International Trade in Health Services and

This publication considers the implications of the WTO's General Agreement on Trade in Services (GATS) on public health services and policy in developing countries. It contains different perspectives from leading experts in the field which analyse the risks and challenges arising from the trade liberalisation agenda, with new empirical evidence from nine country studies. Topics discussed include strategic, legal and economic considerations involved, and it also includes a simple 10-step plan for policymakers on how to deal with GATS negotiations in relation to health services.

Preface and Acknowledgments

vii

Contributors

ix

Acronyms and Abbreviations

xi

1 Trade in Health Services and the GATS: Introduction and Summary

1

(16)

Richard Smith, Chantal Blouin, Nick Drager

2 Strategic Considerations for Developing Countries: The Case of GATS and Health Services

17

(66)

Mina Mashayekhi, Martine Julsaint, Elisabeth Tuerk

3 Update on GATS Commitments and Negotiations

83

(18)

Rudolf Adlung, Antonia Carzaniga

4 Ten Steps to Consider Before Making Commitments in Health Services under the GATS

101

(40)

Julia Nielson

5 Making Commitments in Health Services under the GATS: Legal Dimensions

141

(28)

David P. Fidler, Nick Drager, Carlos Correa, Obijiofor Aginam

6 Economic Dimensions and Impact Assessment of GATS to Promote and Protect Health

169

(34)

Chantal Blouin

7 Trade in Health Services under the Four Modes of Supply: Review of Current Trends and Policy Issues

203

(32)

Chantal Blouin, Jens Gobrecht, Jane Lethbridge, Didar Singh, Richard Smith, David Warner

8 Trade in Health Services and the GATS: What Next?

235

(10)

Richard Smith, Chantal Blouin, Nick Drager

Appendix Trade in Health Services and GATS: A Framework for Policymakers

245

(60)

Rupa Chanda, Richard D Smith

Index

305

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International Trade in Health Services and the GATS

Summary

Table of Contents

Supplemental Materials