Camargo Kenneth Rochel de
Centro Biomédico, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil.
Cad Saude Publica. 2018 Jun 21;34(6):e00113717. doi: 10.1590/0102-311X00113717.
This study aims to reflect on the intertwining of certain key ideas about what we call "health" within the hegemonic biomedical paradigm: health, disease, health needs, medicalization and medical-industrial complex. This reflection is based on the philosophical contributions of Heller and Wiggins on needs; on the discussion of some authors, especially Canguilhem, about health and illness; and Collins' sociology of expertise. After pointing out some of the conundrums that arise from the conceptual fluidity of the topics abovementioned, we present a path forward, based on Collins' proposals about the role of experts in political arguments, to resituate the discussion on health needs.
本研究旨在反思在霸权主义生物医学范式中，关于我们所谓“健康”的某些关键观念之间的交织关系：健康、疾病、健康需求、医学化以及医药产业综合体。这种反思基于赫勒和威金斯在需求方面的哲学贡献；基于一些作者，特别是康吉莱姆，关于健康与疾病的讨论；以及柯林斯的专业知识社会学。在指出上述主题概念流动性所引发的一些难题之后，我们基于柯林斯关于专家在政治论证中作用的提议，提出一条前进的道路，以重新定位关于健康需求的讨论。
