Since the mid-20 century, corporations have gained increasing political and economic power to shape the living conditions, lifestyles, governance processes, and environmental exposures that determine global patterns of health and disease. Globalization, the growth of the financial sector, deregulation, and increasing corporate control of science and technology have provided corporations with new power to influence the mechanisms that determine human and planetary health. A growing body of public health and social science scholarship analyzes how corporate use of this economic and political power has become a fundamental determinant of the most serious health crises facing the world. In response, governments, civil society groups and social movements have developed new strategies to challenge corporate power to shape global health governance, protect public health, and reduce health inequities.
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Corporations, Health, and Global Politics
Nicholas Freudenberg
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Debt and International Organizations
Pablo Nemiña and María Emilia Val
International financial organizations that lend to developing countries are the subject of controversy. Their functions, structures and effectiveness have generated important debates across disciplines, analysts and positions on the ideological-political spectrum. What interests and logic motivate the international financial institutions’ (IFIs) loans? Following an international political economy perspective and mainly based on the literature produced in the early 21st century, we analyze the role played by three variables: the geopolitical and financial interests of powerful global actors, institutional and bureaucratic logic, and the borrower’s interest and domestic policy. These three variables interact and influence the financial decisions made by the International Monetary Fund (IMF), the World Bank, and the major regional development banks (the Inter-American Development Bank [IADB], Asian Development Bank [AsDB], and African Development Bank [AfDB]). On the other hand, what are the main economic and political effects in the recipient countries? The IMF’s credit tackles balance-of-payments crises mainly through adjusting domestic output and consumption, which usually has negative social costs. Development bank lending has diverse effects. Although it tends to boost growth and strengthen domestic accountability, it does not always guarantee the attainment of development goals. In this sense, the literature has found negative impacts on labor rights and forestry, while improvements in health and education cannot always be sustained in the long run.
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International Order in Theory and Practice
Kyle M. Lascurettes and Michael Poznansky
International relations scholars of all stripes have long been interested in the idea of “international order.” At the most general level, international order entails some level of regularity, predictability, and stability in the ways that actors interact with one another. At a level of higher specificity, however, international orders can vary along a number of dimensions (or fault lines). This includes whether order is thin or thick, premised on position or principles, regional or global in scope, and issue specific or multi-issue in nature.
When it comes to how orders emerge, the majority of existing explanations can be categorized according to two criteria and corresponding set of questions. First, are orders produced by a single actor or a select subset of actors that are privileged and powerful, or are they created by many actors that are roughly equal and undifferentiated in capabilities and status? Second, do orders come about from the purposive behavior of particular actors, or are they the aggregated result of many behaviors and interactions that produce an outcome that no single actor anticipated? The resulting typology yields four ideal types of order explanations: hegemonic (order is intentional, and power is concentrated), centralized (order is spontaneous, but power is concentrated), negotiated (order is intentional, but power is dispersed), and decentralized (order is spontaneous, and power is dispersed).
Finally, it is useful to think about the process by which order can transform or break down as a phenomenon that is at least sometimes distinct from how orders emerge in the first place. The main criterion in this respect is the rapidity with which orders transform or break down. More specifically, they can change or fall apart quickly through revolutionary processes or more gradually through evolutionary ones.
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Natural Disasters and Cross-Border Implications
Elena McLean and Muhammet Bas
Natural disasters such as cyclones, droughts, earthquakes, floods, landslides, volcanoes, or pandemics routinely have cross-border implications. Transboundary risks of natural disasters tend to be the greatest for neighboring countries but often extend regionally or even globally. Even disasters with seemingly localized impacts contained within the national borders of a given state may have indirect short-term or long-term effects on other countries through refugee flows, conflict spillovers, volatility of global commodity prices, disruption of trade relations, financial flows, or global supply chains. Natural disasters may increase the risk of interstate conflict because of commitment problems, reduced opportunity costs of conflict, shocks to status quo divisions of resources, or demarcation of territories among countries, or because of leaders’ heightened diversionary incentives in favor of conflict. In some cases, disasters may have a pacifying effect on ongoing hostilities by creating opportunities for disaster diplomacy among conflict parties. Population displacement in disaster zones can send refugee flows and other types of migration across borders, with varying short-term and long-term socioeconomic and political effects in home and host countries. Adverse effects of natural disasters on regional and global economic activity shape patterns of international trade and financial flows among countries. To mitigate such risks from natural disasters and facilitate adjustment and recovery efforts, countries may turn to international cooperation through mechanisms for disaster relief and preparedness. Regional and global governmental and non-governmental organizations (NGOs) are common means to initiate and maintain such cooperative efforts.
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Natural Resource Governance in Africa
J. Andrew Grant, Evelyn N. Mayanja, Shingirai Taodzera, and Dawit Tesfamichael
Although Africa is home to an abundant and wide variety of natural resources, both land-based and offshore, the governance of such resources has faced myriad challenges. Mineral and hydrocarbon (oil and gas) resources have often led to the vexing “resource curse” whereby weak institutions, corruption, asymmetrical power structures from local to global levels, and lack of economic diversification result in meager development outcomes and can generate episodes of violent conflict. This has resulted in numerous pledges to improve governance and management of natural resources at all stages of the supply chains, ranging from exploration to extraction to environmental remediation. In turn, global and regional governance initiatives have sought to put these pledges and their constitutive norms into practice in conjunction with varying levels of participation by governments, industry, civil society, and local communities.
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The Politics of Regional Integration in Africa
Paul-Henri Bischoff
On the African continent, a commitment to Pan-African unity and multilateral organization exists next to a postcolonial society whose 54 Westphalian states interpret the commitment to unity and integration to different degrees. The tension between a long-term Pan-African vision for a unified continent that prospers and is economically self-empowered, and the national concerns of governing state-centered elites with immediate domestic security and political and economic interests, lies at the heart of the politics surrounding African integration and affects both the continent and its regions. The politics of integration demand that a patchwork of regionalisms be consolidated; states give up on multiple memberships; and designated regional economic communities (RECs) take the lead on integration or subordinate themselves to the strategy and complement the institutions of the African Union (AU). In the interest of widening the social base of regional organization, politics needs to recognize and give status to informal regional actors engaged in bottom-up regionalism. Of issue in the politics of integration and regionalism are themes of norm adaptation, norm implementation, intergovernmentalism and supra-nationality, democracy, and authoritarianism.