The Globalization of Health Care

The Globalization of Health Care is the first book to offer a comprehensive legal and ethical analysis of the most interesting and broadest reaching development in health care of the last twenty years: its globalization. It ties together the manifestation of this globalization in four related subject areas - medical tourism, medical migration (the physician "brain drain"), telemedicine, and pharmaceutical research and development, and integrates them in a philosophical discussion of issues of justice and equity relating to the globalization of health care. The time for such an examination is right. Medical tourism and telemedicine are growing multi-billion-dollar industries affecting large numbers of patients. The U.S. heavily depends on foreign-trained doctors to staff its health care system, and nearly forty percent of clinical trials are now run in the developing world, with indications of as much of a 10-fold increase in the past 20 years. NGOs across the world are agitating for increased access to necessary pharmaceuticals in the developing world, claiming that better access to medicine would save millions from early death at a relatively low cost. Coming on the heels of the most expansive reform to U.S. health care in fifty years, this book plots the ways in which this globalization will develop as the reform is implemented.

I. Glenn Cohen is an Assistant Professor at Harvard Law School and Co-Director of the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School. Professor Cohen is one of the world's leading experts on the intersection of bioethics (sometimes also called "medical ethics") and the law, as well as health law. Professor Cohen has spoken at legal, medical, and industry conferences around the world and his work has been covered on PBS, NPR, ABC, Mother Jones, the New York Times, the Boston Globe, and several other media venues. He frequently contributes Op-Eds in the New York Times and the Washington Post.

Introduction Glenn Cohen Patient Mortality In Medical Tourism: Examining News Media Reports Of Deaths Following Travel For Cosmetic Surgery And Bariatric Surgery Part I: Medical Tourism For Services Legal in the Patient's Home Country Chapter One Leigh Turner Patient Mortality In Medical Tourism: Examining News Media Reports Of Deaths Following Travel For Cosmetic Surgery And Bariatric Surgery Chapter Two Thomas R. McLean Jurisdiction 101 For Medical Tourism Purchases Made In Europe Chapter Three Valorie A. Crooks Canadian Print News Media Coverage Of Medical Tourism: Examining Jeremy Snyder Key Themes And Ethical Gaps Leigh Turner Krystyna Adams Rory Johnston Victoria Casey Chapter Four Nathan Cortez Cross-Border Health Care And The Hydraulics Of Health Reform Chapter Five Hilko J. Meyer Current Legislation On Cross-Border Healthcare In The European Union Chapter Six I. Glenn Cohen Medical Tourism And Global Justice For Services Illegal or Unapproved in the Patient's Home Country Chapter Seven Richard F. Storrow The Proportionality Problem In Cross-Border Reproductive Care Chapter Eight Kimberly M. Mutcherson Open Fertility Borders: Defending Access To Cross Border Fertility Care In The United States Chapter Nine Hazel Biggs Tourism: A Matter Of Life And Death In The United Kingdom Caroline Jones Chapter Ten Aaron D. Levine The Roles And Responsibilities Of Physicians In Patients' Decisions About Leslie E. Wolf Unproven Stem Cell Therapies Chapter Eleven Vivien Runnels Global Policies And Local Practice In The Ethical Recruitment Of Corinne Packer Internationally Trained Health Human Resources Ronald Labonté Part II: Medical Worker Migration Chapter Twelve Nir Eyal Conditioning Medical Scholarships On Long, Future Service: A Defense Till Bärnighausen Chapter Thirteen Allyn L. Taylor A Global Legal Architecture To Address The Challenges Of International Ibadat S. Dhillon Health Worker Migration: A Case Study Of The Role Of Non-Binding Instruments In Global Health Governance Part III: The Globalization of Research and Development Chapter Fourteen Trudo Lemmons Clinical Trials Registration And Results Reporting And The Right To Health Candice Telfer Chapter Fifteen Robert Gatter The New Global Framework for Pandemic Influenza Virus and Vaccine Sharing Chapter Sixteen Bethany Spielman Offshoring Experiments, Outsourcing Public Health: Corporate Accountability And State Responsibility For Violating The International Prohibition On Nonconsensual Human Experimentation Chapter Seventeen Cynthia M. Ho Beyond Patents: Global Challenges to Affordable Medicine Chapter Eighteen Kevin Outterson Combating Antibiotic Resistance Through The Health Impact Fund Thomas Pogge Aidan Hollis Part IV: Telemedicine Chapter Nineteen Gil Siegal Electronic Medical Tourism And The Medical World Wide Web Chapter Twenty Deth Sao Legal And Regulatory Barriers To Telemedicine In The United Amar Gupta States: Public And Private Approaches Toward Health Care Reform David A. Gantz Part V: Health Care Globalization, Equity, and Justice Chapter Twenty-One Jennifer Prah Ruger Global Health Governance as Shared Health Governance Chapter Twenty-Two Daniel S. Goldberg Global Health Care Is Not Global Health: Populations, Inequities, And Law As A Social Determinant Of Health Chapter Twenty-Three Pavlos Eleftheriadis Global Rights and the Sanctity of Life