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Mahama Rejected US Health Compact Over Sovereignty Concerns

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Mahama Explains Why Ghana Rejected US Health Compact, Citing Sovereignty Concerns

President John Dramani Mahama has explained Ghana’s decision to reject a proposed health compact from the United States, saying the agreement raised concerns about Ghana’s sovereignty and the country’s ability to manage its own healthcare systems.

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Speaking during a discussion on health sovereignty and reparatory justice, President Mahama said Ghana received the proposed health compact as an arrangement intended to replace US health funding.

He explained that because Ghana is a sovereign country, the proposal was subjected to the country’s established government processes before a decision was taken.

According to Mahama, the Ministry of Health reviewed the compact and prepared a Cabinet information paper after identifying several provisions that Ghana considered problematic.

Mahama raises concerns over health and medical data

One of the issues he highlighted was a provision he said required Ghana to provide the United States with information about the country’s pathogen profile, including diseases endemic to Ghana.

He also cited provisions relating to medical records.

Mahama questioned why another country would be given access to such sensitive health information, describing the requirement as unusual.

Another concern, he said, involved a requirement for Ghana to commit a specified amount of money to healthcare as part of the programme.

He further said the compact contained provisions concerning medical products brought into Ghana that would limit the authority of the Food and Drugs Authority (FDA) to scrutinise them.

Mahama said these concerns contributed to Ghana’s decision to reject the compact.

According to him, the proposal was rejected after it was reviewed through the appropriate government processes, and Ghana subsequently informed the US that it could manage its healthcare needs independently.

He said the decision reflected Ghana’s position as a sovereign nation capable of determining how its healthcare system should be managed.

Mahama links cultural heritage to economic development

During the same discussion, Mahama also spoke about his reparatory justice agenda and the importance of returning African cultural property taken during earlier periods of domination and colonial rule.

He argued that cultural heritage should not be viewed separately from employment and economic development because cultural identity and ownership can contribute to economic empowerment.

Mahama said cultural symbols and artefacts are part of a people’s identity and sense of belonging.

He pointed to valuable Ashanti cultural artefacts that are currently held outside Ghana, arguing that such items could contribute to Ghana’s cultural and economic development if returned.

According to him, museums in Ghana could house these artefacts and attract visitors interested in experiencing the country’s cultural heritage.

He specifically referenced Kumasi and the Ashanti Kingdom, arguing that people interested in seeing important Ashanti cultural symbols should be able to visit Ghana to experience them.

Mahama therefore described restitution as an important part of the broader conversation around reparatory justice, saying the return of cultural property is connected not only to historical justice but also to cultural ownership and economic empowerment.

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