Trade Policy and Health: Adding Retrospective Studies to the Research Agenda; Comment on “The Trans-Pacific Partnership: Is It Everything We Feared for Health?”

Document Type : Commentary


Centre for Interdisciplinary Studies on International Trade and Investment, Institute for Advanced International Studies (HEI), Université Laval, Quebec City, QC, Canada


Prospective studies of the potential health consequences of trade and investment treaties, such as the Trans-Pacific Partnership, are critical. These studies can make visible to trade policy-makers the potential negative impacts associated to such treaties and can influence the outcomes of such negotiations. However, few researchers have examined retrospectively the consequences of trade agreements. With more than 400 trade agreements and more than 2000 investment treaties currently in force, researchers have a large corpus of agreements to analyse in order to assess not only their potential impacts on health system and population health, but also their actual impacts. This comment suggests some research questions that would benefit from retrospective inquiry.


Main Subjects


    1. Labonté R, Schram A, Ruckert A. The Trans-Pacific Partnership: Is it everything we feared for health? Int J Health Policy Manag. 2016;5(8):487–496. doi:10.15171/ijhpm.2016.41
    2. Friel S, Attersley L, Townsend R. Trade Policy and Public Health. Ann Rev Public Health. 2015;36:325-344. doi:10.1146/annurev-publhealth-031914-122739
    3. Ottersen OP, Dasgupta J, Blouin C, et al. The political origins of health inequity: prospects for change. Lancet. 2014;383(9917):630-667. doi:10.1016/s0140-6736(13)62407-1
    4. Blouin C, Chopra M, van der Hoeven R. Trade and social determinants of health. Lancet. 2009;373(9662):502-507. doi:10.1016/s0140-6736(08)61777-8
    5. Bolloky T.  A dose of TPP’s medicine: why U.S. trade deals haven’t exported U.S. Drug prices. Foreign Affairs. March 23, 2016.
    6. Malpani R.  All costs, no benefits: How TRIPS-plus intellectual property rules in the US-Jordan FTA affect access to medicines. Oxfam Briefing Paper; 2007.
    7. McGrady, B. Trade and Public Health: The WTO, Tobacco, Alcohol and Diet. Cambridge: Cambridge University Press; 2011.
    8. Mosier S.  Cookies, candy, and coke: Examining state sugar-sweetened-beverage tax policy from a multiple streams approach. Int Rev Public Adm. 2013:18(1):93-120. doi:10.1080/12294659.2013.10805242
    9. Collier D. Understanding process tracing. PS Polit Sci Polit. 2011;44(4):823-830. doi:10.1017/s1049096511001429
  • Receive Date: 31 July 2016
  • Revise Date: 10 September 2016
  • Accept Date: 31 August 2016
  • First Publish Date: 01 April 2017