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值得吗?为加拿大医疗保健和教育部门进行众筹。

Worthy? Crowdfunding the Canadian Health Care and Education Sectors.

作者信息

Lukk Martin, Schneiderhan Erik, Soares Joanne

机构信息

University of Toronto.

出版信息

Can Rev Sociol. 2018 Aug;55(3):404-424. doi: 10.1111/cars.12210. Epub 2018 Jul 9.

Abstract

Crowdfunding, the practice of asking for money from others using the Internet, is a major private means through which Canadians are funding their health care and education. Crowdfunding has proliferated in Canada during the 2010s and continues to grow, approaching the revenues of Canada's major traditional charities. Proponents describe it as an empowering practice from which anyone can benefit. If its gains are inequitably distributed, however, increasing reliance on this private funding mechanism, especially in core areas of welfare state provision, can further exacerbate inequalities of opportunity and income. This study asks why Canadians turn to health care and education crowdfunding and how equitably funds are raised using this novel method. Based on a mixed methods analysis of 319 campaigns conducted on two prominent crowdfunding platforms between 2012 and 2014, we find that crowdfunding users' needs frequently correspond to known gaps in the contemporary social safety net, including in the area of cancer care, and that campaigns for older and visible minority Canadians face a disadvantage. We argue that health care and education crowdfunding is a response to the shortcomings of Canadian welfare state provision, but one that reproduces offline inequalities with potentially perilous consequences for democratic life and individual suffering.

摘要

众筹,即通过互联网向他人募集资金的行为,是加拿大人为其医疗保健和教育筹资的一种主要私人方式。在21世纪10年代,众筹在加拿大迅速发展并持续增长,其收入已接近加拿大主要传统慈善机构的收入。支持者将其描述为一种人人都能从中受益的赋权行为。然而,如果其收益分配不公,那么对这种私人融资机制的日益依赖,尤其是在福利国家提供服务的核心领域,可能会进一步加剧机会和收入的不平等。本研究探讨加拿大人为何转向医疗保健和教育众筹,以及使用这种新方法筹集资金的公平程度如何。基于对2012年至2014年在两个知名众筹平台上开展的319个项目的混合方法分析,我们发现众筹用户的需求常常与当代社会安全网中已知的缺口相对应,包括癌症护理领域,而且面向加拿大老年人和少数族裔的众筹项目处于劣势。我们认为,医疗保健和教育众筹是对加拿大福利国家提供服务不足的一种回应,但它会重现线下的不平等现象,对民主生活和个人痛苦可能产生危险的后果。

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