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西方在协助发展中国家抗击艾滋病毒/艾滋病方面的道德义务。

The West's moral obligation to assist developing nations in the fight against HIV/AIDS.

作者信息

Nelson Samuel H

机构信息

US Naval Academy, History Department, US Naval Academy, Annapolis, MD 21402, USA.

出版信息

Health Care Anal. 2002;10(1):87-108. doi: 10.1023/A:1015622531388.

Abstract

The HIV/AIDS epidemic is increasingly a disease of the disadvantaged, a destroyer of nations, and a threat to global security and well-being. But this need not be so: the world has the scientific knowledge, technological innovations, and financial resources to significantly reduce the spread and suffering caused by the disease. This paper argues that the wealthy nations of the world, led by the United States, have a moral obligation to offer much greater assistance to developing countries where the epidemic is most severe. Using Zimbabwe as a case study, this essay examines the immediate and underlying factors behind the epidemic in order to make realistic and affordable policy recommendations that include new investments in global health care, debt relief, and long-term economic development. By demonstrating our ability to dramatically affect the future course and consequences of this unprecedented epidemic, the paper concludes that greater action is not only in the interest of public health, but is also a moral imperative. By investing the necessary resources to improve public health and to reduce global poverty, we promote and extend the fundamental rights and values that we profess to hold dear.

摘要

艾滋病毒/艾滋病疫情日益成为弱势群体的疾病、国家的破坏者以及全球安全与福祉的威胁。但情况不一定非得如此:世界拥有科学知识、技术创新和财政资源,能够大幅减少该疾病造成的传播和痛苦。本文认为,以美国为首的世界富国在道德上有义务向疫情最为严重的发展中国家提供更多援助。本文以津巴布韦为例,研究疫情背后的直接因素和潜在因素,以便提出切实可行且负担得起的政策建议,包括对全球医疗保健进行新投资、减免债务以及长期经济发展。通过证明我们有能力极大地影响这一史无前例疫情的未来走向和后果,本文得出结论,加大行动力度不仅符合公共卫生利益,也是一项道德责任。通过投入必要资源改善公共卫生并减少全球贫困,我们促进并扩展了我们声称珍视的基本权利和价值观。

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