But these issues may more rightly be dilemmas than problems. A dilemma differs from a problem in that the situation it "contains" will not produce a "solution" at the level of analysis at which it stated. Simply: within a dilemma one cannot continue to do what one is doing-the thing that produces the "problem"-and gain an effective solution. In the above analysis, the world cannot continue to embrace and support the activities of contemporary globalization and meet the public health problems it will create. To resolve the dilemmas that constitute global public health requires changing (perhaps in radical ways) the ways that globalization works, so that it will produce different results. Problems say: do more; dilemmas say: do something different. This is what proposals for global governance purport to do. The all-important question is, even were they to succeed, through the reforms proposed, would these be sufficient to create transformations in globalization behavior yielding different outcomes? One should never say never. I am tempted to argue, nevertheless, that we cannot solve the problem of creating an effective regime of zoonotic control because such a regime, as posited, would not change the conditions of the global economy that are producing the very diseases one wants to control.