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日本和美国的大流行治理:控制塔隐喻。

Pandemic Governance in Japan and the United States: The Control-Tower Metaphor.

机构信息

Taro Takemi Research Professor of International Health Policy, Harvard T.H. Chan School of Public Health , Boston, Massachusetts, USA.

出版信息

Health Syst Reform. 2020 Dec 1;6(1):e1829314. doi: 10.1080/23288604.2020.1829314.

Abstract

A comparative assessment of pandemic governance in Japan and the United States helps explain the strikingly different shapes of the Covid-19 pandemic in these two countries. Japan has more successfully managed the pandemic compared to the striking failure of the US response. This paper uses the metaphor of the control tower of an airport to examine four aspects of pandemic governance: (1) the culture of the control tower, showing strikingly different cultures of mask-wearing; (2) the social value context of the control tower, reflecting a greater tendency in Japan for people to follow government advice, compared to the US libertarian values of emphasizing personal liberty and disregarding official advice; (3) the role of national leadership, especially who is sitting in the control tower making decisions, with Prime Minister Abe largely taking responsibility while President Trump effectively left decisions up to markets and individual states; and (4) the use and clarity of information provided by control-tower authorities, showing greater clarity and consistency in Japan compared to the confused and contradictory messages in the US. These differences in control-tower governance have had marked effects on the pandemic responses of the two countries and have important implications for sustaining democratic traditions.

摘要

对日本和美国大流行治理的比较评估有助于解释这两个国家 COVID-19 大流行的截然不同的形态。与美国应对措施的惊人失败相比,日本在大流行管理方面更为成功。本文使用机场控制塔的比喻来考察大流行治理的四个方面:(1)控制塔的文化,显示出截然不同的口罩文化;(2)控制塔的社会价值背景,反映出日本民众更倾向于听从政府建议,而美国则强调个人自由和无视官方建议的自由意志主义价值观;(3)国家领导层的作用,特别是坐在控制塔中做出决策的人,安倍首相承担了大部分责任,而特朗普总统则将决策有效地留给了市场和各个州;(4)控制塔当局提供信息的使用和清晰度,与美国混乱和矛盾的信息相比,日本的信息更为清晰和一致。这些控制塔治理方面的差异对两国的大流行应对措施产生了显著影响,并对维持民主传统具有重要意义。

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