Global Health Priority-Setting Beyond Cost-Effectiveness

Global health is at a crossroads. The 2030 Agenda for Sustainable Development has come with ambitious targets for health and health services worldwide. To reach these targets, many more billions of dollars need to be spent on health. However, development assistance for health has plateaued and domestic funding on health in most countries is growing at rates too low to close the financing gap. National and international decision-makers face tough choices about how scarce health care resources should be spent. Should additional funds be spent on primary prevention of stroke, treating childhood cancer, or expanding treatment for HIV/AIDS? Should health coverage decisions take into account the effects of illness on productivity, household finances, and children's educational attainment, or just focus on health outcomes? Does age matter for priority setting or should it be ignored? Are health gains far in the future less important than gains in the present? Should higher priority be given to people who are sicker or poorer? Global Health Priority-Setting provides a framework for how to think about evidence-based priority-setting in health. Over 18 chapters, ethicists, philosophers, economists, policy-makers, and clinicians from around the world assess the state of current practice in national and global priority setting, describe new tools and methodologies to address establishing global health priorities, and tackle the most important ethical questions that decision-makers must consider in allocating health resources.

Ole F. Norheim is a physician and a professor of medical ethics, Dept. of Global Public Health and Primary care, University of Bergen, Norway. He co-edited Inequalities in Health (OUP 2013). Ezekiel J. Emanuel is an oncologist and professor of medical ethics and health policy at the University of Pennsylvania. He has written or edited 10 books, including Prescription for the Future (2017), Reinventing American Health Care (2014), Global Justice and Bioethics (OUP 2012), and the Oxford Textbook of Clinical Research Ethics (OUP 20017). Joseph Millum holds a joint faculty appointment in the Clinical Center Department of Bioethics and the Fogarty International Center at the US National Institutes of Health. He is co-editor of the book Global Justice and Bioethics (OUP 2012) and the author of The Moral Foundations of Parenthood (OUP 2017).