Laurell Asa Cristina
Callejón de Chilpa 23-9 Col. La Concepción, Coyoacán, 04000 Mexico
Int J Health Serv. 2015;45(2):246-64. doi: 10.1177/0020731414568507.
Neoliberalism has been implemented in Latin America for about three decades. This article reviews Mexico's neoliberal trajectory to illustrate the political, economic, and social alterations that have resulted from this process. It finds that representative democracy has been perverted through fear, putting central political decisions in the hands of power groups with special interests. The border between the state of law and the state of exception is blurred. Economic structural adjustment with liberalization and privatization has provoked recurrent crisis, but has been maintained, leading to the destruction of the national productive structure in favor of supranational corporations, particularly financial capital. The association between criminal economy and economic criminality is also discussed. The privatization of social benefits and services requires state subsidies and allows the privatization of profits and the socialization of losses. The social impact of this process has been devastating, with a polarized income distribution, falling wages, increased precarious jobs, rising inequality, and extreme violence. Health conditions have also deteriorated and disorders associated with violence, chronic stress, and a changing nutritional culture have become dominating. However, in Latin America, massive, organized political and social mobilization has broken the vicious neoliberal circle and elected progressive governments that are struggling to reverse social and economic devastation.
新自由主义在拉丁美洲已实施约三十年。本文回顾墨西哥的新自由主义轨迹,以说明这一进程所带来的政治、经济和社会变革。研究发现,代议制民主因恐惧而被扭曲,将核心政治决策交到了拥有特殊利益的权力集团手中。法治国家与例外状态之间的界限变得模糊。自由化和私有化的经济结构调整引发了反复的危机,但仍在持续,导致国家生产结构遭到破坏,有利于跨国公司,尤其是金融资本。文中还讨论了犯罪经济与经济犯罪之间的关联。社会福利和服务的私有化需要国家补贴,使得利润私有化而损失社会化。这一进程的社会影响具有毁灭性,收入分配两极分化、工资下降、不稳定工作增加、不平等加剧以及极端暴力事件频发。健康状况也有所恶化,与暴力、慢性压力和不断变化的营养文化相关的疾病变得普遍。然而,在拉丁美洲,大规模、有组织的政治和社会动员打破了新自由主义的恶性循环,并选举出了正在努力扭转社会和经济破坏局面的进步政府。