Health economists, tobacco control and international development: On the economisation of global health beyond neoliberal structural adjustment policies.
Health economists, tobacco control and international development: On the economisation of global health beyond neoliberal structural adjustment policies.
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DOI：
10.1057/biosoc.2013.3
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发表时间：
2013-06
期刊：
影响因子：
1.6
通讯作者：
Reubi D
中科院分区：
文献类型：
--
作者：
Reubi D
这篇文章通过考察一项经济战略--税收--的谱系，阐述了经济理性在过去30年中对全球健康的日益增长的影响，这一战略已成为全球南方国际反吸烟倡议的核心。它辩称，这一谱系与经济学和全球健康的通常故事不符，后者将国际健康的经济化简化为旨在稳定、自由化和私有化的新自由主义结构调整政策，并哀叹它们对健康的有害影响。在不质疑这些政策的重要性和破坏性影响的同时，本文概述的烟草税谱系表明，全球健康的经济化不仅与新自由主义结构调整政策有关，还与罪恶税、市场失灵和卫生经济学有关。通过强调健康方面的变化，如全球南方的流行病转变如何对经济产生影响，以及税收对健康有多么有利，它还表明，经济和健康之间的关系并不总是单向的，对健康不利。在这样做的过程中，这篇文章对经常机械地使用新自由主义来解释变化的做法提出了批评，并呼吁讲述有关全球卫生经济化的其他故事。
This article addresses the increasing influence of economic rationalities in global health over the past 30 years by examining the genealogy of one economic strategy – taxation – that has become central to international anti-smoking initiatives in the global South. It argues that this genealogy sits uncomfortably with the usual story about economics and global health, which reduces the economisation of international health to neoliberal structural adjustment policies aimed at stabilisation, liberalisation and privatisation and laments their detrimental effect on health. While not disputing these policies' importance and damaging impact, the genealogy of tobacco taxes outlined in this article shows that the economisation of global health is not only about neoliberal structural adjustment policies but also about sin taxes, market failures and health economics. By stressing how changes in health like the global South's epidemiological transition can impact on economics and how beneficial taxation can be for health, it also shows that the relation between economics and health is not always unidirectional and detrimental to the latter. In doing so, the article contributes to the critique of the often mechanical use of neo-liberalism to explicate change and calls for other stories about the economisation of global health to be told.
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影响因子：
5.2
作者：
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影响因子：
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作者：
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