Baum Fran, Anaf Julia
Stretton Health Equity, Stretton Institute, University of Adelaide, Adelaide SA, Australia.
Int J Health Policy Manag. 2024;13:8660. doi: 10.34172/ijhpm.8660. Epub 2024 Sep 9.
Trans-national corporations (TNCs) are recognised as having an adverse impact on public health through the marketing and sale of unhealthy products. In addition to this some of their practices affect health, including taxation avoidance, lobbying politicians to gain favourable legislative and regulatory environments for their operations, and failure to abide by occupational health and safety standards. We argue that while considering the individual practices of commercial actors is crucial the true public health harms are only evident when the synergistic impacts of the practices are considered. We also note that the practices are supported by a global economic and political system which operates in the favour of commercial actors rather than the health of people and the planet. Consequently there needs to be a norm change by which norms and power are shifted away from commercial interests and externalities of commercial practices are no longer outsourced to the public purse.
跨国公司(TNCs)被认为通过不健康产品的营销和销售对公众健康产生不利影响。除此之外,它们的一些行为也会影响健康,包括避税、游说政客以获得有利于其运营的立法和监管环境,以及不遵守职业健康和安全标准。我们认为,虽然考虑商业行为者的个别行为至关重要,但只有在考虑这些行为的协同影响时,真正的公共卫生危害才会显现出来。我们还指出,这些行为得到了一个全球经济和政治体系的支持,该体系有利于商业行为者,而不是有利于人类健康和地球。因此,需要进行规范变革,将规范和权力从商业利益中转移出来,商业行为的外部成本不再由公共资金承担。