Katz Alison
Int J Health Serv. 2004;34(4):751-73. doi: 10.2190/6BVE-W9G4-GWBN-LNVK.
The Commission on Macroeconomics and Health report (Sachs report) of 2001 has been heralded as inspiring and groundbreaking and is being adopted as the blueprint for global health policymaking. This article argues that the report is deeply conservative and unoriginal. It encourages medico-technical solutions to public health problems; it ignores macroeconomic determinants and other root causes of both poor health and poverty; it reverses public health logic and history; it is based on a set of flawed assumptions; it reflects one particular economic perspective to the exclusion of all others; and it recommends greater amounts of charity while preserving the status quo of a deeply unjust and irrational international economic order. A set of assumptions deriving from a neoliberal approach to health underlies the report. The author proposes an alternative set of assumptions deriving from a social justice and human rights-based approach to health.
2001年的宏观经济与健康委员会报告（萨克斯报告）被誉为具有启发性和开创性，正被用作全球卫生政策制定的蓝图。本文认为，该报告极为保守且缺乏新意。它鼓励采用医学技术手段解决公共卫生问题；忽视了健康状况不佳和贫困的宏观经济决定因素及其他根本原因；颠倒了公共卫生的逻辑和历史；基于一系列有缺陷的假设；反映了一种特定的经济观点而排斥其他所有观点；并且在维持极不公平和不合理的国际经济秩序现状的同时，建议增加慈善援助。该报告基于一套源自新自由主义健康观的假设。作者提出了另一套源自基于社会正义和人权的健康观的假设。
