  Some of the most important issues in the ethics of health and health care today are widely classified as issues of social justice. However, at the hands of many writers, social justice is notably similar to social beneficence. For example, perhaps the most important moral problem in global ethics is how to structure both the global order and national systems that affect health so that burdens are avoided, benefits are provided, and then both are fairly distributed using a threshold condition of equitable levels of health and access to health care. Globalization has brought a realization that problems of protecting health and providing beneficial services are international in nature and that their alleviation will require a restructuring of the global system.