Navarro V
Int J Health Serv. 1985;15(3):359-94. doi: 10.2190/RDCF-9J4G-QDU8-RV2W.
This article has three sections. The first discusses the hegemonic interpretations of the 1980 and 1984 U.S. elections that are being reproduced on both sides of the political spectrum and that are presented as justification of current federal health and social policies. This section presents evidence that questions those hegemonic interpretations. Section II presents an alternative explanation of current political realities rooted in the class practices of the current federal administration and the Republican Party and in the abandonment by the opposition party--the Democratic Party--of the class practices of the New Deal. It discusses the reasons for that situation and analyzes its consequence for social policy. Section III presents evidence that questions the ideological arguments that are put forward by the Right (and are uncritically accepted by large sectors of the Left) and that sustain current federal economic and social policies. This section concludes with a discussion of alternative policies, stressing the need to rediscover class practices and its implication in health and social policy.
本文分为三个部分。第一部分讨论了对1980年和1984年美国选举的霸权性解读，这种解读在政治光谱的两端都在反复出现，并被用作当前联邦卫生和社会政策的正当理由。这部分提供了质疑这些霸权性解读的证据。第二部分提出了对当前政治现实的另一种解释，其根源在于现任联邦政府和共和党的阶级实践，以及反对党——民主党——对新政阶级实践的摒弃。它讨论了这种情况的原因，并分析了其对社会政策的影响。第三部分提供了质疑右派提出（并被很大一部分左派不加批判地接受）并支撑当前联邦经济和社会政策的意识形态论点的证据。本节最后讨论了替代政策，强调重新发现阶级实践及其对卫生和社会政策的影响的必要性。
