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全球正义与 COVID-19 疫苗:公共产品框架的局限性。

Global justice and the COVID-19 vaccine: Limitations of the public goods framework.

机构信息

FXB Centre for Health and Human Rights, Harvard T.H. Chan School of Public Health, Boston, USA.

出版信息

Glob Public Health. 2021 Aug-Sep;16(8-9):1512-1521. doi: 10.1080/17441692.2021.1906926. Epub 2021 Mar 25.

Abstract

As vaccines for COVID-19 were first being approved for use, there were widespread calls for it to be assigned a 'global public good'. However, allocating the COVID-19 vaccine globally poses a novel challenge of redistribution, one that cannot be effectively undertaken using current mechanisms for the dispensation of aid. An examination of the origins and implicit logic of global public goods theory shows that it would not be effective as a framework in this context. I argue that while it is a useful rhetorical tool to underscore the need for global access, it fails to account for concerns arising out of structural inequities between countries in the Global South and North. In addition to being ill-defined, the phrase encodes a neoliberal logic - one that prioritises the protection of private capital over democratic claims of redistribution and social justice. To ensure global access, our attention must be focussed instead on explicitly accounting for inequities, securing access for countries in the Global South and addressing the norm-setting powers of pharmaceutical companies.

摘要

随着 COVID-19 疫苗的首次获准使用,人们广泛呼吁将其指定为“全球公益物”。然而,在全球范围内分配 COVID-19 疫苗带来了重新分配的新挑战,这是当前援助分配机制无法有效承担的。对全球公益物理论的起源和隐含逻辑的考察表明,在这种情况下,它作为一个框架是无效的。我认为,虽然它是强调全球获取的必要性的有用修辞工具,但它没有考虑到南方国家和北方国家之间结构性不平等所带来的问题。除了定义不明确之外,这个短语还包含了新自由主义逻辑——它优先保护私人资本,而不是民主要求的再分配和社会正义。为了确保全球获取,我们必须更加关注明确核算不平等,确保南方国家获得疫苗,并解决制药公司的规范制定权力。

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