Secrets from Whom? Following the Money in Global Health Finance
Secrets from Whom? Following the Money in Global Health Finance
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DOI：
10.1086/683271
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发表时间：
2015-12-01
影响因子：
2.2
通讯作者：
Erikson, Susan L.
中科院分区：
文献类型：
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作者：
Erikson, Susan L.
秘密金融交易是全球卫生领域新形式慈善风险资本主义的核心。在世界范围内，以国家为中心的牧区和临床医疗保健的组织原则已经让位于投机性的、市场驱动的健康方法。由于全球金融是一个规范化的秘密社会空间，私人金融工具越来越多地用于以前由公共资助的卫生领域，这引发了关于重塑全球福利进程、全球公共卫生激励措施和放弃的重要问题。人类学研究表明，市场价值并不总是与改善健康结果联系在一起。本文探讨了一个相关的观点：财务保密和护理之间的关系是什么？当赌注是生与死时，有多少秘密知识和私人行为是可以容忍的？在全球卫生金融领域，新形式的排斥正在日益出现;被剥夺权利的人和民族国家参与世界体系，但作为受损的金融主体。问“谁知道什么？什么对谁有利？“揭示了福祉-金融和身体-的各种不同和不同的利害关系，并对新的优势系统和最近加剧的旧的系统性全球不平等提供了分析牵引力。
Clandestine financial dealings are at the core of new forms of philanthropic venture capitalism in global health. Worldwide, organizing principles of state-centric pastoral and clinical health care have given way to speculative, market-driven approaches to health. Because global finance is a normatively secretized social space, the increasing use of private financial instruments in health spaces previously publicly funded raises important questions about the remaking of global welfare processes, global public health incentives, and abandonments. Anthropological research shows that market value does not always link up with improved health outcomes. This article explores a related point: what are the relationships between financial secrecy and care? When the stakes are life and death, how much secret knowledge and private action is tolerable? Increasingly in global health finance, new forms of exclusion are emerging; disenfranchised people and nation-states participate in world systems but as compromised financial subjects. Asking "Who knows what?" and "What benefits whom?" opens up all manner of difference and differential stakes in well-being-financial and corporeal-and provides analytical traction on both new systems of advantage and recent intensifications of old systemic global inequalities.