Globalization and health at the United States-Mexico border

Am J Public Health. 2003 Dec;93(12):2016-22. doi: 10.2105/ajph.93.12.2016.


Objectives: We studied the impact of globalization on the making of health policy. Globalization is understood as economic interdependence among nations. The North American Free Trade Agreement is used as a marker to assess the effects of economic interdependence on binational health cooperation along the United States-Mexico border.

Methods: We observed participants and conducted in-depth interviews with policymakers, public health specialists, representatives of professional organizations, and unions.

Results: Globalization has not promoted binational health policy cooperation. Barriers that keep US and Mexican policymakers apart prevail while health problems that do not recognize international borders go unresolved.

Conclusions: If international health problems are to be solved, political, cultural, and social interdependence need to be built with the same impetus by which policymakers promote international trade.

Publication types

  • Evaluation Study

MeSH terms

  • Commerce / economics
  • Commerce / legislation & jurisprudence*
  • Communicable Disease Control / organization & administration
  • Communicable Diseases / epidemiology
  • Emigration and Immigration
  • Health Policy / economics
  • Health Policy / legislation & jurisprudence*
  • Health Priorities
  • Health Services Research
  • Humans
  • Interinstitutional Relations
  • International Cooperation / legislation & jurisprudence*
  • Interviews as Topic
  • Mexico / epidemiology
  • Organizational Objectives
  • Policy Making
  • Public Health Administration*
  • Texas / epidemiology
  • United States