title: Policy space for health and trade and investment agreements.
abstract: New trade agreements affect how governments can regulate for health both within health systems and in addressing health protection, promotion and social determinants of health in other policies. It is essential that those responsible for health understand the impacts of these trade negotiations and agreements on policy space for health at a national and local level. While we know more about implications from negotiations concerning intellectual property rights and trade in goods, this paper provides a screening checklist for less-discussed areas of domestic regulation, services, investment and government procurement. As implications are likely to differ on the basis of the organization and structures of national health systems and policy priorities, the emphasis is on finding out key provisions as well as on how exemptions and exclusions can be used to ensure policy space for health.
authors.affiliation: National Institute for Health and Welfare, PO Box 30, Helsinki FI 00271, Finland.
authors.forename: Meri
authors.initials: M
authors.lastname: Koivusalo
mesh_terms: D003132:Commerce / Q000191:economics / Q000458:organization & administration*; D003284:Contract Services / Q000458:organization & administration; D003906:Developing Countries; D014943:Global Health; D006291:Health Policy; D006293:Health Promotion / Q000458:organization & administration*; D054624:Health Status Disparities; D006801:Humans; D007391:International Cooperation; D017008:Negotiating; D011057:Politics; D064890:Social Determinants of Health; D014944:World Health Organization
keywords: HIA; health policy analysis; public policy; trade