This book addresses the issue of the promotion of third world health. That major health problems are worsening, that the differences between first and third world responses are more largely determined by fiscal constraints than by ethnocentric differences and variations in "health belief models" are taken as hypotheses to the present argument. The author examines these in well-researched detail, demonstrating how they inter-relate, and then focuses on possible solutions. Because of his extensive third world experience both in medicine and education, MacDonald is able to marshal a wealth of epidemiological and statistical evidence. Ideal for students of human rights and sustainability in development, this book fills a crucial niche in the field as the new millennium begins and as the G7 nations strive to protect first world gains while ensuring that the third world's access to them remains optimally possible.