ABSTRACT
This chapter presents the first systematic analysis of the G8's performance in global health governance. It defines health as a policy area within the G8, examines the G8's domestic political, deliberative, directional, decisional, delivery, and development of global governance performance in health, and identifies the overall patterns of performance that arise. The G8's global predominance is highlighted by a comparison of G8 healthcare spending and the healthcare capacity of the developing world. The chapter addresses the major causes of these patterns, exploring in turn the six factors highlighted by concert equality model that has proven to explain G8 governance in other policy areas and overall. On its function of decision making, the G8's health performance has been increasingly strong, as measured by the number, appropriateness, and ambition of the collective commitments its leaders publicly make at their annual summit. The G8, through the Global Fund, is now providing more money to meet this global public need than the WHO itself.
