Health Care System Complementarity

North American Health Governance: Shocks, Summitry, and Societal Support

by Editors

Epidemics and other health threats tend to pose challenges to states which create international “shocks” that unilateral responses cannot adequately address. This article examines the deepening of ties between all three North American States, paying special attention to three cases: the SARS outbreak in 2003, the avian influenza (H5N1) scare, and, most recently, the 2009 swine flu (H1N1). The authors contend that current scholarship, and subsequent policy options, is divided by four schools of thought regarding the likely degree of trilateral healthcare cooperation. Though the authors argue that trilateral cooperation increases in reaction to outbreaks which “shock” states, they concede that it is unclear if this increase will translate into cooperation on more mundane health affairs, such as food safety and healthcare reform among NAFTA’s member states.

Epidemias y otras amenazas de salud crean retos para los estados que a su vez instigan “shocks internacionales,” para los cuales respuestas unilaterales no son adecuadas. Este artículo examina el ahondamiento de los lazos entre los tres países de Norte América, prestando particular atención a tres casos: el brote de síndrome respiratorio agudo severo en 2003; la influenza aviaria (H5N1), y, más recientemente, el brote de H1N1 en 2009. Los autores defienden que la academia, y por consiguiente las opciones de política pública, está actualmente dividida en cuatro escuelas de pensamiento en cuanto al nivel de probabilidad de una cooperación trilateral en temas de salud. Aunque los autores argumentan que la cooperación trilateral incrementa en reacción a los brotes de enfermedad—que a su vez crean shocks de estado, concuerdan en que no está claro si este incremento se traducirá en cooperación en otras áreas de salud mundanas, como son seguridad de alimento y reformas de salud entre los tres estados del TLC.

Read this publication in its entirety here: North American Health Governance: Shocks, Summitry, and Societal Support




The U.S.-Mexico Network’s Imagining 2024 project is designed to provide readers a quick overview of key issues in US-Mexico relations – the background of the issue, its current state, where we ought to be by 2024, and how to get there.


Each short essay is coupled with suggested background readings for those interested in a more detailed understanding of the issue at hand.  And as an electronic publication, both the essays and their associated resource pages are updated as needed to keep the information and analysis fresh.

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An American Fast Food Restaurant Looms Over a Street Vendor in Mexico

Latest News: U.S.-Mexican Health Challenges and Interactions

by Editors
Mexico and the U.S. face similar public health issues including rising obesity rates, diabetes, disease outbreaks, food contamination, and HIV/AIDS, which all require some bilateral cooperation.   ...more.