The Assault on Human Rigths and the Resilience of the Andean Dream: Health Inequities in Ecuador. IV Annual Distinguished Lecture sponsored by the Center for Research on Ethnicity, Culture and Health; School of Public Health; University of Michigan

The point of departure for these reflections is life, since its protection is the central purpose encouraging the defense of human rights and of public health. Life in the Andes has an exceptional diversity. Particularly in Ecuador, my country, this diversity constitutes a characteristic sign that is expressed in two main forms: natural megadiversity and multiculturalism. Indeed, Ecuador’s small territory synthesizes practically all types of lifezones that exist on Earth, having received the gift of high average rates of solar energy and abundant nutritional sources, which have facilitated the natural reproduction of countless species that show their beautiful vitality in the variety of ecosystems that compose the Andean mountain range, the tropical plains, the Amazon humid forests, and the Galapagos Islands. But besides being a highly biodiverse country, it is also a plurinational and multi-cultural society, in which the activity of human beings, organized into social conglomerates of different historical and cultural backgrounds, have formed more than a dozen nations and peoples. Regrettably this natural and human wealth has not been able to bear its best fruits due to the violent operation of a deep social inequity – unfortunately also one of the highest in the Americas—which conspires against life and is reproduced in national and international inequitable relations. This structural inequity has changed its form throughout the centuries and currently has reached its highest and most perverse level of development.

Ecuador

Ecuador’s total population numbers some 15,682,792 inhabitants, and includes 14 nationalities accounting for around 1,100,000 people, all joined together in a series of local, regional and national organisations. 60.3% of the Andean Kichwa live in six provinces in the Central-North Mountains; 24.1% live in the Amazon region and belong to ten nationalities; 7.3% live in the Southern Mountains; and the remaining 8.3% live in the Coastal region and the Galapagos Islands. 78.5% still live in rural areas and 21.5% in urban areas. The current Constitution of the Republic recognises the country as a “…constitutional state of law and social justice, democratic, sovereign, independent, unitary, intercultural, multinational and secular”. Over the last five years, the country has undergone a series of political and institutional reforms. At the same time, however, enforcing and guaranteeing the collective rights recognised in the Constitution has become a challenge to the process, and a permanent point of disagreement between the government, headed by the economist Rafael Correa, and the indigenous social organisations. The government’s economic action has been largely marked by an opening up of the extractive industries - oil, copper and gold - to foreign investment, either of Chinese or Belarussian origin, or from other Latin American countries such as Brazil, Chile or Argentina. This has resulted in risk to and impacts on the territorial and cultural integrity of various indigenous peoples, and an uncertainty created around the true validity of the broad collective rights enshrined in the Constitution.