Simon Fraser University, Burnaby, BC, Canada.
Int J Health Policy Manag. 2020 Mar 1;9(3):121-123. doi: 10.15171/ijhpm.2019.102.
The recent perspective article "How Neoliberalism Is Shaping the Supply of Unhealthy Commodities and What This Means for NCD Prevention," by Lencucha and Throw, interrogates how the dominant neoliberal paradigm restricts meaningful policy action to prevent non-communicable diseases (NCDs). It contributes an NCD perspective to the existing literature on neoliberalism and health, which to date has been dominated by a focus on HIV, gender and trade agreements. It further advances the emerging commercial determinants of health (CDoH) scholarship by calling for more nuanced analysis of how the governance of both health and the economy facilitates corporate influence in policy-making. In political science terms, Lencucha and Throw are calling for greater structural analysis. However, their focus on the pragmatic, as opposed to political, aspects of neoliberalism reflects a hesitancy within health scholarship to engage in political analysis. This depoliticization of health serves neoliberal interests by delegitimizing critical questions about who sustains and benefits from current institutional norms. Lencucha and Throw's call for greater interrogation of the structures of neoliberalism forms a basis from which to advance analysis of the political determinants of health.
最近的观点文章“新自由主义如何塑造不健康商品的供应，以及这对非传染性疾病预防意味着什么”，作者是伦丘卡和特罗，探讨了主导的新自由主义范式如何限制有意义的政策行动来预防非传染性疾病（NCDs）。它为现有的新自由主义与健康文献提供了一个 NCD 的视角，迄今为止，这些文献主要集中在 HIV、性别和贸易协议上。它通过呼吁更细致地分析健康和经济的治理如何促进企业在决策中的影响力，进一步推进了新兴的健康商业决定因素（CDoH）研究。用政治学的术语来说，伦丘卡和特罗呼吁进行更多的结构性分析。然而，他们关注的是新自由主义的务实方面，而不是政治方面，这反映了健康学术界在参与政治分析方面的犹豫。这种对健康的去政治化通过使关于谁维持和受益于当前制度规范的关键问题失去合法性，为新自由主义利益服务。伦丘卡和特罗呼吁更深入地探讨新自由主义的结构，为分析健康的政治决定因素奠定了基础。
