6 Whitehead J. Dipl. & Int'l Rel. 179 (2005)
Health as Foreign Policy: Between Principle and Power

handle is hein.journals/whith6 and id is 403 raw text is: Health as Foreign Policy: Between Principle
and. Power
by JDavId P     Fidler
INTRODUCTION
This article foCuses on a political revolution-tie political revolution that has
occurred in the area o  I ealtl, as an issue in international relations.' In tI e last
decade, events in the microbial and the political worlds I ave radicall\ trans[Formed
I ealtl's place in world affairs. TI e nature and extent of [Foreign policy attention
devoted to health toda\ is historicall\ unprecedented.
ReCognizing that a political re-volution Concerning I ealtl I as taken place is not,
however, the same as understanding the revolution's nature or policy implications.
At p    it, health, poital re- olution means hiffernt things to different people.
Liversit y of iews , i the xvake of such a dramatic transformation of health's place
ii international relations, is understandable and should be eneouraged. Diverse opil-ons
and approaches suggest, howieer, that this revolution's meaning remains (ifgmatic.
In this article, I probe ttis enigmatic change in the relationship between health,
foreign pobic\, anti internmational relations. TI e article pushes tie meaning of this
rewolution analyticall\ in order to better understand I ow I eaith's relationsNp wvitl.
foreign_ policy is developing. ITn addition, I ponder whetl er tis political revolution
reflects a transformation oF foreign pol icy [or the benelIt of health, or a transtlormation
of health for tI e benefit of foreigli policy.
I begin by describing v,+I the last decade I as vitnessed a political revolution in
terms of ho  health relate, to foreign policy and international relations. Havring
fleshed out this change, I explore three different ways to conceptualize health, le
political impoitanc. These ramworks   ay not entirely capture the complexity and
nuance of health', rise a, an issue in international relations, but they sr4ie a, usefi
nalyticl deices for scrutinizing what has happened and ihy it has happened.
-W ith the framworks described, the article analyzes which framework provrides
tI e most accurate account ot I ealth's nexx prominence in Foreign policy and
internationa politics. The best 'cciceptuaiz7ation, o ii e Plhearlh-f orei n poliy relatonslip
most accuratel\ captures the d\namic betmween science and politics I-ound at the
I eart of this relationsl ip. The sCience- pol itics dynamic in tie health- oreign policy
David IR Fidler i11 Prof,-ss, of Law and iliarvi  I c. Faculv FAI  it -iIni i nivfir, School
of Lavi Blooinrnfl l, Inidiana. i1t is on,  of Ih.  i worMi's lcadhg experts 1a1 h  flaional law and
public healhii, with an a .m h i iitcfi. ttousl.i'aI .  '1his atic. is bas,'d on lI 2004 Malo
L   i.'ic d r  by Profcsr Fidcr at ('rlgctowil ii    )cto, br 5, 2004
1 -9

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