Denaturalizing scarcity: a strategy of enquiry for public-health ethics
Denaturalizing scarcity: a strategy of enquiry for public-health ethics
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DOI：
10.2471/blt.08.050880
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发表时间：
2008-08-01
影响因子：
11.1
通讯作者：
Schrecker, Ted
中科院分区：
文献类型：
--
作者：
Schrecker, Ted
造成国家内部和国家之间健康差距的大多数稀缺性不是自然的；相反，它们是政策选择和社会机构运作的结果。本文以美利坚合众国的例子：芝加哥热浪和卡特里娜飓风为例，将“变性稀缺性”作为一种调查策略，在一个相互关联的世界中为公共卫生伦理提供信息，首先从公共卫生的角度描述一些最令人担忧的资源稀缺性，然后概述两条(不是相互排斥的)伦理推理，以证明它们的重要性。其中之一涉及在当今相互关联的世界中跨越国界将富人和穷人联系在一起的多重关系，然后简要描述了全球化及其相关机构与威胁健康的稀缺性联系在一起的方式。这篇论文的结论是，变性稀缺性是主流健康伦理的一个有价值的替代方案，它将我们的注意力引向为什么有些环境是“资源贫乏”，而另一些环境则不是。
Most scarcities that underpin health disparities within and among countries are not natural; rather, they result from policy choices and the operation of social institutions. Using examples from the United States of America: the Chicago heat wave and hurricane Katrina, this paper develops "denaturalizing scarcity" as a strategy for enquiry to inform public-health ethics in an interconnected world, It first describes some of the resource scarcities that are of greatest concern from a public-health perspective, and then outlines two (not mutually exclusive) lines of ethical reasoning that demonstrate their importance. One of these involves the multiple relationships that link rich and poor across national borders in today's interconnected world, The paper then briefly describes ways in which globalization and the associated institutions are linked to health-threatening scarcities. The paper concludes that denaturalizing scarcity represents a valuable alternative to mainstream health ethics, directing our attention instead to why some settings are "resource poor" and others are not.