Adjunct Professor, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON.
Healthc Pap. 2020 Oct;19(3):4-7. doi: 10.12927/hcpap.2020.26378.
I am increasingly alarmed by climate change and environmental degradation. Many of you share my concerns, no doubt. I worry that we are not dealing with these issues in a manner that promises meaningful or timely results, and I believe we must reorder our priorities. There is also a fundamental unfairness that runs through what is happening. Environmental harm compounds existing inequities within and among our communities, inequities between richer and poorer nations and, most insidiously, generational inequity - deferring the consequences of our inaction to a future generation. Adding to these concerns is the realization that in my own professional field, healthcare, we have given little thought to the sector's role in and responsibility for environmental sustainability. To date, these issues have not been part of the mainstream healthcare conversation.
我对气候变化和环境恶化感到越来越震惊。毫无疑问,你们中的许多人也和我一样关注这些问题。我担心我们没有以一种有意义或及时的方式来处理这些问题,我认为我们必须重新安排我们的优先事项。在正在发生的事情中,也存在着一种根本性的不公平。环境破坏加剧了我们社区内部和之间、较富裕国家和较贫穷国家之间以及最阴险的代际之间现有的不平等,将我们不作为的后果推迟到下一代。更令人担忧的是,在我自己的专业领域——医疗保健——我们几乎没有考虑到该行业在环境可持续性方面的作用和责任。到目前为止,这些问题还没有成为主流医疗保健对话的一部分。