Insostenibilidad del pago de la deuda externa desde el punto de vista económico, social y ambiental (Tema Central)

La autora sostiene que, dadas las condiciones usualmente impuestas por los países industrializados acreedores, el pago de la deuda externa es inviable para el Ecuador. Si se consideran aspectos económicos, sociales yambientales, se puede apreciar que el actual servicio de la deuda genera una balanza de pagos insostenible, deterioro de la capacidad productiva local. aumento de la precariedad del mercado laboral, incremento de la extrema pobreza y una presión insoportable sobre los recursos naturales. Mediante un análisis de ciertos indicadores selectos, la autora establece las relaciones existentes entre el ajuste para servir a la deuda, el deterioro de las condiciones de vida, el impacto en la agricultura y los recursos naturales y la dinámica de los procesos migratorios.

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.