Saludo Global. El escenario actual y perspectivas a futuro

19 resources the planet can replenish (Labonté & Ruckert, 2019). Yet there is enough material (and financial) wealth for all to enjoy good health and quality of life without imperiling the planet, if such wealth were shared equitably. This requires a retreat from centuries’ old assumptions about economic growth and ‘development’being the road to better health and to embrace, instead, the South American Indigenous concept of buen vivir, of living well in communal harmony. Doing so further demands a radical reduction in consumption by the wealthiest minority of humanity (they will still be living well) to create the growth and consumption space needed by the world’s poorer majority (Labonté, 2022)– a radically different form of ‘trickle down’ economics than the one envisioned by the neoliberal elite. Here, the work of the World Health Organization’s Council on the Economics of Health for All (scheduled to complete sometime in 2023) provides important theoretical, empirical, and pragmatic insights on how to reshape economies for health and human purpose. Moving forward on such an agenda calls for more effective forms of global governance.The pandemic was not one of multilateralism’s finer moments. From vaccine hoarding to Pharma profiteering to rich country subordinating global health to financialized capitalism’s intellectual property rights, the pandemic showed how weak government rhetoric of global solidarity is in practice. The headlined intent of 2015’s Sustainable Development Goals and Paris Climate Accords, despite their flaws, are not forgotten and continue to mobilize civil society activism for the‘world we want’(now, the‘world we need’, and desperately so). Attempts to reach a new pandemic preparedness instrument hold promise for the‘global health diplomacy’that this collection discusses.The various clubs of nations (e.g., OECD , G7, G20, BRICS , ASEAN , UNASUR ) of necessity increasingly grapple with global/regional health and environmental concerns. But democratic deficits persist, notably with the governing bodies of the World Bank and International Monetary Fund which continue to largely set the norms for a global market economy.The United Nations and its affiliated bodies (including the WHO ) continue to see their underfunded budgets increasingly reliant on a few donor nations or philanthropies, distorting their programmatic priorities. More worrying still is the increasing penetration of corporate wealth and influence within the many ‘multistakeholder’ global governance forums that have multiplied since the new millennium (“Conclusion: building power in the struggle for health (justice): a call to health activists”, 2022). In the pursuit of an eco- just global health, a luta continua . But this does not mean that popular struggles, even in the face of autocratic rule and the shrinking of public space in many regions of the world, are without purpose or success, as the most recent edition of Global Health Watch 6: in the shadow of the pandemic, recounts. So, too, do the various contributions in this new collection that draws attention to the need for a transdisciplinary and critical understanding of the political economy determinants of global health. As