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Globalization, health, and the future Canadian metropolis

Lookup NU author(s): Professor Ted Schrecker



This is the final published version of a book chapter that has been published in its final definitive form by Institute of Population Health, University of Ottawa, 2010.

For re-use rights please refer to the publisher's terms and conditions.


This chapter represents a preliminary effort to understand the health implications of transnsationaleconomic integration (globalization) for population health in Canadian metropolitan areas, and toinform the development of policy responses and strategies of resistance. Special emphasis is placedon health equity as it is affected by social determinants of health. I first provide a stylizeddescription of the rationale for concentrating on major metropolitan areas, rather than onCanadian society as a whole, with reference to the evidence base on place-related effects on health.I then summarize the major channels of influence leading from globalization to social determinantsof health in metropolitan areas. These involve labour markets; the attractiveness of urban‘revitalization’ schemes in a context of changing opportunities for capital accumulation and growthpromotion; and migration. The chapter concludes with some rather pessimistic observations aboutthe prospects for increased health equity, given today’s neoliberal drift in public policy andpressures for policy convergence around economic competitiveness.

Publication metadata

Author(s): Schrecker T

Editor(s): Labonté, R

Publication type: Book Chapter

Publication status: Published

Book Title: Forgotten Families: Globalization and the Health of Canadians

Year: 2010

Pages: 188-208

Print publication date: 01/09/2010

Series Title: Transdisciplinary Studies in Population Health

Publisher: Institute of Population Health, University of Ottawa