Global agreements and coordinated action on public health are unlikely to fairly represent and protect the interests of people in poorer nations.

Perhaps most foundationally, the self-interest reason for nations to engage globally in public health cannot be separated from questions of global structural injustice in international relations more broadly. Many threats to public health, including the threats from climate change, cannot be effectively addressed absent collective global action. However, in today’s global order in which nations differ greatly in wealth and other forms of power, the likelihood that agreements and coordinated acti