Public health systems in the age of financialization: lessons from the French case

IF 1.6 Q2 ECONOMICS

REVIEW OF SOCIAL ECONOMY Pub Date : 2021-01-14 DOI:10.1080/00346764.2020.1870710

Ana Carolina Cordilha

引用次数: 7

Abstract

Public Health Systems (PHS) are under continuous transformation in line with economic, political, and ideological changes in capitalist economies. The current stage of capitalism is underpinned by the process of financialization, meaning an increasing dominance of financial actors, markets, practices, measurements, and narratives over other agents, including the State. This article examines how financialization has been reshaping PHS, with an in-depth study of the French case. First, we suggest how to incorporate the concept of financialization into the research on PHS transformation. We then apply this concept to reassess the trajectory of the French system from the 1990s onwards. We show the increasing participation of financial capital for long-term, short-term, and infrastructure financing, occupying roles previously fulfilled by the public sector. We then discuss how the adoption of financialized strategies led to shifts in how public actors behave, and the potentially adverse effects for solidarity, stability, and democratic participation.

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金融化时代的公共卫生系统：法国案例的经验教训

公共卫生系统（PHS）正随着资本主义经济的经济、政治和意识形态变化而不断转型。资本主义的当前阶段是以金融化进程为基础的，这意味着金融行为者、市场、实践、衡量标准和叙事对包括国家在内的其他代理人的主导地位日益增强。本文通过对法国案例的深入研究，探讨了金融化如何重塑PHS。首先，我们建议如何将金融化的概念纳入PHS转型的研究中。然后，我们将这一概念应用于重新评估20世纪90年代以来法国体系的发展轨迹。我们显示，金融资本越来越多地参与长期、短期和基础设施融资，占据了以前由公共部门承担的角色。然后，我们讨论了金融化战略的采用如何导致公共行为者行为方式的转变，以及对团结、稳定和民主参与的潜在不利影响。

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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来源期刊

REVIEW OF SOCIAL ECONOMY ECONOMICS-

CiteScore

2.60

自引率

10.00%

发文量

期刊介绍： For over sixty-five years, the Review of Social Economy has published high-quality peer-reviewed work on the many relationships between social values and economics. The field of social economics discusses how the economy and social justice relate, and what this implies for economic theory and policy. Papers published range from conceptual work on aligning economic institutions and policies with given ethical principles, to theoretical representations of individual behaviour that allow for both self-interested and "pro-social" motives, and to original empirical work on persistent social issues such as poverty, inequality, and discrimination.