Kickbusch Ilona
Division of Global Health, Yale University School of Medicine, Department of Epidemiology and Public Health, USA.
Health Aff (Millwood). 2002 Nov-Dec;21(6):131-41. doi: 10.1377/hlthaff.21.6.131.
Today's global health crisis illustrates many of the transnational governance challenges the United States faces today. In the arena of global health, the United States can create a new role for itself by moving beyond a national-interest paradigm and strengthening its "soft power" position in health. Health in recent administrations has moved beyond being "just" a humanitarian issue to being one with major economic and security interests. Despite U.S. unilateralism, new approaches to global health governance are being developed by other actors, who have influenced the U.S. agenda and made important contributions. Yet a larger leader is still needed, especially in identifying and following a sound legal and regulatory global health governance system; bringing political legitimacy; and setting priorities. Responsible political action is needed to develop a new mindset and lay the groundwork for better global health in the future.
当今的全球健康危机凸显了美国如今面临的诸多跨国治理挑战。在全球健康领域，美国可以超越国家利益范式，强化其在健康领域的“软实力”地位，从而为自身塑造一个新角色。在最近几届政府任期内，健康问题已从“仅仅是”一个人道主义问题，转变为关乎重大经济和安全利益的问题。尽管美国奉行单边主义，但其他行为体正在开发全球健康治理的新方法，这些方法影响了美国的议程并做出了重要贡献。然而，仍然需要一个更具领导力的角色，特别是在确定并遵循一个合理的全球健康治理法律和监管体系、赋予政治合法性以及确定优先事项方面。需要采取负责任的政治行动来培养新思维，并为未来实现更好的全球健康奠定基础。
