Interrogating scarcity: how to think about ‘resource-scarce settings’
Interrogating scarcity: how to think about ‘resource-scarce settings’
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质疑稀缺性：如何思考“资源稀缺环境”
DOI：
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发表时间：
2012
影响因子：
3.2
通讯作者：
T. Schrecker
中科院分区：
文献类型：
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作者：
T. Schrecker
资源稀缺的理念渗透到各种背景下的健康伦理和卫生政策分析中。然而，健康伦理调查很少问——尽管它应该问——为什么有些环境“资源匮乏”，而另一些环境则不然。在本文中，我将质疑稀缺性描述为一种在单一政治管辖范围内调查资源分配问题的策略，特别是作为在相互联系的世界中解决全球卫生正义问题的一种方法。我通过简要描述当代全球化的四个要素来证明其与低收入和中等收入国家（LMIC）的相关性：贸易协定；全球金融市场和资本外逃；结构调整；帝国地缘政治和外交政策。这次示威不仅涉及医疗保健，还涉及健康的社会决定因素。最后，我认为，质疑稀缺性为伦理学和社会科学交叉领域的卫生政策提供了一种新的批判性方法的基础，特别提到市场原教旨主义作为当代全球化背后的价值体系。
The idea of resource scarcity permeates health ethics and health policy analysis in various contexts. However, health ethics inquiry seldom asks—as it should—why some settings are ‘resource-scarce’ and others not. In this article I describe interrogating scarcity as a strategy for inquiry into questions of resource allocation within a single political jurisdiction and, in particular, as an approach to the issue of global health justice in an interconnected world. I demonstrate its relevance to the situation of low- and middle-income countries (LMICs) with brief descriptions of four elements of contemporary globalization: trade agreements; the worldwide financial marketplace and capital flight; structural adjustment; imperial geopolitics and foreign policy. This demonstration involves not only health care, but also social determinants of health. Finally, I argue that interrogating scarcity provides the basis for a new, critical approach to health policy at the interface of ethics and the social sciences, with specific reference to market fundamentalism as the value system underlying contemporary globalization.