Navarro V
Department of Health Policy and Management, Johns Hopkins University, School of Hygiene and Public Health, Baltimore, MD 21205-1901, USA.
Int J Health Serv. 1999;29(1):1-50. doi: 10.2190/9AFY-KQHL-BT6T-J7G4.
The article analyzes the social, economic, and political changes taking place in developed capitalist countries that are affecting their welfare states, in particular the changes in the family, in people's life cycles, in economic and social structures, and, most importantly, in the political contexts. The author shows how these changes take place and how the ways in which various countries respond to them depend mainly on the correlation of forces (of which class forces continue to be of great importance) and their expression in the political space. The dominant theoretical frame (promoted by international agencies and many governments) assumes that all governments, regardless of their political coloration, are forced to follow the same policies because of the need to be competitive in the globalized economy, where international markets (whether financial or commercial) determine what governments can and must do. Questioning this economic determinism, the article recovers the importance of politics, putting politics at the center of the explanation of what is happening in the welfare states of the developed capitalist countries, including the neoliberal aggression against them.
本文分析了发达资本主义国家正在发生的社会、经济和政治变革,这些变革正在影响其福利国家,特别是家庭、人们生命周期、经济和社会结构方面的变化,以及最重要的政治背景方面的变化。作者展示了这些变化是如何发生的,以及各国应对这些变化的方式如何主要取决于力量的对比(阶级力量仍然非常重要)及其在政治空间中的表现。占主导地位的理论框架(由国际机构和许多政府推动)假定,由于需要在全球化经济中具有竞争力,所有政府,无论其政治色彩如何,都被迫遵循相同的政策,在全球化经济中,国际市场(无论是金融市场还是商业市场)决定了政府能够做什么和必须做什么。本文对这种经济决定论提出质疑,重新强调政治的重要性,将政治置于对发达资本主义国家福利国家正在发生的事情(包括新自由主义对它们的攻击)进行解释的核心位置。