University of Sydney, Tasmania, Australia.
Int J Health Serv. 2012;42(3):383-401. doi: 10.2190/HS.42.3.b.
This paper examines some of the concerns that arise from the impact of neoliberalism on health and health care. It also examines the way that global institutions such as the World Health Organization and the World Trade Organization, having been captured by neoliberalism, fail to act decisively to reduce poverty and inequality and thereby do all too little to promote population health at a global level. The paper argues for a greater community focus, with health care systems being seen more as social institutions and placing more power over decision making in the hands of a critically-informed citizenry.
本文探讨了新自由主义对健康和医疗保健的影响所带来的一些问题。它还探讨了世界卫生组织和世界贸易组织等全球性机构被新自由主义所俘获，未能果断采取行动来减少贫困和不平等，从而在全球层面上对促进人口健康几乎没有起到什么作用的方式。本文主张更加关注社区，将医疗保健系统更多地视为社会机构，并将更多的决策权交给具有批判性意识的公民。
