Canada Research Chair, Globalization and Health Equity, Faculty of Medicine, School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, ON, Canada.
Int J Health Policy Manag. 2017 Sep 1;6(9):547-549. doi: 10.15171/ijhpm.2017.08.
Solomon Benatar offers an important critique of the limited frame that sets the boundaries of much of what is referred to as 'global health.' In placing his comments within a criticism of increasing poverty (or certainly income and wealth inequalities) and the decline in our environmental commons, he locates our health inequities within the pathology of our present global economy. In that respect it is a companion piece to an editorial I published around the same time. Both Benatar's and my paralleling arguments take on a new urgency in the wake of the US presidential election. Although not a uniquely American event (the xenophobic right has been making inroads in many parts of the world), the degree of vitriol expressed by the President-elect of the world's (still) most powerful and militarized country is being used to further legitimate the policies of right-extremist parties in Europe while providing additional justification for the increasingly autocratic politics of leaders (elected or otherwise) in many other of the world's nations. To challenge right-populism's rejection of the predatory inequalities that 4 years of (neo)-liberal globalization have created demands strong and sustained left populism built, in part, on the ecocentric frame advocated by Benatar.
所罗门·班纳特对将“全球健康”的大部分内容框定在有限范围内的做法提出了重要批评。他在批评贫困加剧(或者更确切地说,收入和财富不平等加剧)和我们的环境公有地减少的同时,将我们的健康不平等问题置于当前全球经济的病理学中。在这方面,它与我在同一时间发表的一篇社论相得益彰。在经历了美国总统大选之后,班纳特和我的观点都变得更加紧迫。虽然这并非美国独有的事件(排外的右派在世界许多地方都有所渗透),但这位世界上(仍然)最强大和军事化程度最高的国家的当选总统所表达的仇恨程度,正在被用来进一步为欧洲右翼极端政党的政策合法化,同时为世界上许多其他国家的领导人(无论是选举产生的还是其他形式的)日益独裁的政治提供更多理由。要挑战右翼民粹主义对 4 年新自由主义全球化所造成的掠夺性不平等的拒绝,需要建立强有力的、持续的左翼民粹主义,部分建立在班纳特所倡导的生态中心框架之上。