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Globalization and health policy space: introducing the WTO health dataset of trade challenges to national health regulations at World Trade Organization, 1995-2016

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  • Barlow, Pepita
  • Stuckler, David

Abstract

Do international trade rules and agreements constrain health policy space? A multitude of global actors and institutions with different interests and power can shape national health policy, and trade rules provide one means through which to exert pressure on governments. Yet, the full scope of political pressure on health policy within the global trade regime is insufficiently understood, as previous research largely focussed on challenges to food, alcohol, and tobacco regulations and used small-N case studies. This potentially overlooks other domains of influence and we lack an understanding of quantitative trends and patterns therein. In this article we introduce a novel dataset, WTOhealth, comprising all challenges to national health regulations at the WTO Technical Barriers to Trade (TBT) Committee between 1995 and 2016. The dataset is based on 1496 pages of minutes from 71 TBT meetings. We describe how we developed this dataset and present an exploratory analysis of key patterns within the data. Our analysis shows that WTO members raised 250 trade challenges to health regulations between 1995 and 2016. 83.6% of challenges to low- or lower-middle income country (LMIC) members were raised by high-income countries (HICs). Many challenges centred on food (16.4% challenges), alcohol (10.4%), and tobacco (4.2%) policies, but a substantial proportion concerned other products, including toxic chemicals (9.1%), pharmaceuticals and medical devices (8.1%), machinery (7.8%), and motor vehicles (7.3%). This includes measures targeting medical device safety, increased access to pharmaceuticals, and reduced exposure to toxins harmful to both health and the environment. We further examine these challenges, finding that HIC members made claims with contentious scientific support. In short, diverse health regulations may be changed or delayed following contentious challenges at the TBT Committee. There is a need for further research investigating the nature and influence of WTO challenges to diverse health regulations.

Suggested Citation

  • Barlow, Pepita & Stuckler, David, 2021. "Globalization and health policy space: introducing the WTO health dataset of trade challenges to national health regulations at World Trade Organization, 1995-2016," LSE Research Online Documents on Economics 108988, London School of Economics and Political Science, LSE Library.
    • Handle: RePEc:ehl:lserod:108988
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    1. Namin, S. & Xu, W. & Zhou, Y. & Beyer, K., 2020. "The legacy of the Home Owners’ Loan Corporation and the political ecology of urban trees and air pollution in the United States," Social Science & Medicine, Elsevier, vol. 246(C).
    2. Johan Lindeque & Steven McGuire, 2007. "The United States and trade disputes in the World Trade Organization: Hegemony constrained or confirmed?," Management International Review, Springer, vol. 47(5), pages 725-744, September.
    3. Andreas Dür & Leonardo Baccini & Manfred Elsig, 2014. "The design of international trade agreements: Introducing a new dataset," The Review of International Organizations, Springer, vol. 9(3), pages 353-375, September.
    4. Mario Larch & José-Antonio Monteiro & Roberta Piermartini & Yoto V. Yotov, 2019. "On the Effects of GATT/WTO Membership on Trade: They Are Positive and Large after All," CESifo Working Paper Series 7721, CESifo.
    5. Zhaohua Wang & Bin Zhang & Dabo Guan, 2016. "Take responsibility for electronic-waste disposal," Nature, Nature, vol. 536(7614), pages 23-25, August.
    6. Lencucha, Raphael & Drope, Jeffrey & Labonte, Ronald, 2016. "Rhetoric and the law, or the law of rhetoric: How countries oppose novel tobacco control measures at the World Trade Organization," Social Science & Medicine, Elsevier, vol. 164(C), pages 100-107.
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    More about this item

    Keywords

    trade; globalization; politics of health policy; policy space; health policy process; power asymmetries;
    All these keywords.

    JEL classification:

    • L81 - Industrial Organization - - Industry Studies: Services - - - Retail and Wholesale Trade; e-Commerce

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