{"title":"对经济战的公共卫生反应。","authors":"Martin McKee, Christina Pagel, Tiago Correia","doi":"10.1002/hpm.3940","DOIUrl":null,"url":null,"abstract":"<p><p>President Trump's 2025 implementation of tariffs has been described as a form of economic warfare. The public health community has long viewed conventional forms of warfare as a determinant of health and developed appropriate responses. In this editorial, we argue that this community must now respond in a similar way to all forms of economic warfare. We describe the ways in which economic warfare is waged, which include tariffs, trade sanctions, currency manipulation, and cyberattacks, and the health consequences that arise from them. Drawing on historical examples like the Opium Wars, we highlight the intertwined nature of economic and military conflicts. We also describe how advances in technology have created new opportunities, such as the exclusion of Russia from the SWIFT payment system. The health consequences are profound, with research indicating declines in life expectancy and disruptions in access to essential medicines and equipment. We argue for a comprehensive public health response, made urgent by the rejection, by the current U.S. administration, of the post-war international order. We call for use of innovative research methods to assess the health impacts of economic measures, drawing parallels with studies on the health effects of military conflicts and economic crises and advocacy for a proactive public health stance, akin to the efforts of organisations like the International Physicians for the Prevention of Nuclear War, to make visible the health consequences of economic warfare and help those who seek to hold governments accountable for their actions.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Public Health Response to Economic Warfare.\",\"authors\":\"Martin McKee, Christina Pagel, Tiago Correia\",\"doi\":\"10.1002/hpm.3940\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>President Trump's 2025 implementation of tariffs has been described as a form of economic warfare. The public health community has long viewed conventional forms of warfare as a determinant of health and developed appropriate responses. In this editorial, we argue that this community must now respond in a similar way to all forms of economic warfare. We describe the ways in which economic warfare is waged, which include tariffs, trade sanctions, currency manipulation, and cyberattacks, and the health consequences that arise from them. Drawing on historical examples like the Opium Wars, we highlight the intertwined nature of economic and military conflicts. We also describe how advances in technology have created new opportunities, such as the exclusion of Russia from the SWIFT payment system. The health consequences are profound, with research indicating declines in life expectancy and disruptions in access to essential medicines and equipment. We argue for a comprehensive public health response, made urgent by the rejection, by the current U.S. administration, of the post-war international order. We call for use of innovative research methods to assess the health impacts of economic measures, drawing parallels with studies on the health effects of military conflicts and economic crises and advocacy for a proactive public health stance, akin to the efforts of organisations like the International Physicians for the Prevention of Nuclear War, to make visible the health consequences of economic warfare and help those who seek to hold governments accountable for their actions.</p>\",\"PeriodicalId\":47637,\"journal\":{\"name\":\"International Journal of Health Planning and Management\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-04-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Health Planning and Management\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/hpm.3940\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"HEALTH POLICY & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Health Planning and Management","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/hpm.3940","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
President Trump's 2025 implementation of tariffs has been described as a form of economic warfare. The public health community has long viewed conventional forms of warfare as a determinant of health and developed appropriate responses. In this editorial, we argue that this community must now respond in a similar way to all forms of economic warfare. We describe the ways in which economic warfare is waged, which include tariffs, trade sanctions, currency manipulation, and cyberattacks, and the health consequences that arise from them. Drawing on historical examples like the Opium Wars, we highlight the intertwined nature of economic and military conflicts. We also describe how advances in technology have created new opportunities, such as the exclusion of Russia from the SWIFT payment system. The health consequences are profound, with research indicating declines in life expectancy and disruptions in access to essential medicines and equipment. We argue for a comprehensive public health response, made urgent by the rejection, by the current U.S. administration, of the post-war international order. We call for use of innovative research methods to assess the health impacts of economic measures, drawing parallels with studies on the health effects of military conflicts and economic crises and advocacy for a proactive public health stance, akin to the efforts of organisations like the International Physicians for the Prevention of Nuclear War, to make visible the health consequences of economic warfare and help those who seek to hold governments accountable for their actions.
期刊介绍:
Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.