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Global Health for All trains a critical lens on global health to share the stories that global health’s practices and logics tell about 20th and 21st century configurations of science and power. An ethnography on multiple scales, the book focuses on global health’s key epistemic and therapeutic practices like localization, measurement, triage, markets, technology, care, and regulation. Its roving approach traverses policy centers, sites of intervention, and innumerable spaces in between to consider what happens when globalized logics, circulations, and actors work to imagine, modify, and manage health. By resting in these in-between places, Global Health for All simultaneously examines global health as a coherent system and as a dynamic, unpredictable collection of modular parts.

A deep examination of how new, legalistic norms affected the trajectory of global HIV care and altered the practice of medicine.

HIV emerged in the world at a time when medicine and healthcare were undergoing two major transformations: globalization and a turn toward legally inflected, rule-based ways of doing things. It accelerated both trends. While pestilence and disease are generally considered the domain of biological sciences and medicine, social arrangements—and law in particular—are also crucial.

Drawing on years of research in HIV clinics in the United States, Thailand, South Africa, and Uganda, Governing the Global Clinic examines how growing norms of legalized accountability have altered the work of healthcare systems and how the effects of legalization vary across different national contexts. A key feature of legalism is universalistic language, but, in practice, rules are usually imported from richer countries (especially the United States) to poorer ones that have less adequate infrastructure and fewer resources with which to implement them. Challenging readers to reconsider the impulse to use law to organize and govern social life, Governing the Global Clinic poses difficult questions: When do rules solve problems, and when do they create new problems? When do rules become decoupled from ethics, and when do they lead to deeper moral commitments? When do rules reduce inequality? And when do they reflect, reproduce, and even amplify inequality?

Population aging often provokes fears of impending social security deficits, uncontrollable medical expenditures, and transformations in living arrangements, but public policy could also stimulate social innovations. These issues are typically studied at the national level; yet they must be resolved where most people live--in diverse neighborhoods in cities.

New York, London, Paris, and Tokyo are the four largest cities among the wealthiest, most developed nations of the world. The essays commissioned for this volume compare what it is like to grow older in these cities with respect to health care, quality of life, housing, and long-term care. The contributors look beyond aggregate national data to highlight the importance of how local authorities implement policies.

As a major seaport, San Francisco had for decades struggled to control infectious diseases carried by passengers on ships entering the port. In 1882, a steamer from Hong Kong arrived carrying over 800 Chinese passengers, including one who had smallpox. The steamer was held in quarantine for weeks, during which time more passengers on board the ship contracted the disease. This episode convinced port authorities that better means of quarantining infected ship arrivals were necessary.

Guarding the Golden Gate covers not only the creation and operation of the station, which is integral to San Francisco’s history, but also discusses the challenges of life on Angel Island—a small, exposed, and nearly waterless landmass on the north side of the Bay. The book reveals the steps taken to prevent the spread of diseases not only into the United States but also into other ports visited by ships leaving San Francisco; the political struggles over the establishment of a national quarantine station; and the day-to-day life of the immigrants and staff inhabiting the island. With the advancement of the understanding of infectious diseases and the development of treatments, the quarantine station’s activities declined in the 1930s, and the facility ultimately shuttered its doors in 1949.

While Angel Island is now a California state park, it remains as a testament to an influential period in the nation’s history that offers rich insights into efforts to maintain the public’s safety during health crises.