Minkler M, Cole T R
Department of Social and Administrative Health Sciences, School of Public Health, University of California, Berkeley 94720.
Int J Health Serv. 1992;22(1):113-24. doi: 10.2190/TLV2-4QFM-8PV4-NP3R.
The authors develop E.P. Thompson's concept of moral economy as a useful complement to contemporary political economic analysis in problem areas involving moral conflict. Defined as the shared assumptions underlying norms of reciprocity in which an economic system is grounded, moral economy is seen as holding particular relevance for the study of aging. The evolution of pension systems, the "senior revolt" against catastrophic coverage in the United States, and debates over the allocation of health resources between generations are used to illustrate the utility of a combined political and moral economy for enriching our understanding in these areas. Marx's concept of a "morality of emancipation" is described as holding particular promise for the development of a new moral economy of old age that would move beyond alienation by giving broad attention to quality of life issues at each stage of the life course.
作者们将E.P.汤普森的道德经济概念发展为一种有用的补充,用于在涉及道德冲突的问题领域进行当代政治经济分析。道德经济被定义为经济系统所基于的互惠规范背后的共同假设,它被视为与老龄化研究具有特别的相关性。养老金制度的演变、美国老年人针对灾难性保险范围的“老年反抗”以及代际之间关于卫生资源分配的辩论,都被用来说明政治经济与道德经济相结合对于深化我们在这些领域理解的效用。马克思的“解放道德”概念被描述为对老年新道德经济的发展具有特别的前景,这种新道德经济将超越异化,通过广泛关注生命历程各阶段的生活质量问题来实现。