Lecturer in labor studies, San Francisco State University, USA.
Co-founder of Social and Economic Rights Associates, Montpelier, USA.
Health Hum Rights. 2021 Dec;23(2):153-165.
Three crises-climate change, the COVID-19 pandemic, and extreme economic and social inequality-intersect and have had devastating impacts on workers' rights to health, as well as the right to decent work, an underlying determinant of health. Yet these crises may act as catalysts, as responses present opportunities for transformation. Indeed, multiple international governance institutions and nongovernmental organizations have proposed new social contracts that aim to address the multiple challenges facing workers today. These initiatives promise to transform society to make workers and their families healthier and the planet more sustainable. They join and supplement earlier efforts at transformation, such as the 2030 Agenda for Sustainable Development. This article critiques (1) the market-fundamentalist neoliberal social contract, which gave rise to, or exacerbated, the three crises, and (2) the 2030 agenda and recent International Labour Organization proposals, which are all built on this neoliberal platform. Finally, the article argues for a social contract that is grounded in human rights-specifically worker rights-to address these crises and ensure greater protection of the health.
三重危机——气候变化、新冠肺炎疫情和极端的经济与社会不平等——相互交织,对工人的健康权和作为健康基本决定因素的体面工作权造成了破坏性影响。然而,这些危机可能会成为催化剂,因为应对措施为变革提供了机会。事实上,多个国际治理机构和非政府组织已经提出了新的社会契约,旨在应对当今工人面临的多重挑战。这些倡议有望推动社会变革,使工人及其家庭更健康,使地球更可持续。它们与早期的变革努力相呼应和补充,如可持续发展目标 2030 议程。本文对以下内容进行了批评:(1)产生或加剧三重危机的市场原教旨主义新自由主义社会契约;(2) 2030 议程和最近国际劳工组织的提案,它们都建立在这个新自由主义平台上。最后,文章主张建立一种以人权为基础的社会契约,特别是工人权利,以应对这些危机,确保更好地保护健康。