Ethical globalization is possible if only we can hold governments and business accountable for respecting human rights, not just in the traditional political and legal realms, but in everything - health, education and the other social determinants of health - rights to food, safe water, sanitation and so on.

The UN may not be very effective but I am a fan of the idea of the United Nations. I have been there, I know the problems. To parody Winston Churchill: It is the worst system, except we don't have any other.

There is a democratic deficit. In Latin America in particular there is real concern that democratic governments are not delivering and that is leading to experimenting with different models that are much less democratic. But even in Western Europe the deficit is a problem.

All countries are particular and no models are perfect.

I'm not interested in scoring points or being over-critical of the US administration. I want to find the entry points to try and get it back on track so that the United States can get out of the present disastrous situation it's in, and back into being a constructive force for human rights in the world.

Post-genocide Rwanda has managed to implement a good universal health insurance scheme that covers a large proportion of the population. This came about because of the severity of the country's problems and the resulting high proportion of women in the parliament and among professional caregivers, which had a positive effect on policy.

Since 9/11 the United States has been followed by countries with bad records, such as the former Soviet Union countries, into erosions of human rights. Because the United States has changed its standards it is undermining civil liberties elsewhere.