关键词: capitalism economic growth health inequality social medicine

来  源:   DOI:10.1177/2752535X241259241

Abstract:
Health inequalities are differences in health between groups in society. Despite them being preventable they persist on a grand scale. At the beginning of 2024, the Institute of Health Equity revealed in their report titled: Health Inequalities, Lives Cut Short, that health inequalities caused 1 million early deaths in England over the past decade. While the number of studies on the prevalence of health inequalities in the UK has burgeoned, limited emphasis has been given to exploring the factors contributing to these (widening) health inequalities. In this commentary article I will describe how the Government\'s relentless pursuit of economic growth and their failure to implement the necessary regulatory policies to mitigate against the insecurity and health effects neoliberal free market capitalism (referred to as capitalism herein) causes in pursuit of innovation, productivity and growth (economic dynamism) is one key driver underpinning this social injustice. I contend that if the priority really is to tackle health inequalities and ensure health for all then there is an imperative need to move beyond regulation alone to mitigate the worst effects of capitalist production; the goal of the economy has to change to fully restore the balance between economic growth and public health.
摘要:
健康不平等是社会各群体之间的健康差异。尽管它们是可以预防的,但它们仍然存在。2024年初,卫生公平研究所在其题为“健康不平等”的报告中透露,缩短生命,在过去的十年中,健康不平等在英格兰造成了100万人的早期死亡。虽然关于英国健康不平等患病率的研究数量激增,有限的重点是探索导致这些(不断扩大的)健康不平等的因素。在这篇评论文章中,我将描述政府如何不懈地追求经济增长,以及他们未能实施必要的监管政策,以减轻新自由主义自由市场资本主义(在此称为资本主义)在追求创新方面的不安全和健康影响。生产力和增长(经济活力)是支撑这种社会不公正的一个关键驱动因素。我认为,如果当务之急真的是解决健康不平等并确保所有人的健康,那么就必须超越监管,以减轻资本主义生产的最坏影响;经济目标必须改变,以完全恢复经济增长与公共卫生之间的平衡。
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