Labonte Ronald, Schrecker Ted
Institute of Population Health, University of Ottawa, 1 Stewart Street, Ottawa, Ontario K1N 6N5, Canada.
Bull World Health Organ. 2007 Mar;85(3):185-91. doi: 10.2471/blt.06.037242.
The Group of Eight (G8) countries occupy a dominant position in the international economic and political order. Given what is known about influences on the social determinants of health in an interconnected world, the G8 are a logical starting point for any enquiry into the relations between foreign policy and health. We first make five arguments for adopting an explicitly normative, equity-oriented perspective on the performance of G8 policy in areas related to population health. We then examine G8 performance with respect to the crucial policy triad of development assistance, debt relief and trade, finding that neither rhetoric nor promising institutional innovation has been matched by resources commensurate with demonstrated levels of need. We conclude that it is necessary to pursue advocacy efforts based on the normative perspective we have put forward and that doing so effectively requires further investigation of why some policies are more receptive than others to policies of redistribution both within and outside their borders.
八国集团（G8）国家在国际经济和政治秩序中占据主导地位。鉴于在一个相互关联的世界中已知的对健康社会决定因素的影响，八国集团是任何关于外交政策与健康关系调查的合理起点。我们首先提出五个论点，主张对八国集团在与人口健康相关领域的政策表现采取明确的规范性、公平导向的视角。然后，我们考察八国集团在发展援助、债务减免和贸易这一关键政策组合方面的表现，发现无论是言辞还是有前景的制度创新都没有得到与已表明的需求水平相称的资源匹配。我们得出结论，有必要基于我们提出的规范性视角进行宣传努力，而要有效地做到这一点，需要进一步调查为什么有些政策比其他政策更愿意在其境内外接受再分配政策。
