What matters in health (care) universes: delusions, dilutions, and ways towards universal health justice
What matters in health (care) universes: delusions, dilutions, and ways towards universal health justice
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DOI：
10.1186/s12992-019-0521-7
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发表时间：
2019-11-28
影响因子：
10.8
通讯作者：
Nervi, Laura
中科院分区：
文献类型：
--
作者：
Birn, Anne-Emanuelle;Nervi, Laura
关于实现全民健康覆盖（UHC）的假定全球共识掩盖了关于什么构成“普遍性”的原则和政治的关键问题，以及在过去和现在，在争取卫生（保健）正义的斗争中，什么是重要的。这篇文章集中在三个方面的问题：1）我们解开修辞的全民健康覆盖的三个组成部分：普遍，健康和覆盖; 2）特别关注拉丁美洲，我们重新审视新自由主义政变对过去和当代的健康正义斗争，我们认为资本主义的当前新自由主义阶段如何试图逮捕这些斗争，增选他们的语言，缩小他们的视野; 3）我们重新想象当代的挑战/困境有关卫生正义，超越虚假的技术官僚共识周围UHC和重新注入深刻的政治性质，这场斗争。总而言之，就像整个宇宙一样，一系列问题都很重要：国家和国际层面的社会政治背景、制定政策的权力、语言之争、真实的政策效果、概念叙事以及人们为正义而斗争。
The presumed global consensus on achieving Universal Health Coverage (UHC) masks crucial issues regarding the principles and politics of what constitutes "universality" and what matters, past and present, in the struggle for health (care) justice. This article focuses on three dimensions of the problematic: 1) we unpack the rhetoric of UHC in terms of each of its three components: universal, health, and coverage; 2) paying special attention to Latin America, we revisit the neoliberal coup d'etat against past and contemporary struggles for health justice, and we consider how the current neoliberal phase of capitalism has sought to arrest these struggles, co-opt their language, and narrow their vision; and 3) we re-imagine the contemporary challenges/dilemmas concerning health justice, transcending the false technocratic consensus around UHC and re-infusing the profoundly political nature of this struggle. In sum, as with the universe writ large, a range of matters matter: socio-political contexts at national and international levels, agenda-setting power, the battle over language, real policy effects, conceptual narratives, and people's struggles for justice.