Global Health Watch (GHW), now in its sixth edition, provides the definitive voice for an alternative discourse on health. It integrates rigorous analysis, alternative proposals and stories of struggles and change to present a compelling case for the imperative to work for a radical transformation of the way we approach actions and policies on health. It was conceived in 2003 as a collaborative effort by activists and academics from across the world, and is designed to question present policies on health and to propose alternativesGlobal Health Watch 6 (GHW6) has been coordinated by eight civil society organizations - the People's Health Movement, ALAMES, Health Poverty Action, Medico International, Third World Network, Medact, Sama and Viva Salud. With contributions from across the globe, GHW6 addresses key issues related to health systems and the range of social, economic, political and environmental determinants of health, locating decisions and choices that impact on health in the structure of global power relations and economic governance.