nach oben

Erschienen in:

25.07.2020 | Original article

Universal health coverage and capital accumulation: a relationship unveiled by the critical political economy approach

verfasst von: Mario Hernández-Álvarez, Juan Carlos Eslava-Castañeda, Liliana Henao-Kaffure, José Orozco-Díaz, Luis Edgar Parra-Salas

Erschienen in: International Journal of Public Health | Ausgabe 7/2020

Einloggen, um Zugang zu erhalten

Abstract

Objectives

To analyze the fundamentals of the global health agenda from 1944 to 2018, especially regarding Universal Health Coverage, in order to unveil its relations with capital accumulation in health services and to contribute to world social mobilization to change this tendency.

Methods

A historical study was carried out based on a purposeful selection of primary sources on the global health agenda from multilateral organizations and secondary sources about the changes of capitalism from the study period.

Results

The global health agenda changed from the state responsibility for health to an insurance healthcare system based on markets. The medical–industrial complex pressured national economies, broke postwar pacts, and urged economic globalization. The neoliberal, neoclassical, and neo-institutional discourse that promoted a new state–market relationship eased the new capital accumulation in healthcare into financial and cognitive capitalism.

Conclusions

Understanding these relationships allows us to provide elements for social mobilization geared to transform the healthcare sector toward a new vision of health with a nature–society relationship that contributes to socially constructing human and environmental health, rather than gaining profits based on illness and chronic suffering.

Nur mit Berechtigung zugänglich

Akin J (1987) Financing health services in developing countries. An agenda for reform. World Bank Publications, Washington, DC

Amadae SM (2003) Rationalizing capitalist democracy. The cold war and the origins of rational choice liberalism. The University of Chicago Press, Chicago

Armada F, Muntaner C, Navarro V (2001) Health and social security reforms in Latin America: the convergence of the World Health Organization, the World Bank, and Transnational Corporations. Int J Health Serv 31(4):729–768PubMed

Arrow K (1963) Uncertainty and the welfare economics of medical care. Am Econ Rev 53(5):941–973

Bergquist C (1989) En nombre de la historia: una crítica disciplinaria de la Historia doble de la costa de Orlando Fals Borda. Anu Colomb Histo Soc Cult 16–17:205–229

Birn AE, Kumar R (2018) Universal health coverage can best be achieved by public systems. Br Med J Blog. https://blogs.bmj.com/bmj/2018/08/24/universal-health-coverage-public-systemsAccessed 30 January 2020

Braudel F (1985) La dinámica del capitalismo. Alianza, Madrid

Burgos G (2009) Estado de derecho y globalización El papel del Banco Mundial y las reformas institucionales en América Latina. Universidad Nacional de Colombia - UNIJUS - ILSA, Bogotá

Burlage R, Anderson M (2018) The transformation of the medical-industrial complex: financialization, the corporate sector, and monopoly capital. In: Waitzkin H (ed) Health Care under the knife. Moving beyond capitalism for our health. Monthly Review Press, New York, pp 69–82

Clarke AE, Shim JK, Mamo L, Fosket JR, Fishman JR (2003) Biomedicalization: technoscientific transformations of health, illness, and US Biomedicine. Am Sociol Rev 68(2):161–194

Cooper M (2008) Life as surplus: biotechnology and capitalism in the neoliberal era. University of Washington Press, Seattle

Cueto M (2006) Los orígenes de la atención primaria de salud y la atención primaria selectiva de salud. In: Cueto M, Zamora V (eds) Historia, salud y globalización. IEP Ediciones - Universidad Peruana Cayetano Heredia, Lima, pp 27–58

Ehrenreich B, Ehrenreich J (1971) American health empire. Power, profits, and politics. A report from the health policy advisor center (Health-PAC). Random House, New York

Enthoven A (1988) Managed competition: an agenda for action. Health Aff 7(3):25–47

Esping-Andersen G (1990) The three worlds of welfare capitalism. Princeton University Press, Princeton

Fleury S (1997) Estado sin ciudadanos. Seguridad social en América Latina. Lugar Editorial, Buenos Aires

Goldacre B (2013) Mala farma Cómo las empresas farmacéuticas engañan a los médicos y perjudican a los pacientes (translator Francisco Martín Arribas). Paidós, Madrid

Goodman J (2003) Pharmaceutical industry. In: Cooter R, Pickstone J (eds) Companion to medicine in the twentieth century. Routledge, Abingdon, pp 141–154

Gracia D (1990) ¿Qué es un sistema justo de programas de salud? Principios para la asignación de recursos escasos. Boletín de la Oficina Sanitaria Panamericana 108(5–6):570–585PubMed

Harvey D (2007) Breve historia del neoliberalismo. Akal, Madrid

Hernández M (2004) La fragmentación de la salud en Colombia y Argentina Una comparación sociopolítica, 1880–1950. Universidad Nacional de Colombia, Bogotá

Hernández M (2017) Limitaciones de la Cobertura Universal en Salud (CUS) para la garantía plena del derecho a la salud. In: Torres H, Colorado D (eds) Derecho fundamental a la salud: ¿nuevos escenarios? Centro de Pensamiento en Derecho a la Salud: sistemas y democracia, Vicerrectoría de Investigaciones. Universidad Nacional de Colombia, Bogotá, DC, pp 115–130

Hernández M, Obregón D, Miranda N, García CM, Eslava JC, Vega R, Hernández J, Vega M, Villamizar CV, Barbosa DM (2002) La Organización Panamericana de la Salud y el Estado colombiano: cien años de historia, 1902–2002. OPS/OMS, Bogotá

Iriart C, Merhy EE (2017) Disputas intercapitalistas, biomedicalización y modelo médico hegemónico. Interface 21(63):1005–1016

Jessop R (2008) El futuro del estado capitalista. Catarata, Madrid

Kutzin J (2000) Towards universal health care coverage. A goal-oriented framework for policy analysis. The World Bank, Washington, DC

Laurell AC, López-Arellano O (2002) Market commodities and poor relief: the World Bank proposal for health. In: Navarro V (ed) The political economy of social inequalities. Consequences for health and quality of life. Baywood, New York, pp 191–208

Londoño JL, Frenk J (1997) Pluralismo estructurado: hacia un modelo innovador para la reforma de los sistemas de salud en América Latina. Documento de Trabajo N° 353. Banco Interamericano de Desarrollo, Washington, DC

Mahler H (1975) Estrategias sanitarias en un mundo en transformación. Crónica de la OMS 29:223–233

Mahler H (1977) El plan de salud para todos. Crónica de la OMS 31:548–566

Míguez P (2013) Del general intellect a las tesis del “capitalismo cognitivo”: aportes para el estudio del capitalismo del siglo XXI. Bajo el Volcán 13(21):27–57

Molero de Cabeza L (2003) El enfoque semántico-pragmático en el análisis del discurso. Visión teórica actual. Lingua Americana VII 12:5–28

North D (1993) Instituciones, cambio institucional y desempeño económico. Fondo de Cultura Económica, México, DF

Polanyi K (1997) [1944] La gran transformación. Critica del liberalismo económico. La Piqueta, Madrid

Rostow WW (1961) Las etapas del crecimiento económico. Un manifiesto no comunista. Fondo de Cultura Económica, México, DF

Sanders D (2019) From primary health care to universal health coverage—one step forward and two steps back. Lancet 394(10199):619–621PubMed

Starr P (1991) La transformación social de la medicina en los Estados Unidos de América. Biblioteca de la salud. Secretaría de Salud - Fondo de Cultura Económica, México, DF

Waitzkin H (2013) El mercado internacional de productos y servicios de salud. Waitzkin H Medicina y salud pública al final del imperio. Universidad Nacional de Colombia, Facultad de Medicina, Centro de Historia de la Medicina, Bogotá, pp 57–80

White WD (1994) The “corporatization” of US hospitals: what can we learn from the nineteenth century industrial experience. In: Salmon JW (ed) The corporate transformation of health care. Perspectives and Implications. Baywood Publishing, Amityville, pp 33–61

World Health Organization (WHO) (2005) Resolution WHA58.33. Sustainable health financing, universal coverage and social health insurance. In:: Fiftyeighth World Health Assembly, Geneva, 16–25 May 2005. World Health Organization, Geneva, pp 124–126. https://apps.who.int/iris/bitstream/handle/10665/20398/A58_2005_REC1-en.pdf?sequence=1&isAllowed=y

World Health Organization (WHO) (2010) Health Systems Financing. The path to universal coverage. World Health Organization, Geneva

World Health Organization (WHO), International Bank for Reconstruction and Development/World Bank (WB) (2017) Tracking universal health coverage: 2017 global monitoring report. World Health Organization and International Bank for Reconstruction and Development/World Bank, Geneva

Zukerfeld M (2008) El rol de la propiedad intelectual en la transición hacia el capitalismo cognitivo. Argumentos 9:1–25

Titel: Universal health coverage and capital accumulation: a relationship unveiled by the critical political economy approach
verfasst von: Mario Hernández-Álvarez
Juan Carlos Eslava-Castañeda
Liliana Henao-Kaffure
José Orozco-Díaz
Luis Edgar Parra-Salas
Publikationsdatum: 25.07.2020
Verlag: Springer International Publishing
Erschienen in: International Journal of Public Health / Ausgabe 7/2020
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-020-01437-9

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 7/2020

Is the ‘Nordic Paradox’ an illusion? Measuring intimate partner violence against women in Europe

Identifying factors associated with obesity traits in undergraduate students: a scoping review

Commercial determinants of health: a proposed research agenda

Attitudes and practices of public health academics towards research funding from for-profit organizations: cross-sectional survey

Commercial determinants of health: an ethical exploration

Economic evaluation of human papillomavirus vaccination in the Global South: a systematic review