課程資訊
課程名稱
全球衛生法與倫理
Global Health Law and Ethics 
開課學期
110-1 
授課對象
公共衛生學院  全球衛生碩士學位學程  
授課教師
李柏翰 
課號
MGH7041 
課程識別碼
853EM0410 
班次
 
學分
2.0 
全/半年
半年 
必/選修
選修 
上課時間
星期二6,7(13:20~15:10) 
上課地點
公衛601A 
備註
本課程以英語授課。與葉明叡、張竹芩合授
總人數上限:24人
外系人數限制:15人 
 
課程簡介影片
 
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課程概述

Health issues are highly politicised (domestically and diplomatically), and health governance has been complicated by involving diverse actors who have different agendas and approaches. In this course, we will thus consider the questions: How 'global' is global health? What are its normative implications? Therefore, this course explores the role of law and ethics in the governance over global public health, which includes but is not limited to the work of related multilateral institutions, policy implementations, research activities, and political processes.

The course is divided into two parts. In the first nine weeks (Part I), we will look at the normative dimension of global health, particularly reflecting on the contestation and application of core concepts, theories, and analytical frameworks. As follows (Part II), we will turn to its empirical dimension, in order to identify the legal and ethical accounts of different global health issues. 

課程目標
This course aims to equip students to be able to:

1. Describe the definitions of and relationships between the essential concepts of global health, global health ethics, global health law, health equity, and global justice;
2. Identify the major ethical and legal issues that are implicitly embedded in the practices in the field of global health;
3. Identify the ethical principles and legal frameworks that underpin a specific global health policy;
4. Evaluate the quality of the argumentation of ethical and legal debates; and
5. Provide ethical justifications for global health laws and policies. 
課程要求
Students are required to read designated readings prior to lectures, and actively participate in class discussions. The course is assessed by reading responses, a take-home exam (midterm), and an oral presentation (final):

• The guidelines for weekly memos will be provided in the introductory week.

• The midterm evaluation is based on a take-home exam. The exam question will be announced on the lecture day of Week 8, and the essay should be submitted in 24 hours by the next day; it should be 3000 words max, excluding references.

• The end-of-term assessment is evaluated through a 15-min individual oral presentation, assisted with the use of PowerPoint slides, in Week 16. The purpose of the presentation is to identify, clarify, and analyse the ethical aspect of a global health issue (which potentially is related to a set of policies), consider major ethical principles and theories that might support or oppose the policies, and eventually provide ethical justifications for/against/revising the policies. 
預期每週課後學習時數
 
Office Hours
另約時間 備註: Please email in advance. 
指定閱讀
Supplementary material will be distributed before or during the class. 
參考書目
1. Gostin, L.O. & Meier, B.M. (eds., 2020). Foundations of Global Health & Human Rights, Oxford University Press.
2. Harrington, J. & Stuttaford, M. (eds., 2010). Global Health and Human Rights: Legal and Philosophical Perspectives, Routledge.
3. Packard, R.M. (2016). A History of Global Health: Interventions Into the Lives of Other Peoples, John Hopkins University Press. 
評量方式
(僅供參考)
   
課程進度
週次
日期
單元主題
Week 1
9/28  Introduction
(Ming-Jui Yeh & Po-Han Lee)
• Coggon, J., & Gostin, L. O. (2020). The two most important questions for ethical public health. Journal of Public Health, 42(1), 198-202.
• Ruger J. P. (2008). Normative Foundations of Global Health Law. The Georgetown law journal, 96(2), 423-443.
• Viens, A. M. (2019). The Fundamental Importance of the Normative Analysis of Health. Health Care Analysis, 27(1), 1-3. 
Week 2
10/5  Do law and ethics matter for global health?
(Ming-Jui Yeh & Po-Han Lee)
• Rischard, J.-F. (2001). High Noon: We need new approaches to global problem-solving, fast. Journal of Global International Economic Law, 4(3), 507-525.
• Toebes, B. (2015). International health law: An emerging field of public international law. Indian Journal of International Law, 55, 299-328.
• World Health Organization (2015). Global Health Ethics: Key Issues. Global Network of WHO Collaborating Centres for Bioethics. 
Week 3
10/12  Global governance and transnational law
(Po-Han Lee)
• Hoisington, M. (2013). A Special Role for the World Health Organization in the Creation of a Living, Breathing Global Health Governance Constitution. Global Health Governance, 1(2), 1-11.
• Meier, B. M. (2006). Employing Health Rights for Global Justice: The Promise of Public Health in Response to the Insalubrious Ramifications of Globalization. Cornell International Law Journal, 39(3), 711-777.
• Taylor A. L. (2002). Global governance, international health law and WHO: looking towards the future. Bulleting of World Health Organization, 80(12), 975-980. 
Week 4
10/19  Ethical reasoning and decision-making
(Ming-Jui Yeh)
• Benatar, S. R., Daar, A. S., & Singer, P. A. (2003). Global health ethics: the rationale for mutual caring. International affairs, 79(1), 107-138.
• Childress, J. F., Faden, R. R., Gaare, R. D., Gostin, L. O., Kahn, J., Bonnie, R. J., . . . Nieburg, P. (2002). Public health ethics: mapping the terrain. The Journal of Law, Medicine & Ethics, 30(2), 170-178.
• Stapleton, G., Schröder-Bäck, P., Laaser, U., Meershoek, A., & Popa, D. (2014). Global health ethics: an introduction to prominent theories and relevant topics. Global health action, 7(1), 23569. 
Week 5
10/26  Health as individual and collective rights
(Po-Han Lee)
• Committee on Economic, Social and Cultural Rights (2000), General Comment No. 14: The Right to the Highest Attainable Standard of Health (Art. 12), E/C.12/2000/4.
• Committee on Economic, Social and Cultural Rights (2016), General comment No. 22 on the right to sexual and reproductive health (article 12 of the International Covenant on Economic, Social and Cultural Rights), E/C.12/GC/22.
• Meier B. M. (2007). Advancing health rights in a globalized world: responding to globalization through a collective human right to public health. Journal of Law, Medicine & Ethics, 35(4), 545-555.
• Ruger J. P. (2006). Toward a Theory of a Right to Health: Capability and Incompletely Theorized Agreements. Yale Journal of Law & the Humanities, 18(2), 273-326. 
Week 6
11/2  Citizenship, solidarity, welfare state
(Ming-Jui Yeh)
• Frenk, J., Gómez-Dantés, O., & Moon, S. (2014). From sovereignty to solidarity: a renewed concept of global health for an era of complex interdependence. The Lancet, 383(9911), 94-97.
• Ter Meulen, R. (2016). Solidarity, justice, and recognition of the other. Theoretical medicine and bioethics, 37(6), 517-529.
• Stoner, L., Perry, L., Wadsworth, D., Stoner, K. R., & Tarrant, M. A. (2014). Global citizenship is key to securing global health: the role of higher education. Preventive medicine, 64, 126-128.
• West-Oram, P. G., & Buyx, A. (2017). Global health solidarity. Public Health Ethics, 10(2), 212-224.
• West-Oram, P. G. (2018). From self‐interest to solidarity: One path towards delivering refugee health. Bioethics, 32(6), 343-352. 
Week 7
11/9  Justice, social justice, and global justice
(Ming-Jui Yeh)
• Daniels, N. (2001). Justice, health, and healthcare. American Journal of Bioethics, 1(2), 2-16.
• Hunold, C., & Young, I. M. (1998). Justice, democracy, and hazardous siting. Political studies, 46(1), 82-95.
• Ruger, J. P. (2009). Global health justice. Public Health Ethics, 2(3), 261-275.
• Young, I. M. (2006). Responsibility and global justice: A social connection model. Social philosophy and policy, 23(1), 102-130. 
Week 8
11/16  Midterm exercise: Take-home exam
(announcing the exam questions on NTU COOL) 
Week 9
11/23  The IHR and public health emergencies
(Po-Han Lee)
• Fidler, D. P., & Gostin L. O. (2006). The New International Health Regulations: An Historic Development for International Law and Public Health. The Journal of Law, Medicine & Ethic, 34(1), 85-94.
• Gostin L. O. (2004). International infectious disease law: revision of the World Health Organization’s International Health Regulations. JAMA, 291(21), 2623-2627.
• Gostin L. O. et al. (2015). The International Health Regulations 10 years on: the governing framework for global health security. The Lancet, 386(10009), 2222-2226.
• Mullen L. et al. (2020). An analysis of International Health Regulations Emergency Committees and Public Health Emergency of International Concern Designations. BMJ Global Health, 5:e002502.
• World Health Organization (2016). International Health Regulations (2005) Third Edition. 
Week 10
11/30  Global responses to tobacco and substances
(Po-Han Lee)
• Lines, Rick et al. (2017). The Case for International Guidelines on Human Rights and Drug Control. Health and human rights, 19(1), 231-236.
• McKee, M. (2009). Opium, tobacco and alcohol: the evolving legitimacy of international action. Clinical Medicine Journal. 9(4), 338-341.
• World Health Organization (2003). WHO Framework Convention on Tobacco Control.
• World Health Organization (2010). Global strategy to reduce the harmful use of alcohol. 
Week 11
12/7  Health workforce, organisations and systems
(Ming-Jui Yeh)
• Frenk, J. (2010). The global health system: strengthening national health systems as the next step for global progress. PLoS medicine, 7(1), e1000089.
• Norheim, O. F. (2015). Ethical perspective: five unacceptable trade-offs on the path to universal health coverage. International journal of health policy and management, 4(11), 711.
• World Health Organization (2010). WHO Global Code of Practice on the International Recruitment of Health Personnel.
• World Health Organization (2014). Making fair choices on the path to universal health coverage: Final report of the WHO Consultative Group on Equity and Universal Health Coverage. 
Week 12
12/14  Trade, intellectual property, and public health
(Guest lecture: Prof Chien-Huei Wu, Institute of European and American Studies, Academia Sinica) 
Week 13
12/21  Climate change, sustainable development, and intergenerational justice
(Guest lecture: Prof Rita Jhang, Global Health Program, National Taiwan University) 
Week 14
12/28  Conflicts, disasters, and humanitarian actions
(Po-Han Lee)
• Cohen, O. et al. (2015). Promoting public health legal preparedness for emergencies: Review of current trends and their relevance in light of the Ebola crisis. Global health action, 8, 28871.
• Footer, K., & Rubenstein, L. (2013). A human rights approach to health care in conflict. International Review of the Red Cross, 95(889), 167-187.
• Rubenstein L. (2020). War, Political Conflict, and the Right to Health. Health Hum Rights. 22(1), 339-341.
• Van Hout, M. C., & Wells, J. S. G. (2021). The right to health, public health and COVID-19: a discourse on the importance of the enforcement of humanitarian and human rights law in conflict settings for the future management of zoonotic pandemic diseases. Public Health. 192, 3-7.
• Wiley, L. F. (2010). Adaptation to the Health Consequences of Climate Change as a Potential Influence on Public Health Law and Policy: From Preparedness to Resilience. Widener Law Review, 15, 483-519. 
Week 15
1/4  Decolonising global health?
(Po-Han Lee)
• Abimbola S. et al. (2021). Addressing power asymmetries in global health: Imperatives in the wake of the COVID-19 pandemic. PLoS Medicine, 18(4), e1003604.
• Affun-Adegbulu. C., & Adegbulu, O. (2020). Decolonising Global (Public) Health: from Western universalism to Global pluriversalities. BMJ Global Health, 5:e002947.
• Baquero, O. S. et al. (2021). From Modern Planetary Health to Decolonial Promotion of One Health of Peripheries. Frontiers Public Health, 9, 637897.
• Buyum, A. M. et al. (2020). Decolonising global health: if not now, when? BMJ Global Health, 5(8), 1-4.
• Chaudhuri, M. M. et al. (2021). Decolonising global health: beyond ‘reformative’ roadmaps and towards decolonial thought. BMJ Global Health, 6:e006371. 
Week 16
1/11  Final exam: student presentation
(Ming-Jui Yeh & Po-Han Lee)