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现在你是解决方案的一部分:生物伦理学家在解决种族化健康不平等方面的贡献。

Now You Are Part of the Solution: Bioethicists' Contribution in Addressing Racialized Health Inequity.

出版信息

Hastings Cent Rep. 2022 Mar;52 Suppl 1(Suppl 1):S35-S38. doi: 10.1002/hast.1367.

Abstract

Neoliberalism (an economic approach emphasizing tax abatement, market deregulation, and social safety net reduction) promotes inequality and unfavorable health outcomes. These outcomes are exacerbated among racial and ethnic minorities, as this policy approach is often coupled with various forms of institutional racism. The combination of these factors translates into concerning population health disparities in the United States. More egalitarian policies could disproportionately affect the socially marginalized and help rectify these challenges. Given the social and cultural capital bioethicists have in the fields of medicine, public health, and policy, this group is uniquely positioned to help remediate racial and ethnic inequity. Moreover, the unique skill sets bioethicists employ (conflict resolution, mediation, negotiation, facilitating public engagement, policy analysis) can be useful to improving the health of the populous. Thus, bioethicists can play a key role in addressing the most concerning health challenges and inequities today.

摘要

新自由主义(一种强调减税、放松市场监管和减少社会安全网的经济方法)会导致不平等和不良的健康结果。这些结果在少数族裔中更为严重,因为这种政策方法通常伴随着各种形式的制度种族主义。这些因素的结合导致了美国令人担忧的人口健康差距。更平等的政策可能会不成比例地影响到社会边缘群体,并有助于纠正这些挑战。鉴于生物伦理学家在医学、公共卫生和政策领域拥有社会和文化资本,他们处于独特的地位,可以帮助纠正种族和族裔不平等。此外,生物伦理学家运用的独特技能(解决冲突、调解、谈判、促进公众参与、政策分析)对于改善民众的健康也很有用。因此,生物伦理学家可以在解决当今最令人关注的健康挑战和不平等方面发挥关键作用。

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本文引用的文献

6
The moral problem of health disparities.健康差异的道德问题。
Am J Public Health. 2010 Apr 1;100 Suppl 1(Suppl 1):S47-51. doi: 10.2105/AJPH.2009.171181. Epub 2010 Feb 10.

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