capitalism

资本主义
  • 文章类型: Journal Article
    本文将一些专业护理协会提出的报销模式政治化,该模式旨在使护理劳动力的价格(护士的工资)与护理的价值更好地保持一致,并使护士的贡献更加明显。
    使用“缺失护理”的概念,“批评揭示了专业化如何将注意力转移到寻求护理者和从业者之间的个人层面的互动上,同时掩盖了资本主义政治经济学和相关的教会国家的社会制度和结构所造成的伤害。
    直接报销模式使从业者参与医疗保健工业综合体所造成和延续的危害,同时部署专业化流程以减少由于将危害与护理的规范原则相结合而产生的认知失调(和道德伤害)。
    我们通过医疗保健工业综合体来描述和追踪以提取为基础的利润最大化和效率的互补资本主义要务,以证明这些要务是如何形成医疗保健系统的,寻求护理者的结果,护士的经验,非自愿数据收集模式,和监视。
    种族资本主义的归化及其所带来的不稳定和暴力阻碍了道德替代方案的创造,这些替代方案优先考虑福祉,而不是追求利润,这可以使护理的提供和支付更接近从业者持有的规范原则。
    UNASSIGNED: This article politicizes a reimbursement model proposed by some professional nursing associations that aim to better align the price of nursing labor (nurses\' pay) to the value of nursing and make nurses\' contributions more visible.
    UNASSIGNED: Using the concept of \"missing care,\" the critique reveals how professionalization directs attention to individual-level interactions between care seekers and practitioners while obscuring from view the harm inflicted by social institutions and structures constitutive of a capitalist political economy and the related carceral state.
    UNASSIGNED: Direct reimbursement models render practitioners complicit in the harms perpetrated and perpetuated by the health care industrial complex while professionalization processes are deployed to reduce cognitive dissonance (and moral injury) produced by combining harm with nursing\'s normative principles.
    UNASSIGNED: We describe and trace the complementary capitalist imperatives of extraction-based profit maximization and efficiency through the health care industrial complex to demonstrate how formative those imperatives are of the health care system, care-seekers\' outcomes, nurses\' experiences, nonconsensual modes of data collection, and surveillance.
    UNASSIGNED: The naturalization of racial capitalism and the precarity and violence it entails foreclose the creation of ethical alternatives that prioritize well-being instead of the pursuit of profit that could bring the provision of and payment for care closer to the normative principles held by practitioners.
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  • 文章类型: Journal Article
    美国心理学会关于消除系统性种族主义的决议代表了我们学科的分水岭,然而,考虑到心理学强调改变个人信仰,“拆除”种族主义意味着什么仍然令人困惑。本文将回顾对强调个人信仰的批判性种族理论的“理想主义”解释与在政治经济安排中将种族主义作为背景的“现实主义”观点之间的紧张关系。心理学采用“理想主义者”框架将被证明是一个新自由主义项目的特权,该项目强调种族正义的个人变化和象征性表现,而不是结构变化,使人们受益于有色人种的物质存在。借鉴对种族资本主义的非殖民化批判,我们提出了一个替代框架来挑战我们的纪律,通过支持基于证据的政策来扩大其政治想象力,以消除种族主义作为一种结构和政治力量。这包括减少种族和经济不平等的普遍政策,以及针对特定人群的政策,例如对预计会刺激经济增长的非裔美国人的赔偿。紧急,非殖民化的镜头挑战心理学,将种族主义理论化,而不是主要的个人现象,而是一种政治力量,在丰富白人经济精英的同时分裂和征服。为了履行美国心理学会决议的承诺,我们必须直接挑战受益于种族主义的政治经济利益,并作为一种“关爱”的形式为共同利益做出贡献。\“(PsycInfo数据库记录(c)2024APA,保留所有权利)。
    The American Psychological Association\'s resolutions on dismantling systemic racism represent a watershed moment in our discipline, yet confusion remains as to what it means to \"dismantle\" racism given psychology\'s emphasis on changing individual beliefs. This submission will review the tension between \"idealist\" interpretations of critical race theory emphasizing individual beliefs and \"realist\" perspectives contextualizing racism within political economic arrangements. Psychology\'s adoption of an \"idealist\" framework will be shown to privilege a neoliberal project emphasizing individual change and symbolic performances of racial justice instead of structural changes benefitting people of color\'s material existence. Drawing on a decolonial critique of racial capitalism, we propose an alternative framework to challenge our discipline to broaden its political imagination by supporting evidence-based policies to dismantle racism as a structural and political force. This includes universal policies to reduce racial and economic inequality and population-specific policies such as reparations for African Americans predicted to stimulate economic growth. Urgently, the decolonial lens challenges psychology to theorize racism not as a primarily individual phenomenon but a political force that divides and conquers while enriching white economic elites. To fulfill the promises of the American Psychological Association\'s resolutions, we must directly challenge the political economic interests that benefit from racism and contribute to the common good as a form of \"loving care.\" (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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  • 文章类型: Journal Article
    在2000年代欧盟扩张之后,丹麦农民向东寻找廉价的土地。在拉脱维亚,他们遇到了负债的农民和贫困的农村居民,他们很容易出售土地,同时对“丹麦人”破坏拉脱维亚主权怀有怨恨。拉脱维亚公众的很大一部分人认为,土地所有权和领土统治有着错综复杂的联系。在“丹麦人”和欧盟看来,拒绝将所有权与统治或财产与主权分开,是“尚未成熟”的自由民主主体的标志。尽管欧盟机构对拉脱维亚国家在法律上限制外国土地所有权的企图进行了监督和纪律处分,拉脱维亚政府试图使用金融工具来限制向外国人出售土地。借鉴了对丹麦在拉脱维亚农村存在的紧张局势的人种学分析,以及对20世纪初以来所有权和统治制度变化的历史分析,本文追溯了“足够好的主权”的出现,这是一种旨在确保拉脱维亚国家和拉脱维亚农民继续存在的政治实践形式。
    After European Union expansion in the 2000s, Danish farmers went eastward in search of cheap land. In Latvia, they encountered indebted farmers and impoverished rural residents who readily sold their land, while at the same time harbouring resentment towards \'the Dane\' for undermining Latvia\'s sovereignty. In the view of significant segments of the Latvian public, ownership of land and territorial rule were intricately linked. In the view of \'the Dane\' and the European Union, refusal to separate ownership from rule - or property from sovereignty - was a mark of \'not-yet-mature\' liberal democratic subjects. While European Union institutions monitored and disciplined the Latvian state\'s attempts to juridically restrict foreign land ownership, the Latvian state sought to use financial instruments to limit land sales to foreigners. Drawing on ethnographic analysis of the tensions surrounding the Danish presence in the Latvian countryside and on historical analysis of the shifting regimes of ownership and rule since the beginning of the twentieth century, this article traces the emergence of \'good enough sovereignty\' as a form of political practice aimed at ensuring continued existence of the Latvian state and Latvian farmers.
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  • 文章类型: Journal Article
    调查年轻人使用社交媒体的研究因其理论基础和范围有限而受到批评。本文从社会生态进化的角度阐述了年轻人的社交媒体活动(SEE),年轻人的在线交流不能脱离他们所生活的高度竞争和以成就为导向的现代市场文化。在高度竞争和以成就为导向的生活形式中,年轻人的社交媒体环境通常构成为动态和不断发展的外在导向的生态位,提供地位和身份增强,同时也提供同行认可,归属,自我价值嵌套在其中,从属于,这些更高阶的负担。为年轻人的地位和身份提升服务的社交媒体平台的外部价值组织体现在一个基于进化的相互依赖标准的社区中,发育突出,和市场驱动:身体吸引力,高(教育和课外)成就,和物质上的成功。年轻人对这些相互依赖的外在标准的在线信号提供了地位分配和自我提升,每个标准都成为社会竞争和身份形成的舞台,使年轻人能够建立与自己的兴趣和能力相一致的个人和最佳社会成功模式。年轻人的地位和身份增强信号的这些外在标准正在走向越来越理想化或完美的体现,通过加速,短期正反馈过程,受益于社交媒体上实例化的技术负担和密集奖励的同伴环境。
    Research investigating young people\'s social media use has been criticized for its limited theoretical foundations and scope. This paper elaborates young people\'s social media activity from a socio-ecological evolutionary perspective (SEE), where young people\'s online exchanges cannot be divorced from the highly competitive and achievement-oriented modern market cultures in which they live. In highly competitive and achievement-oriented forms of life, young people\'s social media environments are often constituted as dynamic and evolving extrinsically oriented ecological niches that afford for status and identity enhancement while also affording for peer approval, belongingness, and self-worth nested within, and subordinate to, these higher-order affordances. The extrinsic value organization of social media platforms that serve young people\'s status and identity-enhancement are embodied by a community of mutually interdependent criteria that are evolutionary-based, developmentally salient, and market-driven: physical attractiveness, high (educational and extracurricular) achievements, and material success. Young people\'s online signaling of these interdependent extrinsic criteria affords for status-allocation and self-enhancement, where each criteria becomes an arena for social competition and identity formation, enabling young people to build personal and optimal models of social success congruent with their own interests and abilities. Young people\'s status and identity enhancing signaling of these extrinsic criteria is moving toward increasingly idealized or perfect embodiments, informed by accelerating, short-term positive feedback processes that benefit from the technological affordances and densely rewarding peer environments instantiated on social media.
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  • 文章类型: Journal Article
    健康学者越来越关注一个人的住房与他们获得身心健康之间的紧密联系。然而,现有的理解住房和健康公平之间联系的模型没有充分理论化为什么不平等会出现并持续存在,从这些社会安排中受益的人,以及他们如何跨国经营。国内和全球政治经济动态如何塑造移民农场工人的住房和健康公平?住房和健康公平的概念模型如何更好地解释政治经济?要回答这些概念性问题,我们的研究考察了加拿大移民农业工人的实证案例。农民工住房为在全球范围内更好地概念化住房和健康公平方面的资本主义权力动态提供了相关案例。具体来说,我们借鉴了2021年至2022年间对151名移民工人安大略省和不列颠哥伦比亚省进行的深度访谈。参与者的住房和健康问题与现有文献一致,包括由于偏远的农村地区而导致的过度拥挤和医疗保健障碍等问题。我们的分析确定了三个实证主题:前瞻性,家长制,缺乏政治参与。从这些见解中,我们建议一个完善的住房和健康公平模型,让一个分析透镜训练全球种族资本主义。
    Health scholars are becoming increasingly attuned to the intimate ties between a person\'s housing and their access to mental and physical health. However, existing models for understanding the link between housing and health equity do not adequately theorize why inequities arise and persist, who benefits from these social arrangements, and how they operate transnationally. How do domestic and global dynamics of political economy shape housing and health equity for migrant farmworkers? How can conceptual models of housing and health equity better account for political economy? To answer these conceptual questions, our study examines the empirical case of migrant agricultural workers in Canada. Migrant worker housing provides a pertinent case for better conceptualizing capitalist power dynamics in housing and health equity on a global scale. Specifically, we draw on in-depth interviews conducted between 2021 and 2022 with 151 migrant workers Ontario and British Columbia. Participants\' housing and health concerns aligned with existing literature, including issues such as overcrowding and barriers to health care due to a remote rural location. Our analysis identified three empirical themes: Precarity, Paternalism, and a lack of Political Participation. Drawing from these insights, we recommend a refined model of housing and health equity that keeps an analytical lens trained on global racial capitalism.
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  • 文章类型: Journal Article
    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。
    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.
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  • 文章类型: Journal Article
    现在人们很清楚,健康的社会决定因素是我们健康和福祉的最强预测因素。可以提出一个很好的论点,即住房是这些决定因素的金字塔的顶端。And,令人惊讶的是,住房也是可能迅速转变为一毛钱的社会决定因素,有足够的政治意愿,创造住房可以在短时间内从根本上扩大。(不幸的是,当然,这是真的,一个人也可以突然变得无家可归,因为政策或资本主义经济中很少有保护措施来防止它)。仅此一项就将其与教育和种族主义等社会因素区分开来,而这些因素需要很长时间才能改变。与长期干预(教育)或文化顽固和历史根源的问题(种族主义)相反,住房是快速延展性。在这篇文章中,我们在两种情况下描述无家可归的社会状况,比较和对比概念,原因,和后果,以及人们如何动员起来挑战造成住房不安全的条件。当我们回顾在每个环境中创造住房条件的因素时,我们提出了一些普遍的国际原则,以新的方式解决体面和安全住房的人权。
    It\'s now well appreciated that social determinants of health are the strongest predictors of our health and well-being. A good argument could be made that housing is at the top of the pyramid of these determinants. And, surprisingly, housing is also the social determinant that could rapidly turn on a dime-that is, with sufficient political will, creating access to housing could be radically expanded in short order. (Unfortunately, of course, it\'s true one can also become suddenly homeless, since few protections exist in policy or capitalist economies to prevent it). That alone sets it apart from social factors such as education and racism-conditions that take a long time to change. In contrast to long-term interventions (education) or culturally stubborn and historically rooted problems (racism), housing is rapidly malleable. In this article, we describe the social condition of homelessness in two settings, comparing and contrasting the concepts, causes, and consequences, along with how people are mobilizing to challenge the conditions that create their housing insecurity. As we review the factors that create housing conditions in each setting, we propose some universal international principles for a new approach to the human right of decent and secure housing.
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  • 文章类型: Journal Article
    现在人们很清楚,健康的社会决定因素是我们健康和福祉的最强预测因素。可以提出一个很好的论点,即住房是这些决定因素的金字塔的顶端。And,令人惊讶的是,住房也是可能迅速转变为一毛钱的社会决定因素,有足够的政治意愿,创造住房可以在短时间内从根本上扩大。(不幸的是,当然,这是真的,一个人也可以突然变得无家可归,因为政策或资本主义经济中很少有保护措施来防止它)。仅此一项就将其与教育和种族主义等社会因素区分开来,而这些因素需要很长时间才能改变。与长期干预(教育)或文化顽固和历史根源的问题(种族主义)相反,住房是快速延展性。在这篇文章中,我们在两种情况下描述无家可归的社会状况,比较和对比概念,原因,和后果,以及人们如何动员起来挑战造成住房不安全的条件。当我们回顾在每个环境中创造住房条件的因素时,我们提出了一些普遍的国际原则,以新的方式解决体面和安全住房的人权。
    It\'s now well appreciated that social determinants of health are the strongest predictors of our health and well-being. A good argument could be made that housing is at the top of the pyramid of these determinants. And, surprisingly, housing is also the social determinant that could rapidly turn on a dime-that is, with sufficient political will, creating access to housing could be radically expanded in short order. (Unfortunately, of course, it\'s true one can also become suddenly homeless, since few protections exist in policy or capitalist economies to prevent it). That alone sets it apart from social factors such as education and racism-conditions that take a long time to change. In contrast to long-term interventions (education) or culturally stubborn and historically rooted problems (racism), housing is rapidly malleable. In this article, we describe the social condition of homelessness in two settings, comparing and contrasting the concepts, causes, and consequences, along with how people are mobilizing to challenge the conditions that create their housing insecurity. As we review the factors that create housing conditions in each setting, we propose some universal international principles for a new approach to the human right of decent and secure housing.
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  • 文章类型: Journal Article
    在世界范围内,肾脏替代疗法(RRT)的援助主要由私人营利性服务机构以及合并和收购增加的市场进行。这项研究的目的是在当代资本主义的背景下,对RRT部门的私有化和寡头垄断进行综合系统的审查。纳入标准是没有语言限制的科学文章,涉及寡头垄断或RRT市场私有化的主题。1990年以前发表的研究被排除在外。对出版物的探索性搜索于2024年2月13日在虚拟卫生图书馆区域门户(VHL)上进行。使用PRISMA流程图的逐步步骤,检索到34篇文章,其中31个涉及美国的RRT部门,26个比较营利性透析单位或属于大型组织的透析单位与非营利或公共组织的透析单位。私有化和寡头垄断的主要影响,通过研究评估,分别是:死亡率,住院治疗,使用腹膜透析和肾移植登记。当考虑到这些结果时,19篇(73%)文章在私营单位或属于大型组织的单位中表现较差,六项(23%)研究赞成私有化或寡头垄断,一项研究是中立的(4%)。总之,本系统综述中包含的大多数文章都显示了RRT部门的寡头垄断和私有化对所服务患者的有害影响.对此结果的可能解释可能是RRT部门存在利益冲突,并且缺乏实施慢性肾脏疾病护理系列的动力。来自单个国家的文章占主导地位可能表明,很少有国家拥有透明的机制来监测慢性透析患者的护理质量和结果。
    Worldwide the assistance on renal replacement therapy (RRT) is carried out mainly by private for-profit services and in a market with increase in mergers and acquisitions. The aim of this study was to conduct an integrative systematic review on privatization and oligopolies in the RRT sector in the context of contemporary capitalism. The inclusion criteria were scientific articles without language restrictions and that addressed the themes of oligopoly or privatization of RRT market. Studies published before 1990 were excluded. The exploratory search for publications was carried out on February 13, 2024 on the Virtual Health Library Regional Portal (VHL). Using the step-by-step of PRISMA flowchart, 34 articles were retrieved, of which 31 addressed the RRT sector in the United States and 26 compared for-profit dialysis units or those belonging to large organizations with non-profit or public ones. The main effects of privatization and oligopolies, evaluated by the studies, were: mortality, hospitalization, use of peritoneal dialysis and registration for kidney transplantation. When considering these outcomes, 19 (73%) articles showed worse results in private units or those belonging to large organizations, six (23%) studies were in favor of privatization or oligopolies and one study was neutral (4%). In summary, most of the articles included in this systematic review showed deleterious effects of oligopolization and privatization of the RRT sector on the patients served. Possible explanations for this result could be the presence of conflicts of interest in the RRT sector and the lack of incentive to implement the chronic kidney disease care line. The predominance of articles from a single nation may suggest that few countries have transparent mechanisms to monitor the quality of care and outcomes of patients on chronic dialysis.
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  • 文章类型: Journal Article
    本文认为,对“健康的商业决定因素”(CDoH)的研究需要充分承认资本主义商品生产和交换模式在产生负面健康结果中所起的作用。这一主张得到了政治经济学的最新发展的支持,该政治经济学建立了一个超越人类的,资本主义的关系和一元论(或“扁平”)本体论,代替更传统的新马克思主义观点。这种本体论揭示了一种超越人类意图的资本主义动态,在供应的驱动下,以及对商品能力的需求。这种动态决定了所有商品的生产和消费,其中一些(如烟草,酒精和加工食品)导致健康不良。对食品消费的案例研究揭示了这些供需如何影响消费者对驱动“不健康”食品的选择。作为解决商业和资本主义对健康影响的创新方法,提供了破坏这种超越人类的动力的方法。
    This paper argues that studies of the \'commercial determinants of health\' (CDoH) need to acknowledge fully the part the capitalist mode of commodity production and exchange plays in producing negative health outcomes. This proposition is supported by recourse to a recent development in political economy that has established a more-than-human, relational and monist (or \'flat\') ontology of capitalism, in place of the more conventional neo-Marxist perspective. This ontology reveals a dynamic to capitalism that operates beyond human intentionality, driven by the supply of, and demand for the capacities of commodities. This dynamic determines the production and consumption of all commodities, some among which (such as tobacco, alcohol and processed foods) contribute to ill-health. A case study of food consumption reveals how these supply and demand affects drive \'unhealthy\' food choices by consumers. Ways to undermine this more-than-human dynamic are offered as an innovative approach to addressing the effects of commerce and capitalism upon health.
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