Global Acceleration and Dispossesion: Regression in the Right to Life and Public Health during Ecuador’s Neoliberal Decades

The present essay’s central argument or hypothesis is, consequently, that the mechanisms accelerating a wealth concentrating and exclusionary economy centred on the benefit and overprotection of big business—with a corresponding plundering of resources that are vital for life—generated forms of loss and regression in the right to healthcare and the dismantling of institutional protections. These are all expressed in indicators from 1990-2005, which point not only to the deterioration of healthcare programs and services but also to the undermining of the general conditions of life (social reproduction) and, in contrast to the reports and predictions of the era’s governments, a stagnation or deterioration in health indicators, especially for those most sensitive to the crisis. The present study’s argument is linked together across distinct chapters. First, we undertake the necessary clarification of the categories central to the understanding of a complex issue; clarifying the concept of health itself and its determinants, emphasizing the necessity of taking on an integral understanding as a fundamental prerequisite to unravelling what documents and reports from this era either leave unsaid or distort. Based on that analysis, we will explain the harmful effects of global economic acceleration, the monopolization and pillaging of strategic healthcare goods; not only those which directly place obstacles on the access to health services, but also those like the destructuration of small economies, linked to the impoverishment and worsening of living modes. Thinking epidemiologically, we intend to show signs of the deterioration of broad collectivities’ ways of life as a result of the mechanisms of acceleration and pillage. We will then collect disparate evidence of the deterioration of human health and ecosystems to, finally, establish the most urgent conclusions about this unfortunate period of our social and medical history.

Universidad, conocimiento y economía

La política de desarrollo tecnológico y derivada de esta, el papel que se pretende asignar a la universidad, se sustenta en un conjunto de ideas e interpretaciones erradas sobre la articulación entre ciencia, investigación y aplicaciones tecnológicas; ideas que han ido adquiriendo, aun en el medio académico, el estatus de sabiduría convencional de tal manera que, aceptadas como verdades, tienden a legitimar la acción de las instituciones y agencias gubernamentales. Este artículo analiza la propensión de ver a la universidad como la fuente de conocimiento e información directamente aplicable para la producción de bienes y servicios comerciales y cuestiona la perspectiva de considerar a la universidad simplemente como un agente de la esfera económica. El trabajo sostiene que el papel de la investigación universitaria consiste básicamente en un insumo para la enseñanza y que el bien público que provee la universidad es la creación de un sentido nacional de cultura, una forma de identidad y cohesión social.