Navarro V
Soc Sci Med. 1984;18(6):467-74. doi: 10.1016/0277-9536(84)90002-9.
This article (1) analyzes the Willy Brandt Commission Report and the WHO Alma Ata Declaration within the socio-economic and political context that determined them, and (2) makes a critique of the ideological and political assumptions that both documents make. Through an assumingly apolitical and technological-administrative discourse both documents reproduce the major positions upheld by the hegemonic development establishments of the Western world. The article analyzes (through a study of what is being said and not said) how those positions appear in the documents. It is indicated that (1) their understanding of the causes of underdevelopment and its major health and disease problems and (2) their suggestions for change based on 'moral calls for social justice' and 'enlightened self-interest' are faulty and insufficient. Alternative explanations and solutions are presented.
本文（1）在决定《威利·勃兰特委员会报告》和世界卫生组织《阿拉木图宣言》的社会经济和政治背景下对它们进行分析，（2）对这两份文件所做的意识形态和政治假设进行批判。通过一种看似非政治化且技术行政化的论述，这两份文件再现了西方世界霸权发展机构所秉持的主要立场。本文（通过研究文中所言及未言）分析这些立场在文件中的呈现方式。研究表明，（1）它们对发展不足及其主要健康和疾病问题成因的理解，以及（2）基于“对社会正义的道德呼吁”和“开明的自身利益”提出的变革建议是错误且不充分的。文中还给出了其他解释和解决方案。
