The biopolitics of global health: Life and death in neoliberal time

The biopolitics of global health: Life and death in neoliberal time
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全球健康的生命政治:新自由主义时代的生与死

DOI:
10.1177/1440783314562313
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发表时间:
2015
影响因子:
2.4
通讯作者:
Katherine Kenny
Katherine Kenny
中科院分区:
法学3区
文献类型:
--
作者:
Katherine Kenny

文献摘要

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21世纪世纪的头几年见证了“全球健康”作为试图管理全球人口健康的首选标签的兴起。在这篇文章中,我找到了全球健康的认识论起源在介绍残疾调整生命年(DALY)指标在世界银行的投资健康报告。我认为,DALY指标实现了生命的经济化分解成时间的组成单位,并重新组装的生活作为一个收入流最大化,通过实践的自我投资在自己的健康配置在这里作为人力资本。生命被重新想象为时间,个人被重新想象为新自由主义的经济人:自我的企业家。我认为,DALY指标最好被视为一种支撑当代新自由主义全球卫生制度的权力生物政治技术。
The opening years of the 21st century have witnessed the rise of ‘global health’ as the preferred label for attempts to govern the health of the global population. In this article, I locate the epistemological origins of global health in the introduction of the Disability Adjusted Life Year (DALY) metric in the World Bank’s Investing in Health report. I argue that the DALY metric accomplishes an economization of life by disaggregating lifetimes into component units of time and reassembling life as a revenue stream to be maximized through practices of self-investment in one’s own health – configured here as human capital. Life is reimagined as time and the individual as a neoliberal homo oeconomicus: as an entrepreneur of the self. I argue that the DALY metric is best conceived as a biopolitical technology of power that underpins the contemporary neoliberal global health regime.