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.

Extractivism, economic diversification and prospects for sustainable development in Ecuador

The objectives of this paper are first, evaluating economic, social and environmental effects on oil extraction in Ecuador during the last 41 years, and second, discussing prospects to achieving a sustainable and equitable development path in the future, in the context of declining oil reserves. The current government is pursuing an extractivist policy, based on expanding oil extraction in formerly unexploited fields -including those inside the Yasuni National Park- and starting largescale mining exploitation. Two future options will be evaluated, first, an expansion of extractive activities, and second an alternative based on conservation, with sustainable use of natural resources (e.g. ecotourism, agroforestry, bio-knowledge), without expansion of oil field expansion and mining.