics of challenging the powerful; and the need to investigate types of expertise that have traditionally been thought of...

the formulation of global health policy is political; and all institutions operating in the global health landscape are political. this is because policies and institutions inevitably represent certain values, reflect particular ideologies, and preferentially serve some interests over others. this may be expressed explicitly and consciously; or implicitly and unconsciously. but it’s important t...

The formulation of global health policy is political; and all institutions operating in the global health landscape are political. This is because policies and institutions inevitably represent certain values, reflect particular ideologies, and preferentially serve some interests over others. This may be expressed explicitly and consciously; or implicitly and unconsciously. But it's important t...

A number of individuals and organizations have considerable influence over the selection of global health priorities and strategies. For some that influence derives from control over financial resources. For others it comes from expertise and claims to moral authority—what can be termed, respectively, epistemic and normative power. In contrast to financial power, we commonly take for granted th...