Ooms Gorik, Hammonds Rachel
Department of Public Health, Institute of Tropical Medicine, Antwerp.
Int J Health Serv. 2009;39(4):795-801. doi: 10.2190/HS.39.4.m.
People living in low-income countries require protection from the economic and social impacts of global economic competition, yet, historically, the International Monetary Fund's (IMF) fiscal austerity programs have weakened the potential for redistribution both within poor countries and between rich and poor countries. The current development paradigm's focus on "sustainability" is an obstacle to developing systems of global social protection and an impediment to future progress. Reforming IMF policy conditionality and democratizing the IMF's decision-making processes will be necessary for offsetting growing inequalities in health financing among poor nations.
生活在低收入国家的人们需要得到保护，免受全球经济竞争带来的经济和社会影响。然而，从历史上看，国际货币基金组织（IMF）的财政紧缩计划削弱了穷国内部以及富国与穷国之间进行再分配的潜力。当前发展范式对“可持续性”的关注是发展全球社会保护体系的障碍，也是未来进步的阻碍。改革国际货币基金组织的政策条件并使其决策过程民主化，对于抵消穷国之间卫生筹资方面日益加剧的不平等现象将是必要的。
