“…At base, the challenge facing Canada, all other liberal political economies and, increasingly, even those with social democratic legacies, have been shifts in the nature of global capitalism, in which capital accumulation is increasingly facilitated through financial markets (and not through the 'real' economy of production and consumption) and the ability of investors to reap windfall gains through speculation, land acquisitions and other forms of 'dispossession' of peoples' livelihoods [146]. Not only must social movements engage with national policy shifts; they must also confront the global shifts in capitalism, yet such shifts have occurred in the past [146][147][148][149]. Decisive political and professional leadership are necessary conditions for strengthening the SDH and reducing health inequalities are urgently needed.…”