Determinacion global y salud: el marco amplio de los determinantes de la salud/Global determination and health: the broad framework of the determinants of health

The purpose of this article is to present the challenges faced by global health, during the last stage of the development of global capitalism and its relationship with the social and sanitary determinants of health, life and earth based on a new concept: global determination. Methodologically, the following subjects are developed: global determination and its relationship with the social determinants of health, the consequences of global capitalism, the challenges faced by humanity and by global health, and the issue of governance and global social response. Such inequities appear for reasons related to geography, age, gender, ethnicity, educational level, and income distribution, yet they ultimately arise from social determinants that are born in the supranational domain of determination. In the conclusions, the author defends global action as a way to overcome the inequalities and inequities affecting today's world, and proposes a new category to understand social determinants: the global determination, which has a greater explanatory power compared to the various theoretical currents discussing determinants and social determination.