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.

Global Acceleration and Dispossesion: Regression in the Right to Life and Public Health during Ecuador’s Neoliberal Decades

The present essay’s central argument or hypothesis is, consequently, that the mechanisms accelerating a wealth concentrating and exclusionary economy centred on the benefit and overprotection of big business—with a corresponding plundering of resources that are vital for life—generated forms of loss and regression in the right to healthcare and the dismantling of institutional protections. These are all expressed in indicators from 1990-2005, which point not only to the deterioration of healthcare programs and services but also to the undermining of the general conditions of life (social reproduction) and, in contrast to the reports and predictions of the era’s governments, a stagnation or deterioration in health indicators, especially for those most sensitive to the crisis. The present study’s argument is linked together across distinct chapters. First, we undertake the necessary clarification of the categories central to the understanding of a complex issue; clarifying the concept of health itself and its determinants, emphasizing the necessity of taking on an integral understanding as a fundamental prerequisite to unravelling what documents and reports from this era either leave unsaid or distort. Based on that analysis, we will explain the harmful effects of global economic acceleration, the monopolization and pillaging of strategic healthcare goods; not only those which directly place obstacles on the access to health services, but also those like the destructuration of small economies, linked to the impoverishment and worsening of living modes. Thinking epidemiologically, we intend to show signs of the deterioration of broad collectivities’ ways of life as a result of the mechanisms of acceleration and pillage. We will then collect disparate evidence of the deterioration of human health and ecosystems to, finally, establish the most urgent conclusions about this unfortunate period of our social and medical history.

Desigualdad, crisis y política de la rabia: la reconfiguracion de las clases sociales poscrisis en el Atlántico Norte (Otros Temas)

El artículo es un análisis de la crisis económica que mira hacia sus efectos sobre las relaciones de clase social. Se comprueba que la desigualdad ha crecido de manera importante en Norte América y Gran Bretaña en la época neoliberal, y se sugiere que, desde la perspectiva del consenso político actual, la tendencia se agudiza. El posible efecto sobre el orden social poscrisis y su impacto sobre la política, están en discusión.

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.