capitalism

资本主义
  • 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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  • 文章类型: Journal Article
    华纳兄弟/美泰的电影《芭比娃娃》是关于复杂的女权主义和资本主义的,滑稽的,和细微差别的方式。它主要实现了喜剧和灵感的双重目的。娃娃的起源是1959年,她和她的配偶,肯,在冷战的背景下,虽然电影和娃娃的长期和成功的营销历史承认芭比土地的阳光明媚的世界之外的任何东西。核阴影确实会影响电影的接收,然而,以国际抗议的形式,在一个场景中的虚线上草拟了一个所谓的“世界地图”。对于南中国海及其周围的国家来说,虚线唤起了核时代对领土主权主张的战争幽灵。然而,导演GretaGerwig的电影取得了巨大的成功,第一部由女性导演的电影独奏票房超过10亿美元,而且还在不断增加。
    The Warner Brothers/Mattel movie Barbie is meant to be about feminism and capitalism in complicated, comical, and nuanced ways. It mostly succeeds in its dual purpose of comedy and inspiration. The doll\'s origin in 1959 places her and her consort, Ken, squarely in the context of the Cold War, although neither the movie nor the doll\'s long and successful marketing history acknowledges anything outside the sunny world of Barbie Land. The nuclear shadow does affect the movie\'s reception, however, in the form of international protests over the dashed lines scrawled on a supposed \"World Map\" in one scene. For nations in and around the South China Sea, the dashed lines evoke the specter of war in a nuclear age over claims to territorial sovereignty. Yet director Greta Gerwig\'s film is a runaway success, the first film solo directed by a woman to gross more than a billion dollars and counting.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    女权主义对护理的观点已经证明了资本主义低估护理的工作方式。新冠肺炎大流行进一步强调了这一点,随着生产和社会再生产系统在全球范围内变得不稳定。在许多国家,正式的大流行应对措施没有达到每日水平,生活在危机中的人们的基本护理需求,特别是那些受到大流行的社会经济影响的人。这些需求经常在社区一级得到满足。本文探讨了一个社区主导的护理网络,被称为CAN,这是为了应对开普敦的大流行而出现的。它提出了三个总体观察。首先是社区主导的反应的特点是推动护理工作的集体化。第二个是,这使得紧急战略和相关的护理实践成为可能,集中团结的概念,资源和知识的相互依赖和横向交换。最后,我们观察到,尽管护理工作的贬值限制了对CAN的认可和物质支持,随着阻力工作的出现,将护理工作重新政治化的机会。这些代表了一个预示的时刻,在这个时刻,替代逻辑和策略可以改变我们健康和护理系统的愿景,以及社区参与和拥有这些系统的概念。
    Feminist perspectives on care have demonstrated how capitalism undervalues care work. The Covid-19 pandemic highlighted this further, as systems of production and social reproduction became destabilized globally. In many countries, the formal pandemic response fell short of attending to the daily, fundamental care needs of people living through the crisis, especially those compromised by the socio-economic effects of the pandemic. These needs were often attended to at the community level. This article explores a community-led network of care, known as CANs, that emerged in response to the pandemic in Cape Town. It makes three overarching observations. The first is that community-led responses were characterised by a push towards the collectivisation of care work. The second is that this enabled emergent strategies and relational practices of care, centring notions of solidarity, inter-dependence and horizontal exchange of resources and knowledge. Finally, we observed that, although the devaluation of care work limited the recognition and material support extended to CANs, opportunities to re-politicise care work as resistance work emerged. These represent a prefigurative moment in which alternative logics and strategies can transform the vision of our health and care systems, and the notion of community participation in and ownership of those systems.
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  • 文章类型: Journal Article
    21世纪企业资本主义的特征——垄断和金融化——越来越被公共卫生学者认为是破坏人类健康的基础。虽然发生这种情况的“媒介”是众所周知的——贫困,不平等,除其他外,气候变化-将这一过程的根本原因定位在当代资本主义的性质和制度中相对较新。研究人员在研究当代资本主义与人类健康之间的关系方面有些缓慢。在本文中,我们关注的是美国死亡的主要原因之一;癌症,并根据经验估计美国医疗保健系统中各种金融化和垄断指标与癌症死亡率之间的关系。我们重点关注的措施是针对医院行业,健康保险业,和制药业。使用具有不同规格和控制变量的固定效应模型,我们的分析是在2012-2019年的州一级。这些变量包括人口控制数据,社会和经济因素,健康行为和临床护理。我们将医疗补助扩展州与非医疗补助扩展州进行比较,以调查州一级资助的健康保险覆盖范围的变化。结果显示,个人医疗保健市场中的HHI指数与癌症死亡率以及阿片类药物分配率和癌症死亡率之间存在统计学上的显着正相关。
    The characteristic features of 21st-century corporate capitalism - monopoly and financialization - are increasingly being recognized by public health scholars as undermining the foundations of human health. While the \"vectors\" through which this is occurring are well known - poverty, inequality, climate change among others - locating the root cause of this process in the nature and institutions of contemporary capitalism is relatively new. Researchers have been somewhat slow to study the relationship between contemporary capitalism and human health. In this paper, we focus on one of the leading causes of death in the United States; cancer, and empirically estimate the relationship between various measures of financialization and monopoly in the US healthcare system and cancer mortality. The measures we focus on are for the hospital industry, the health insurance industry, and the pharmaceutical industry. Using a fixed effects model with different specifications and control variables, our analysis is at the state level for the years 2012-2019. These variables include data on population demographic controls, social and economic factors, and health behavior and clinical care. We compare Medicaid expansion states with non-Medicaid expansion states to investigate variations in state-level funded health insurance coverage. The results show a statistically significant positive correlation between the HHI index in the individual healthcare market and cancer mortality and the opioid dispensing rate and cancer mortality.
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  • 文章类型: Letter
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