When globalisation means that many of the services that individual governments used to have direct power over are privatised, in education and health, even prison services, nonetheless national sovereignty still needs to be exercised.

The whole human rights structure is based on the accountability of governments.

Finance ministers must realize that the health budget can save them money if it's applied well.

The fifth province is not anywhere here or there, north or south, east or west. It is a place within each of us. It is that place that is open to the other, that swinging door which allows us to venture out and others to venture in.

We will not let governments off the hook. We will look to civil society to help us, to pin governments, to what they have committed to here. And we will report on it.

It remains the task of governments to implement the fundamental human rights standards which should influence all aspects of globalisation, including even trade talks, and to be answerable for this in a democratic way. The structure is international, but the accountability is national and I would like to see that accountability being more penetrating at regional and local level, especially in federal systems.

One of the richest countries in the world - the United States of America - is facing a real ethical dilemma in terms of providing equitable access to health care.