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全球卫生框架公约:社会正义的简化版,还是社会正义的曙光?

A framework convention on global health: social justice lite, or a light on social justice?

机构信息

Center for Health Law, Policy and Practice, Temple University Beasley School of Law.

出版信息

J Law Med Ethics. 2010 Fall;38(3):580-93. doi: 10.1111/j.1748-720X.2010.00513.x.

Abstract

With the publication of the final report of the WHO Commission on the Social Determinants of Health, it becomes clear that there is considerable convergence between a policy agenda rooted on social epidemiology and one rooted in a concern for human rights. As commentators like Jonathan Mann have argued, concern for human rights and the achievement of social justice can inform and improve public health. In this article, we ask a different question: what does a health perspective adds to the enduring fight for a more just world? We consider three possibilities: (1) that public health, in an inversion of Mann's argument, actually provides useful tools for specifying social injustice; (2) that, contrary to the usual critical stance and assumption of weakness, the institutions of public health bring powerful capacities to the practical promotion of social justice; and (3) that health as a banner mobilizes people who would not be mobilized to act in the name of social justice.

摘要

随着世界卫生组织社会决定因素健康委员会最终报告的发布,一个基于社会流行病学的政策议程和一个关注人权的政策议程之间的明显趋同变得清晰起来。正如乔纳森·曼等评论员所指出的,对人权的关注和社会正义的实现可以为公共卫生提供信息并加以改进。在本文中,我们提出了一个不同的问题:从健康角度来看,对一个更加公正的世界的持久斗争有何贡献?我们考虑了三种可能性:(1)公共卫生,以曼的论点为反转,实际上为具体指出社会不公正提供了有用的工具;(2)与通常的批判立场和弱势假设相反,公共卫生机构为切实促进社会正义带来了强大的能力;(3)健康作为旗帜,可以动员那些不会以社会正义的名义采取行动的人。

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