Hastings Cent Rep. 2020 May;50(3):65-67. doi: 10.1002/hast.1138.
While the domestic effect of structural racism and other social vulnerabilities on Covid-19 mortality in the United States has received some attention, there has been much less discussion (with some notable exceptions) of how structural global inequalities will further exacerbate Covid-related health disparity across the world. This may be partially due to the delayed availability of accurate and comparable data from overwhelmed systems, particularly in low- and middle-income countries. However, early methods to procure and develop treatments and vaccines by some high-income countries reflect ongoing protectionist and nationalistic attitudes that can systemically exclude access for people in regions with weaker health systems. What's needed is a global coordinated effort, based on the principle of solidarity, to foster equitable health care access.
尽管结构性种族主义和其他社会脆弱性对美国新冠死亡率的国内影响受到了一定关注，但对于结构性全球不平等将如何进一步加剧全球与新冠相关的健康差距，讨论却相对较少（也有一些值得注意的例外）。这可能部分是由于系统过载导致准确和可比数据的延迟提供，尤其是在低收入和中等收入国家。然而，一些高收入国家早期采购和开发治疗方法和疫苗的方法反映了持续存在的保护主义和民族主义态度，这些态度可能会系统性地排除卫生系统较弱地区的人们获得治疗的机会。需要的是基于团结原则的全球协调努力，以促进公平获得医疗保健。
