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 participación social en la relación sociedad-Estado contemporánea, ‘el caso ecuatoriano’

The emergence of social action amid governance is relatively new, but has been cases and situations even in earlier centuries than the 20th century. The presence, however, of a permanent social action in the State as a regular form of action public institutions, further established in republican constitutions in Latin America, is a significant novelty in the exercise of public administration. This research deals with the analysis of this reality, still incipient, and the implications of the permanent presence of the society in the state function. A reference framework for treating relationship between society and State involvement in a deep dimension is no stranger to the analysis of ideologies, agencies, interests and policy management dimension. This study analyzes the current situation of this participation in the State, in the case of Ecuador, with some references with other countries in the region. The study concludes that this participation is still incipient, amid a complex dialectic of stakeholders. Finally research makes some proposals to operationalize such participation and make it real, deep and continuous.