Universal Social Protection and Health Care as a Social Common.

Francine Mestrum
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Abstract

COVID-19 reveals the undeniable fact of our interdependence and some hard truths about our economic system. While this is nothing new, it will now be difficult for all those who preferred to ignore some basic facts to go on with business as usual. Our economy collapsed because people cannot buy more than what they actually need. But as the economy grows the more people get sick and need help. And our universal welfare systems never excluded so many people as they do now. The many flaws in the dominant thinking and policymaking do not only refer to our health systems, but are almost all linked to the way the neoliberal globalization is organized. Turn the thinking around, forget the unfettered profit-seeking, start with the real basic needs of people and all the so badly needed approaches logically fall in the basket: the link with social protection, with water, housing and income security, the link with participation and democracy. In this article, I want to sketch the journey from needs to commons, since that is where the road should be leading us to. It goes in the opposite direction of more austerity, more privatization, more fragmentation of our social policies. It also leads to paradigmatic changes, based on old concepts such as solidarity and a new way to define sustainability.

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全民社会保护和保健作为一项社会共同事业。
COVID-19揭示了我们相互依存的不可否认的事实,以及我们经济体系的一些残酷事实。虽然这并不是什么新鲜事,但对于那些宁愿忽视一些基本事实的人来说,现在很难像往常一样继续做生意。我们的经济崩溃是因为人们不能购买超出他们实际需要的东西。但随着经济的增长,越来越多的人生病,需要帮助。我们的全民福利制度从未像现在这样将如此多的人排除在外。主导思想和政策制定中的许多缺陷不仅涉及我们的卫生系统,而且几乎都与新自由主义全球化的组织方式有关。把思维转过来,忘掉不受约束的追求利润,从人们真正的基本需求开始,所有迫切需要的方法在逻辑上都属于这个篮子:与社会保护的联系,与水、住房和收入保障的联系,与参与和民主的联系。在这篇文章中,我想概述一下从需求到公共的旅程,因为这是我们应该走的路。它与更多的紧缩,更多的私有化,更多的社会政策碎片化背道而驰。它还导致了基于团结等旧概念和定义可持续性的新方法的范式变化。
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