Estes Carroll L, Phillipson Chris
University of California, San Francisco, USA.
Int J Health Serv. 2002;32(2):279-97. doi: 10.2190/5TY7-PD68-QLD1-V4TY.
A new political economy is shaping the lives of present and future generations of older people. The key change has been the move from the mass institutions that defined growing old in the period from 1945 through the late 1970s to the more individualized structures--privatized pensions, privatized health and social care--that increasingly inform the current period. The authors examine the role of international governmental organizations in promoting this trend, with examples drawn from the work of the World Bank, World Trade Organization, and Organization for Economic Cooperation and Development, and the relationship between international governmental organizations and the state. The article concludes with an assessment of the changes to citizenship that accompany globalization and the implications for political organization among older people themselves.
一种新的政治经济格局正在塑造当代及未来几代老年人的生活。关键变化在于,从1945年到20世纪70年代末,界定老年生活的是大规模机构,而如今正日益向更个体化的结构转变,即养老金私有化、医疗和社会护理私有化。作者们以世界银行、世界贸易组织和经济合作与发展组织的工作为例,探讨了国际政府组织在推动这一趋势中所起的作用,以及国际政府组织与国家之间的关系。文章最后评估了伴随全球化而来的公民身份变化以及对老年人自身政治组织的影响。