Pour une politique publique mondiale de la santé, un droit universel et un bien public mondial

L’Italie recevra le G20, dont les réunions officielles se dérouleront dans diverses villes du pays afin d’élaborer des accords par lesquels les pays les plus puissants du monde échoueront certainement une fois encore à répondre à l’injustice sociale et environnementale dans laquelle nous nous trouvons. Crise sanitaire, changement climatique, aggravation de la pauvreté ne recevront d’autres réponses que celles dictées par les règles du marché et de la finance. Soucieuses de proposer une alternative, diverses ONG, organisations politiques et personnes militantes ont convenu de coordonner leurs engagements, en particulier sur la question des droits humains et les réponses mondiales à la crise sanitaire. L’objectif est de montrer qu’il est à la fois nécessaire, urgent et possible de refonder complètement le programme d’action politique mondial pour des solutions économiques, sociales et technologiques qui soient dans l’intérêt de toutes les espèces vivant sur la Terre. À cette fin, le document de travail suivant (actuellement en anglais) a été rédigé.

Citizens’ Mémorandum

1.    What can citizens hope for and what can they do?

In the context of a world system disrupted by climatic, economic, social, ecological and – first and foremost – health crises, the greatest concern of Europeans in the face of the pandemic is the vaccination campaign, in the hope that it can be carried out massively, quickly and safely, so that they can return to their activities and recover a condition, for better or worse, of normality. 

But not even this hope is granted to the poorest half of the world’s population (some 3.6 billion, whose ‘wealth’ is less than that of the world’s ten richest billionaires!). What is the decision-making power of the great urban masses living in the slums of the megacities (1.6 billion inhabitants)? And what about the 2 billion plus unemployed and working poor?

The world’s population can expect little, since they are excluded from access to the resources that the wealthy social groups in high- and middle-income countries have at their disposal to cope with the pandemic in terms of health infrastructure (hospitals, laboratories, medical centres, medical and nursing staff, equipment, medical logistics, etc.) and treatment (medicines, diagnostic tools, vaccines, etc.). This applies to vaccines and other important medicines offered for sale and covered by private, profit-making patents by a small group of multinational pharmaceutical companies in the "northern" countries. Intellectual property monopolies block access to vaccines.

The reality is that the economic and political forces that dominate the world have not realised the seriousness of the destruction of life on Earth caused over the last century by a predatory model of economic development.  At the origin of zoonosis pandemics is the disruption of the balance between living species. It is not possible to separate the health of human beings from the healthiness of the natural environment.

At the same time, over the last 50 years, inequalities in the rights and capacities of populations to act have worsened dramatically within each country, between the various social groups and, even more so, at world level, between different countries.

 All this has highlighted the great and growing inability of the "inter-national" community to conceive and implement common policies for a global response to the structural crises in progress.

A vicious circle that not even the "G20 powers" are able to break at the current state of their visions and choices. For this reason, this Memorandum is not addressed to the leaders of the G20 states but to the citizens of the Earth, and in particular to civil society movements and organisations.

2.    From: "No one will be left behind" to: "Let’s change the system that leave billions of people behind "

"No one will be left behind".  A nice slogan. Too bad that the dominant social groups that launched it have already shown they cannot deliver.

Since the start of vaccination in December 2020, those "left behind" number in the hundreds of millions. By the end of 2021 only between 20 and 30 percent of the world’s population will have been vaccinated, and we already know in which lucky parts of the world this will happen. According to the WHO, if there are no radical changes, the number of people in the world without basic health coverage will exceed 5 billion (out of 7.7 billion). It is unthinkable that in this context the fight against the Covid19 pandemic as it is being waged today can ensure the right to health "for all"!

"Changing the system that sets billions of people aside" is the most sensible choice and consistent with the objective of the universal right to health, approved by the UN (target 3 of the 2030 Agenda) and becoming an obligation (not an option) for all the states of the Earth.

To this end, a concrete global health policy, now in the interests of all the Earth’s inhabitants, must be based on the rigorous and close analysis and assessment of two key sets of elements:

Only in this way is it conceivable that it will be possible for humanity to move from the current inability to act collectively to action aimed at building a global community of life on an Earth habitable by and for all living beings.

2.1 The blocking factors, the shackles to be undone

The bolts have been installed by dominant social groups, especially since the 1970s:

2.2 Concrete commitments to be made and implemented

In the light of the above, it is possible to identify the paths that citizens, directly and indirectly (through their democratically chosen public representatives), must take with a view to contributing to the development of a new "world social contract" in the context of which world health policy must be inscribed.

The rulers speak of a ‘global reset’ to indicate the strengthening of the system. We, the citizens, the inhabitants of the Earth, must act in pursuit of four fundamental changes:

At the top of the list of priority actions is the realisation of universal human rights and the right to life of all living species on the planet. This fundamental human imperative implies a collective, public, direct, non-transferable responsibility, which must become the primary function of democratically elected public institutions, to be reinforced on a global scale.

Ten commitments emerge in this context for a global public health policy:      

3.    Common actions to be carried out at the G20 and COP26, according to a jointly agreed plan.

We propose to call the following plan the "Move Up 2021 Initiative".

The objective of the Move Up 2021 Initiative is to contribute to raising awareness and mobilising citizens in favour of a global health policy during 2021, which is dominated by the fight against the Covid-19 pandemic and marked by major international events such as COP26 (co-chaired by the UK and Italy), the G20 and, at European level, and the "European Green Deal".

The key instrument of Action 2021 is this Citizens’ Memorandum. Towards a common global public health policy.

Around the drafting of the Citizens’ Memorandum, its dissemination and adherence, working group meetings, debates and events are being organised prior to the G2O Global Health Summit in May, and will culminate in a major cultural event attended by dozens of artists from around the world on the eve of the G20 Summit (late October) and COP26 (early November).

L’initiative « Move Up 2021 » s’articulera autour de deux moments importants :

Pour participer, contacter :  join.move.up21@gmail.com