 Fourth People's Health Assembly is being organised in Dhaka, Bangladesh, in the background of a global health crisis that is characterised by inequities related to a range of social determinants of health and in access to health services within countries and between countries. In large measure, the poor and the vulnerable are being pushed further to the margins due to pitifully inadequate measures to address the social determinants of health. They have also denied access to quality health services as a consequence of unfair economic structures and social conditions that lock people into poverty and ill-health. To four decades of that experience of unleashed capitalism and in particular, more recently the financialised capitalism that has expanded the inequalities that we've seen, there is a growing recognition that the ideology and the policies have failed. In recent years, austerity measures in both the global south and the north have further compromised access, often as a consequence of the dismantling of public services and the increasing reliance on private provision of healthcare. Think of the word social murder, so Engels, when he was looking at the early days of the Industrial Revolution, said the class which at present holds social and political control places hundreds of proletarians in such a position that they inevitably meet a too early and unnatural death. So it seems to me, when you think of that pattern of wealth, when you think of the way corporations work, social murder is happening across the world today. The achievement of universal and secure access to comprehensive healthcare services can be a reality only through the revitalisation of comprehensive primary healthcare as envisioned in the Alma Ata Declaration of 1978. These people arrived malnourished in shock and many with bullet injuries. Majority were women and children and the women had suffered multiple rape. Every woman I spoke to in September 2017, soon after the major exodus or influx from this end, every woman I spoke to spoke of multiple rape, not once, at least twice, some maybe four times, five times. The promises held out by the sustainable development goals needs to be questioned, given that these goals, many of them laudable, are proposed to be attained by the same neoliberal model of development and economic growth that has pushed the globe to the brink of multiple crises, social, political, ecological and economic. Intersectoral action on the social determination of ill health is extremely important in the 10 fast-track countries of which Bangladesh is one in reaching MDG4, over 50% of health improvement comes from actions outside of the health sector. Some analysts have shown that if there is no change in the current economic paradigm, it will take 207 years to achieve the SDGs and we will need 3.4 planet Earths. The Fourth People's Health Assembly will draw on civil society organisations and networks, social movements, academia and other actors from around the globe. Trade unions play a key role in the achievement of the help for all policies because you have to realise that it is the health workers who are providing the services to the population. So if we are going to realise what we call health for all, health workers will be brought on board. Our services must be provided to all people without border and not just certain things are available for certain people who have certain conditions that are of interest to certain donors. Perhaps other people come to the same facility, they come to you for care and they cannot get the care because those things are not available. To enhance the capacity of health civil society activists, to engage with an intervening policy making process, to monitor and drive policy implementation and to ensure accountability in the functioning of health systems. We are still facing inequalities in access to health care and we are trying to make a case in our dialogue with the parliamentarians, with the government officials, to reduce and to mitigate the impact of some of the policies of the government which are eroding the constitutional right to health. PHF4 provides a unique space for strengthening solidarity, sharing experiences, mutual learning and joint strategising for future actions. In PHA, we have raised our awareness on health issues. We have known that health is for all and not only for those who have money.