Tributo a la calidad institucional. Un desafío para la sociología jurídica latinoamericana (Tema Central)

El principal desafío de América Latina consiste en encontrar el modo de afrontar la fragmentación social, el individualismo extremo y las inequidades oprobiosas en el marco del más absoluto respeto a las instituciones. El Estado aún tiene en sus manos dos herramientas formidables: la educación y el sistema tributario. La insistencia en el cumplimiento de las obligaciones tributarias contribuye decisivamente a formar una conciencia ciudadana, fundamento, a su vez, de una mayor calidad institucional. Y, en una suerte de causalidad circular, el correcto funcionamiento de las instituciones legitima el reclamo de cumplimiento de las obligaciones tributarias a un habitante que va, así, tomando creciente conciencia de los deberes y derechos emergentes de su condición de ciudadano. Para comprender el modo en que pueden darse estos procesos en la región, es preciso contar con una nueva disciplina: la sociología de las finanzas públicas.

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.

La renuncia a la equidad y la domesticación de la salud pública

Under present historical conditions of extreme social inequity, sustained by structural impoverishment, the destruction of living conditions and deterioration of environmental integrity, under the logic of big business, and precisely when the people’s organizations are working intensely in defending creatively human rights and health, academic public health evidences an exasperating passiveness; university departments, local and federal government agencies and even non-governmental organizations, keep implementing ineffective and innocuous health programs -some of them sustained by an expensive propaganda apparatus- that reproduce the same conventional plans, most of which end up reinforcing the rules of the neoliberal game. The present paper seeks to explain this historical surrender of public health; the institutional incapacity to foresee the structural roots of that flourishing pathology of inequity; and its divorce from the struggle of the most progressive social organizations. To accomplish this critique of hegemonic public health, the author analyzes the historical and epistemological roots of that “blindness” and the ideological fundaments of that political passiveness.