資本主義経済における資本蓄積と社会再生産の間の矛盾が増大する時代における健康の公平性の促進
Dennis Raphael1, Toba Bryant2, Rozhin Amin3
1School of Health Policy and Management, York University, Toronto, ON, Canada.
Community health equity research & policy
|September 1, 2025
まとめ
リベラルな福祉国家では 医療の平等が遅れています 政治経済の分析によると 資本主義後の社会主義的な未来は 保健の平等を達成するための 最も効果的な道です
科学分野:
- 医療の政治経済
- 健康の社会的決定因子
- 健康に関する公平性
背景:
- 特にカナダ,アメリカ,イギリスのようなリベラルな福祉国家では 医療平等の進展は停滞しています
- この停滞は政治経済のレンズを通して,特に資本の蓄積 (利益の獲得) と社会的再生産 (社会的機能) を通して検討される.
研究 の 目的:
- 生活と労働条件の複合危機に関連して,健康の政治経済を分析する.
- 資本主義の矛盾が健康と医療の提供に どう影響するかを理解するためです
主な方法:
- 健康の政治経済における既存の理論化と研究を総合的に検討する.
- 批判的唯物主義の政治経済思想の適用
主要な成果:
- 資本主義経済では,特にリベラルな福祉国家では,利益と社会的機能の間の矛盾が増大しています.
- これらの矛盾は,健康と医療制度の社会的決定要因に悪影響を及ぼします.
- 現在のアプローチは,ポスト資本主義的な代替案を提案することなく,しばしば資本主義を批判します.
結論:
- 保健の平等を達成するための3つの潜在的な経路が特定されています. 1) 既存の構造内の改革, 2) 社会民主主義的または保守的なガバナンスモデルの採用,または 3) 資本主義後の社会主義的な未来の構築.
- この研究は,ポスト資本主義の社会主義的な未来を確立することは,短期的にも長期的にも健康の平等を推進するための最も有望な戦略であると結論づけています.
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