The impact of globalization on the determination and management of ethical choices in the health arena

In this paper, the meaning and significance of ethical choices in the arena of health under conditions of globalization are explored. The paper first discusses globalization, its theorized sources and consequences, exposing connections between globalization and local developments in diverse milieux. It is pointed out that the ways in which global and local developments interact are related to specific socio-historical and cultural configurations of every locality. Paradoxes which attend the conceptualization of ethical choices under these conditions are highlighted. Finally, conclusions are drawn about how multimethod research, including research designed to elicit emic theory, can contribute to an understanding of what is implied by the management of ethical choices, and of how ethical problems in the health arena can be approached.