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社会阶层、政治与精神层次:为何收入不平等仍未得到解释和解决。

Social class, politics, and the spirit level: why income inequality remains unexplained and unsolved.

机构信息

Faculty of Nursing, Dalla Lana School of Public Health.

出版信息

Int J Health Serv. 2012;42(3):369-81. doi: 10.2190/HS.42.3.a.

Abstract

Richard Wilkinson and Kate Pickett's latest book, The Spirit Level: Why Equality is Best for Everyone, has caught the attention of academics and policymakers and stimulated debate across the left-right political spectrum. Interest in income inequality has remained unabated since the publication of Wilkinson's previous volume, Unhealthy Societies: The Afflictions of Inequality. While both books detail the negative health effects of income inequality, The Spirit Level expands the scope of its argument to also include social issues. The book, however, deals extensively with the explanation of how income inequality affects individual health. Little attention is given to political and economic explanations on how income inequality is generated in the first place. The volume ends with political solutions that carefully avoid state interventions such as limiting the private sector's role in the production of goods and services (e.g., non-profit sector, employee-ownership schemes). Although well-intentioned, these alternatives are insufficient to significantly reduce the health inequalities generated by contemporary capitalism in wealthy countries, let alone around the world.

摘要

理查德·威尔金森和凯特·皮克特的新书《不平等的代价:为何平等如此重要》引起了学者和政策制定者的关注,并在左右翼政治光谱上引发了争论。自从威尔金森的上一本书《病态社会:不平等的折磨》出版以来,人们对收入不平等的兴趣一直未减。虽然这两本书都详细说明了收入不平等对健康的负面影响,但《不平等的代价》扩大了其论点的范围,也包括了社会问题。然而,这本书广泛涉及了收入不平等如何影响个人健康的解释。很少关注收入不平等最初是如何产生的政治和经济解释。该卷以政治解决方案结束,这些解决方案小心翼翼地避免了国家干预,例如限制私营部门在商品和服务生产中的作用(例如非营利部门、员工所有制计划)。尽管这些替代方案是出于好意,但它们不足以显著减少富裕国家当代资本主义产生的健康不平等,更不用说在全世界了。

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