社会保护与国际货币基金组织:承诺与绩效。

IF 5.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Alexandros Kentikelenis, Thomas Stubbs
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引用次数: 0

摘要

背景:全球南部国家目前正面临着巨大的经济和社会挑战,包括重大的偿债问题。与以往全球金融不稳定时期一样,越来越多的国家向国际货币基金组织(IMF)寻求财政援助。长期以来,该组织一直倡导借款国进行广泛的财政整顿,也就是俗称的 "紧缩政策"。然而,近年来,IMF 宣布了一些重大举措,以确保其贷款支持社会支出,从而帮助各国实现其发展目标和可持续发展目标。为了评估这一记录,我们收集了 2020-2022 年期间签署的 21 笔贷款的支出数据,包括截至 2023 年 8 月的所有定期审查数据:结果:我们发现,紧缩措施仍然是该组织对借款国授权政策的核心部分:在本文研究的 21 个国家中,有 15 个国家的财政空间在其国际货币基金组织项目期间有所缩小。在这种财政背景下,社会支出下限未能兑现其承诺。这些最低限额并没有一个统一的定义,因此在应用时显得杂乱无章、前后不一。但是,即使就其本身而言,这些最低标准也缺乏雄心壮志:它们往往没有预见到随着时间的推移社会支出会出现有意义的增长,即使预见到了,许多增长也会被飙升的通货膨胀所吞噬。此外,三分之一的社会支出最低标准没有得到执行--与国际货币基金组织优先考虑的紧缩条件相比,执行率要低得多。在一些情况下,即使执行了最低限额,也没有真正超过,因此实际上起到了社会支出最高限额的作用:结论:国际货币基金组织的贷款项目仍然非常注重紧缩政策,其社会支出战略并没有像该组织宣传的那样发生翻天覆地的变化。社会支出下限充其量只是对痛苦的预算削减进行损害控制:它们是改善社会状况的工具,以向高度弱势群体提供定向援助的原则为基础。可以采用植根于普遍性原则的其他方法来建立持久而有弹性的社会保护体系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Social protection and the International Monetary Fund: promise versus performance.

Background: Countries in the Global South are currently facing momentous economic and social challenges, including major debt service problems. As in previous periods of global financial instability, a growing number of countries have turned to the International Monetary Fund (IMF) for financial assistance. The organization has a long track-record of advocating for extensive fiscal consolidation-commonly known as 'austerity'-for its borrowers. However, in recent years, the IMF has announced major initiatives for ensuring that its loans support social spending, thus aiding countries in meeting their development targets and the Sustainable Development Goals. To assess this track record, we collected spending data on 21 loans signed in the 2020-2022 period, including from all their periodic reviews up to August 2023.

Results: We find that austerity measures remain a core part of the organization's mandated policies for its borrowers: 15 of the 21 countries studied here experience a decrease in fiscal space over the course of their IMF programs. Against this fiscal backdrop, social spending floors have failed to live up to their promise. There is no streamlined definition of these floors, thus rendering their application haphazard and inconsistent. But even on their own terms, these floors lack ambition: they often do not foresee trajectories of meaningful social spending increases over time, and, when they do, many of these gains are eaten up by soaring inflation. In addition, a third of social spending floors are not implemented-a much lower implementation rate from that for austerity conditions, which the IMF prioritizes. In several instances, where floors are implemented, they are not meaningfully exceeded, thus-in practice-acting as social spending ceilings.

Conclusions: The IMF's lending programs are still heavily focused on austerity, and its strategy on social spending has not represented the sea-change that the organization advertised. At best, social spending floors act as damage control for the painful budget cuts: they are instruments of social amelioration, underpinned by principles of targeted assistance for highly disadvantaged groups. Alternative approaches rooted in principles of universalism can be employed to build up durable and resilient social protection systems.

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来源期刊
Globalization and Health
Globalization and Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
18.40
自引率
1.90%
发文量
93
期刊介绍: "Globalization and Health" is a pioneering transdisciplinary journal dedicated to situating public health and well-being within the dynamic forces of global development. The journal is committed to publishing high-quality, original research that explores the impact of globalization processes on global public health. This includes examining how globalization influences health systems and the social, economic, commercial, and political determinants of health. The journal welcomes contributions from various disciplines, including policy, health systems, political economy, international relations, and community perspectives. While single-country studies are accepted, they must emphasize global/globalization mechanisms and their relevance to global-level policy discourse and decision-making.
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