A fundamental shift in the approach to international health by WHO, UNICEF, and the World Bank: Instances of the practice of "intellectual fascism" and totalitarianism in some Asian countries

Navarro has used the term "intellectual fascism" to depict the intellectual situation in the McCarthy era. Intellectual fascism is now more malignant in the poor countries of the world. The Indian Subcontinent, China, and som e other Asian countries provide the context. The struggles of the working c lass culminated in the Alma-Ata Declaration of self-reliance in health by t he peoples of the world. To protect their commercial and political interest s, retribution from the rich countries was sharp and swift, they "invented" Selective Primary Health Care and used WHO, UNICEF, the World Bank, and ot her agencies to let loose on poor countries a barrage of "international ini tiatives" as global programs on immunization, AIDS, and tuberculosis. These programs were astonishingly defective in concept, design, and implementati on. The agencies refused to take note of such criticisms when they were pub lished by others. They have been fascistic, ahistorical, grossly unscientif ic, and Goebbelsian propagandists. The conscience keepers of public health have mostly kept quiet.