Health equity: we need political action not performative promises
Kent Buse and Devaki Nambiar argue that declarations of commitment to health equity are too often a charade intended to distract from the need to inspire political action on the social and commercial determinants of health The Alma Ata Declaration of 1978 called for health for all.1 Most declarations since reiterate this commitment to health equity, including the 2023 UN political declaration on universal health coverage recently adopted in New York.2 But the meetings and processes producing these declarations differ markedly. The 1978 meeting intended to “exert moral pressure” and was del...