Meier Benjamin Mason
Columbia University's Department of Sociomedical Sciences at Columbia's Center for Health Policy, USA.
J Law Med Ethics. 2007 Winter;35(4):545-55, 511. doi: 10.1111/j.1748-720X.2007.00179.x.
The right to health was codified in Article 12 of the International Covenant on Economic, Social and Cultural Rights as an individual right, focusing on individual health services at the expense of public health systems. This article assesses the ways in which the individual human right to health has evolved to meet collective threats to the public's health. Despite its repeated expansions, the individual right to health remains normatively incapable of addressing the injurious societal ramifcations of economic globalization, advancing individual rights to alleviate collective inequalities in underlying determinants of health. By examining modern changes to underlying determinants of health, this article concludes that responding to globalized health threats necessitates a collective right to public health.
健康权在《经济、社会及文化权利国际公约》第十二条中被编纂为一项个人权利,侧重于个人医疗服务,却以公共卫生系统为代价。本文评估了个人健康权如何演变以应对公众健康面临的集体威胁。尽管其不断扩展,但个人健康权在规范上仍无法应对经济全球化对社会造成的有害影响,无法通过推进个人权利来缓解健康基本决定因素方面的集体不平等。通过审视健康基本决定因素的现代变化,本文得出结论,应对全球化的健康威胁需要一项公共卫生集体权利。