The Case for Public Financing of Environmental Common Goods for Health

Safeguarding the continued existence of humanity requires building societies that cause minimal disruptions of the essential planetary systems that support life. While major successes have been achieved in improving health in recent decades, threats from the environment may undermine these gains, pa...

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Main Authors: Selina Lo, Sylvestre Gaudin, Carlos Corvalan, Alexandra J. Earle, Odd Hanssen, Annette Prüss-Ustun, Maria Neira, Agnès Soucat
Format: Article
Language:English
Published: Taylor & Francis Group 2019-10-01
Series:Health Systems & Reform
Subjects:
Online Access:http://dx.doi.org/10.1080/23288604.2019.1669948
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author Selina Lo
Sylvestre Gaudin
Carlos Corvalan
Alexandra J. Earle
Odd Hanssen
Annette Prüss-Ustun
Maria Neira
Agnès Soucat
author_facet Selina Lo
Sylvestre Gaudin
Carlos Corvalan
Alexandra J. Earle
Odd Hanssen
Annette Prüss-Ustun
Maria Neira
Agnès Soucat
author_sort Selina Lo
collection DOAJ
description Safeguarding the continued existence of humanity requires building societies that cause minimal disruptions of the essential planetary systems that support life. While major successes have been achieved in improving health in recent decades, threats from the environment may undermine these gains, particularly among vulnerable populations and communities. In this article, we review the rationale for governments to invest in environmental Common Goods for Health (CGH) and identify functions that qualify as such, including interventions to improve air quality, develop sustainable food systems, preserve biodiversity, reduce greenhouse gas emissions, and encourage carbon sinks. Exploratory empirical analyses reveal that public spending on environmental goods does not crowd out public spending on health. Additionally, we find that improved governance is associated with better performance in environmental health outcomes, while the degrees of people’s participation in the political system together with voice and accountability are positively associated with performance in ambient air quality and biodiversity/habitat. We provide a list of functions that should be prioritized by governments across different sectors, and present preliminary costing of environmental CGH. As shown by the costing estimates presented here, these actions need not be especially expensive. Indeed, they are potentially cost-saving. The paper concludes with case examples of national governments that have successfully prioritized and financed environmental CGH. Because societal preferences may vary across time, government leaders seeking to protect the health of future generations must look beyond electoral cycles to enact policies that protect the environment and finance environmental CGH.
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spelling doaj.art-67dee5d6c1b6415a93b97d5fc5ad28b22022-12-21T22:57:30ZengTaylor & Francis GroupHealth Systems & Reform2328-86042328-86202019-10-015436638110.1080/23288604.2019.16699481669948The Case for Public Financing of Environmental Common Goods for HealthSelina Lo0Sylvestre Gaudin1Carlos Corvalan2Alexandra J. Earle3Odd Hanssen4Annette Prüss-Ustun5Maria Neira6Agnès Soucat7United Nations UniversityOberlin CollegeUniversity of SydneyWorld Health OrganizationOxford Policy ManagementWorld Health OrganizationWorld Health OrganizationWorld Health OrganizationSafeguarding the continued existence of humanity requires building societies that cause minimal disruptions of the essential planetary systems that support life. While major successes have been achieved in improving health in recent decades, threats from the environment may undermine these gains, particularly among vulnerable populations and communities. In this article, we review the rationale for governments to invest in environmental Common Goods for Health (CGH) and identify functions that qualify as such, including interventions to improve air quality, develop sustainable food systems, preserve biodiversity, reduce greenhouse gas emissions, and encourage carbon sinks. Exploratory empirical analyses reveal that public spending on environmental goods does not crowd out public spending on health. Additionally, we find that improved governance is associated with better performance in environmental health outcomes, while the degrees of people’s participation in the political system together with voice and accountability are positively associated with performance in ambient air quality and biodiversity/habitat. We provide a list of functions that should be prioritized by governments across different sectors, and present preliminary costing of environmental CGH. As shown by the costing estimates presented here, these actions need not be especially expensive. Indeed, they are potentially cost-saving. The paper concludes with case examples of national governments that have successfully prioritized and financed environmental CGH. Because societal preferences may vary across time, government leaders seeking to protect the health of future generations must look beyond electoral cycles to enact policies that protect the environment and finance environmental CGH.http://dx.doi.org/10.1080/23288604.2019.1669948common goods for healthecosystem servicesenvironmental healthplanetary healthpublic financing
spellingShingle Selina Lo
Sylvestre Gaudin
Carlos Corvalan
Alexandra J. Earle
Odd Hanssen
Annette Prüss-Ustun
Maria Neira
Agnès Soucat
The Case for Public Financing of Environmental Common Goods for Health
Health Systems & Reform
common goods for health
ecosystem services
environmental health
planetary health
public financing
title The Case for Public Financing of Environmental Common Goods for Health
title_full The Case for Public Financing of Environmental Common Goods for Health
title_fullStr The Case for Public Financing of Environmental Common Goods for Health
title_full_unstemmed The Case for Public Financing of Environmental Common Goods for Health
title_short The Case for Public Financing of Environmental Common Goods for Health
title_sort case for public financing of environmental common goods for health
topic common goods for health
ecosystem services
environmental health
planetary health
public financing
url http://dx.doi.org/10.1080/23288604.2019.1669948
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