According to the United Nations, 9.6 billion people will inhabit our planet by 2050. Population growth and movement will have an enormous impact on global dynamics in the twenty-first century, in both the developing world as well as in advanced industrialized societies. In light of this global demographic reality, this issue of the Georgetown Journal of International Affairs focuses on the topic of “Destabilizing Demographics,” exploring the opportunities and challenges presented by dynamic population patterns and structures. Demographic shifts affect multiple facets of international affairs, impacting economies, modifying politics, and reshaping the fabric of our societies. These changes could have catastrophic international consequences if ignored or evaded. However, as this issue’s Forum demonstrates, the future holds promise for those who choose to reorganize on the cusp of significant population transformation. Adaptation as a form of mitigation must be informed by diverse solutions and multi-sectoral cooperation. Consider, for example, the intersection of family planning and climate change, or the connection between gender gaps and crime. Through pragmatic policymaking and international collaboration, seismic demographic change may not necessitate disaster. We round out this issue with articles regarding decidedly twenty-first century concerns: communication, integration, and globalization. Moha Ennaji describes the challenges of Berber language incorporation in Morocco and its significance to democratic reform. Dan Saxon examines the role of human judg­ment in semi-autonomous weapons use, questioning the ethics of unmanned machines. Andrés Monroy-Hernández and Luis Daniel Palacios analyze the utility, efficacy, and implications of citizen journalism within Mexico’s ongoing drug war. And Lawrence Gostin and Alexandra Phelan explore how, in an increasingly interconnected world, the international community can collectively prevent and control the spread of infectious diseases.

The Georgetown Journal of International Affairs is the official publication of the Edmund A. Walsh School of Foreign Service at Georgetown University. Each issue of the journal provides readers with a diverse array of timely, peer-reviewed content penned by top policymakers, business leaders, and academic luminaries. The Journal takes a holistic approach to international affairs and features a ‘Forum’ that offers focused analysis on a specific key issue with each new edition of the publication, as well as nine regular sections: Books, Business & Economics, Conflict & Security, Culture & Society, Law & Ethics, A Look Back, Politics & Diplomacy, Science & Technology, and View from the Ground.

The international community has made great progress in improving global health. But staggering health inequalities between rich and poor still remain, raising fundamental questions of social justice. In a book that systematically defines the burgeoning field of global health law, Lawrence Gostin drives home the need for effective global governance for health and offers a blueprint for reform, based on the principle that the opportunity to live a healthy life is a basic human right.

Gostin shows how critical it is for institutions and international agreements to focus not only on illness but also on the essential conditions that enable people to stay healthy throughout their lifespan: nutrition, clean water, mosquito control, and tobacco reduction. Policies that shape agriculture, trade, and the environment have long-term impacts on health, and Gostin proposes major reforms of global health institutions and governments to ensure better coordination, more transparency, and accountability. He illustrates the power of global health law with case studies on AIDS, influenza, tobacco, and health worker migration.

Today's pressing health needs worldwide are a problem not only for the medical profession but also for all concerned citizens. Designed with the beginning student, advanced researcher, and informed public in mind, Global Health Law will be a foundational resource for teaching, advocacy, and public discourse in global health.

With lessons learned from COVID-19, a world-leading expert on pandemic preparedness proposes a pragmatic plan urgently needed for the future of global health security.

The COVID-19 pandemic revealed how unprepared the world was for such an event, as even the most sophisticated public health systems failed to cope. We must have far more investment and preparation, along with better detection, warning, and coordination within and across national boundaries. In an age of global pandemics, no country can achieve public health on its own. Health security planning is paramount.

Lawrence O. Gostin has spent three decades designing resilient health systems and governance that take account of our interconnected world, as a close advisor to the Centers for Disease Control and Prevention (CDC), the World Health Organization (WHO), and many public health agencies globally. Global Health Security addresses the borderless dangers societies now face, including infectious diseases and bioterrorism, and examines the political, environmental, and socioeconomic factors exacerbating these threats. Weak governance, ineffective health systems, and lack of preparedness are key sources of risk, and all of them came to the fore during the COVID-19 crisis, even—sometimes especially—in wealthy countries like the United States. But the solution is not just to improve national health policy, which can only react after the threat is realized at home. Gostin further proposes robust international institutions, tools for effective cross-border risk communication and action, and research programs targeting the global dimension of public health.

Creating these systems will require not only sustained financial investment but also shared values of cooperation, collective responsibility, and equity. Gostin has witnessed the triumph of these values in national and international forums and has a clear plan to tackle the challenges ahead. Global Health Security therefore offers pragmatic solutions that address the failures of the recent past, while looking toward what we know is coming. Nothing could be more important to the future health of nations.

Medical ethics draws upon methods from a wide array of disciplines, including anthropology, economics, epidemiology, health services research, history, law, medicine, nursing, philosophy, psychology, sociology, and theology.

In this first book to systematically examine, critique, and challenge some of these disciplines and their methods in light of their influence on medical ethics, leading scholars present particular methods that have played significant roles in the field. The methods addressed include philosophy, religion and theology, professional codes, law, casuistry, history, qualitative research, ethnography, quantitative surveys, experimental methods, and economics and decision science. Reviewing each, they provide descriptions of techniques, critiques, and notes on resources and training. Physician-assisted suicide and euthanasia are used as an illustration of the richness of multidisciplinary work applied to individual issues. Similarly, genetic testing is used as an example of how multiple descriptive methods may privilege certain findings.

Methods in Medical Ethics is a valuable resource for scholars, teachers, editors, and students in any of the disciplines that have contributed to the field. As a textbook and reference for graduate students and scholars in medical ethics, it offers a rich understanding of the complexities of both moral questions and their answers.