Old Groote Schuur Hospital, Cape Town, South Africa.
Bioethics. 2013 Jul;27(6):297-304. doi: 10.1111/bioe.12033. Epub 2013 May 30.
Widening disparities in health within and between nations reflect a trajectory of 'progress' that has 'run its course' and needs to be significantly modified if progress is to be sustainable. Values and a value system that have enabled progress are now being distorted to the point where they undermine the future of global health by generating multiple crises that perpetuate injustice. Reliance on philanthropy for rectification, while necessary in the short and medium terms, is insufficient to address the challenge of economic and other systems spinning out of control. Innovative approaches are required and it is suggested that these could best emerge from in-depth multidisciplinary research supported by endeavours to promote a 'global mind-set.'
国内外健康差距的扩大反映了“进步”的轨迹已经“走到尽头”，如果要实现可持续的进步，就需要进行重大调整。推动进步的价值观和价值体系现在已经被扭曲到了这样一种程度，即通过制造多种危机来延续不公正，从而破坏全球健康的未来。在短期内和中期内，慈善事业的依赖对于纠正这些问题是必要的，但不足以应对经济和其他系统失控的挑战。需要创新的方法，有人建议，这些方法最好能够从深入的多学科研究中产生，并通过努力促进“全球思维模式”来得到支持。
