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What are governments for?

Martin McKee and Ruth Colagiuri
Med J Aust 2007; 187 (11): . || doi: 10.5694/j.1326-5377.2007.tb01462.x
Published online: 3 December 2007

Government actions to protect the public’s health are not always consistent

What, if anything, will move a government to intervene to improve the health of its population? Government action seems to depend not on how many people will die if it fails to act but rather who they are and how they will die.When almost 3000 people died after aircraft were flown deliberately into buildings in Washington and New York in 2001, the United States government moved rapidly, with no regard for cost. In an unprecedented move, it immediately grounded all aircraft flying over the US, allowing them to fly again only subject to sweeping restrictions on what could be taken on board. Had the government failed to act rapidly, it would undoubtedly have faced widespread condemnation, not least from the representatives of corporate America, which had, in the attack on New York, been the target of mass murder.


  • 1 European Centre on Health of Societies in Transition, London School of Hygiene and Tropical Medicine, London, UK.
  • 2 Australian Health Policy Institute, University of Sydney, Sydney, NSW.
  • 3 School of Public Health, University of Sydney, Sydney, NSW.
  • 4 Oxford Health Alliance Asia Pacific Regional Centre, University of Sydney, Sydney, NSW.


Correspondence: Martin.McKee@lshtm.ac.uk

  • 1. National Center for Health Statistics. Health, United States, 2006. Hyattsville, Md: NCHS, 2006. http://www.cdc.gov/nchs/hus.htm (accessed Oct 2007).
  • 2. Houston DJ, Richardson LE. Motorcycle safety and the repeal of universal helmet laws. Am J Public Health 2007; 97: 2063-2069.
  • 3. Mill JS. On liberty. Harmondsworth, UK: Penguin, 1982.
  • 4. Marx K. The eighteenth brumaire of Louis Bonaparte. In: Fernbach D, ed. Surveys from exile: political writings. Vol 2. New York, NY: Vintage Press, 1974: 143–249.
  • 5. International Agency for Research on Cancer. Tobacco smoke and involuntary smoking. IARC monographs on the evaluation of carcinogenic risks to humans. No. 83. Lyon: IARC, 2002: 1-12.
  • 6. Bayer R, Moreno JD. Health promotion: ethical and social dilemmas of government policy. Health Aff (Millwood) 1986; 5: 72-85.
  • 7. Suhrcke M, McKee M, Stuckler D, et al. The contribution of health to the economy in the European Union. Public Health 2006; 120: 994-1001.
  • 8. Hanes WT, Sanello F. The opium wars: the addiction of one empire and the corruption of another. London: Robson, 2003.
  • 9. Ståhl T, Wismar M, Ollila O, et al. Health in all policies: prospects and potentials. Helsinki: Ministry of Health and Social Affairs, 2006.
  • 10. Lang T, Heasman M. Food wars: the battle for mouths, minds and markets. London: Earthscan, 2004.
  • 11. Chapman S. Advocacy for public health: a primer. J Epidemiol Community Health 2004; 58: 361-365.

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