The General Agreement on Trade in Services is a relatively new treaty that covers trade in health services [13] . The agreement has been severely criticized by some, who claim that it increases privatization of health care services and undermines public health care systems. However, given its ambiguities, the actual impact of the agreement on the health sector will be largely determined by the way in which the agreement is further specifi ed in multinational commitments [14] . Social justice, equity, benefi cence, and nonmalefi cence will all come into play in the implementation of this treaty.