University of Washington, Box 353550, Seattle, WA 98195, USA.
Soc Sci Med. 2017 Aug;187:287-295. doi: 10.1016/j.socscimed.2016.12.027. Epub 2016 Dec 25.
This article charts the diverse pathways through which austerity and other policy shifts associated with neoliberalism have come to be embodied globally in ill-health. It combines a review of research on these processes of embodiment with the development of a theory of the resulting forms of biological sub-citizenship. This theory builds on other studies that have already sought to complement and complicate the concept of biological citizenship with attention to the globally uneven experience and embodiment of bioinequalities. Focused on the unevenly embodied sequelae of austerity, the proceeding theorization of biological sub-citizenship is developed in three stages of review and conceptualization: 1) Biological sub-citizenship through exclusion and conditionalization; 2) Biological sub-citizenship through extraction and exploitation; and 3) Biological sub-citizenship through financialized experimentation. In conclusion the paper argues that the analysis of biological sub-citizenship needs to remain open-ended and relational in order to contribute to socially-searching work on the social determinants of health.
本文描绘了紧缩政策和新自由主义相关政策转变在全球范围内导致健康状况不佳的多种途径。它结合了对这些体现过程的研究回顾,以及对由此产生的生物次公民身份形式的理论发展。该理论建立在其他已经寻求用对生物不平等的全球不均衡经验和体现的关注来补充和复杂化生物公民身份概念的研究基础上。本文聚焦于紧缩政策不均衡体现的后果,通过三个审查和概念化阶段来发展生物次公民身份的理论化:1)通过排斥和有条件化的生物次公民身份;2)通过提取和剥削的生物次公民身份;3)通过金融化实验的生物次公民身份。本文最后认为,生物次公民身份的分析需要保持开放性和关系性,以便为社会决定健康的社会决定因素的社会研究工作做出贡献。