Health service delivery is being restructured in both industrialised and developing countries. Public health scholars and policy makers show in this book how this process is accelerating as a result of diverse factors including fiscal pressure, privatisation of infrastructure, and the impending renegotiation of the WTO General Agreement on Trade in Services GATS. The key policy issues that arise concern the implications of these changes for access and equity in public health provision. The book reviews the rapidly changing context in which financing health Gare and its relationship to globalisation and privatisation are taking place. It examines the specific mechanisms and institutional processes involved.