What Are the Roots of the Nation's Poor Health and Widening Health Inequalities? Rethinking Economic Growth for a Fairer and Healthier Future.

Robert J Noonan
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Abstract

Health inequalities are differences in health between groups in society. Despite them being preventable they persist on a grand scale. At the beginning of 2024, the Institute of Health Equity revealed in their report titled: Health Inequalities, Lives Cut Short, that health inequalities caused 1 million early deaths in England over the past decade. While the number of studies on the prevalence of health inequalities in the UK has burgeoned, limited emphasis has been given to exploring the factors contributing to these (widening) health inequalities. In this commentary article I will describe how the Government's relentless pursuit of economic growth and their failure to implement the necessary regulatory policies to mitigate against the insecurity and health effects neoliberal free market capitalism (referred to as capitalism herein) causes in pursuit of innovation, productivity and growth (economic dynamism) is one key driver underpinning this social injustice. I contend that if the priority really is to tackle health inequalities and ensure health for all then there is an imperative need to move beyond regulation alone to mitigate the worst effects of capitalist production; the goal of the economy has to change to fully restore the balance between economic growth and public health.

国家健康状况不佳和健康不平等扩大的根源是什么?反思经济增长,实现更公平、更健康的未来》。
健康不平等是社会群体之间在健康方面的差异。尽管这些问题是可以预防的,但它们仍然大规模存在。2024 年初,英国健康公平研究所(Institute of Health Equity)在其题为 "健康不平等,生命短暂"(Health Inequalities, Lives Cut Short)的报告中披露,在过去十年中,健康不平等导致英国 100 万人提前死亡。尽管有关英国健康不平等现象的研究数量激增,但人们对造成这些(不断扩大的)健康不平等现象的因素的重视程度却很有限。在这篇评论文章中,我将描述政府如何不遗余力地追求经济增长,却未能实施必要的监管政策来减轻新自由主义自由市场资本主义(本文简称资本主义)在追求创新、生产力和增长(经济活力)过程中造成的不安全感和对健康的影响,这是造成这种社会不公的一个关键驱动因素。我认为,如果当务之急确实是解决健康不平等问题并确保人人享有健康,那么就不能仅仅依靠监管来减轻资本主义生产的最坏影响;必须改变经济目标,以全面恢复经济增长与公众健康之间的平衡。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
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