Department of Sociology & Political Science (ISS), Norwegian University of Science & Technology (NTNU), Trondheim, Norway.
Int J Health Policy Manag. 2023;12:7754. doi: 10.34172/ijhpm.2022.7754. Epub 2022 Dec 26.
Several scholars across many disciplines argue that neoliberal, free-market economic conditions drive inequalities, generating poverty and misery due to unfair austerity, ultimately affecting human health. Professor Labonté's prescription is that we jettison these policies targeting economic growth and development for generating greater fairness for the world's poor. This rejoinder argues contrarily that the criticism of neoliberal policies are misplaced, and that degrowth is really "self-imposed austerity," which will not benefit the poor. This rejoinder scrutinizes some simple stylized fact and assesses the soundness of the broader arguments. The evidence suggests clearly that becoming wealthy and following prudent economic policies is the best path to improving population health, equity, and other progressive outcomes. Badly required growth for the poor comes from free markets and good governance, and equity for the sake of fairness neither results in better health outcomes, nor an improved environment.
许多学科的学者认为,新自由主义的自由市场经济条件导致了不平等,由于不公平的紧缩政策,造成了贫困和苦难,最终影响了人类健康。拉邦特教授的处方是,我们应该摒弃这些以经济增长和发展为目标的政策,为世界贫困人口创造更大的公平。这一反驳意见则相反地认为,对新自由主义政策的批评是没有根据的,去增长实际上是“自我强加的紧缩”,这对穷人没有好处。这一反驳意见仔细审查了一些简单的程式化事实,并评估了更广泛论点的合理性。证据清楚地表明,变得富有并遵循谨慎的经济政策是改善人口健康、公平和其他进步成果的最佳途径。为穷人提供急需的增长来自自由市场和良好的治理,为了公平而实现平等既不会带来更好的健康结果,也不会改善环境。