Echeverry-López María Esperanza, Borrero-Ramírez Yadira Eugenia
Cad Saude Publica. 2015 Feb;31(2):354-64. doi: 10.1590/0102-311x00030714.
This study reconstructs the health struggle in Colombia during implementation of the health reform from 1994 to 2010, based on an analysis of primary and secondary sources. The study focus is political struggle, a theory of collective action based on a relational perspective between collective actors and the political structure to comprehend historical transformations. Three episodes in the struggle are reconstructed, revealing a causal link between protests and structural reforms in social and health policy. The struggles by subordinate actors highlighted the dispossession of labor rights, crisis in public hospitals, and access barriers to services as adverse effects of the reform, even while government favored private capital interests. The protests continued despite anti-union violence and government crackdown, while new actors and a national health movement reshaped the public sphere, building an identity around the struggle for the fundamental right to health.
本研究基于对一手和二手资料的分析,重构了1994年至2010年哥伦比亚卫生改革实施期间的卫生斗争情况。研究重点是政治斗争,这是一种基于集体行动者与政治结构之间关系视角的集体行动理论,用于理解历史变革。重构了斗争中的三个事件,揭示了抗议活动与社会和卫生政策结构改革之间的因果联系。从属行动者的斗争突出了劳动权利的剥夺、公立医院的危机以及服务获取障碍,这些都是改革的不利影响,尽管政府偏袒私人资本利益。尽管存在反工会暴力和政府镇压,抗议活动仍在继续,同时新的行动者和全国卫生运动重塑了公共领域,围绕健康基本权利的斗争构建了一种身份认同。