发展金融机构是否履行了其在卫生领域的人权义务?

IF 2.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health and Human Rights Pub Date : 2023-12-01
Anna Marriott, Anjela Taneja, Linda Oduor-Noah
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引用次数: 0

摘要

享有能达到的最高标准健康的权利是每个人的基本权利,不分种族、宗教、政治信仰、经济或社会条件。1 明智地使用援助和其他形式的政府支出对于实现这一权利以及推动发展至关重要。然而,英国、法国和德国等高收入国家政府的纳税人资金正越来越多地通过发展金融机构(DFIs)流向中低收入国家的营利性医疗保健公司,用于数百万美元的投资。这助长了这些国家医疗保健的公司化和金融化,并牵涉到牟取暴利和剥削、拒绝为无力负担的人提供治疗以及一系列侵犯人权的行为--所有这些都很少或根本没有问责制。本文借鉴 "可提供性、可获得性、可接受性和质量 "健康权框架,对欧洲发展筹资机构和国际金融公司的人权义务进行了抽样调查。我们发现,这种投资方式不仅限制了人人享有基本健康权的实现,而且对获得优质、负担得起的医疗服务设置了重大障碍。
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Are Development Finance Institutions Meeting Their Human Rights Obligations in Health?

The right to the highest attainable standard of health is a fundamental right of every human being without distinction as to race, religion, political belief, or economic or social condition.1 Spent wisely, aid and other forms of government spending are essential for attaining this right, as well as driving development. However, taxpayer funds from high-income governments such as the UK, France, and Germany are increasingly being funneled through development finance institutions (DFIs) toward multi-million-dollar investments in for-profit health care corporations in low- and middle-income countries. This contributes to the corporatization and financialization of health care in these contexts and is implicated in profiteering and exploitation, the denial of treatment to those who cannot afford it, and a range of human rights abuses-all with little or no accountability. This paper examines the human rights obligations of a sample of European DFIs and the International Finance Corporation, drawing on the "availability, accessibility, acceptability, and quality" right to health framework. We find that this investment approach is not only limiting the realization of the fundamental right to health for all but also placing significant barriers to accessing quality, affordable health services.2.

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来源期刊
Health and Human Rights
Health and Human Rights PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
5.50
自引率
5.40%
发文量
22
审稿时长
24 weeks
期刊介绍: Health and Human Rights began publication in 1994 under the editorship of Jonathan Mann, who was succeeded in 1997 by Sofia Gruskin. Paul Farmer, co-founder of Partners In Health, assumed the editorship in 2007. After more than a decade as a leading forum of debate on global health and rights concerns, Health and Human Rights made a significant new transition to an online, open access publication with Volume 10, Issue Number 1, in the summer of 2008. While continuing the journal’s print-only tradition of critical scholarship, Health and Human Rights, now available as both print and online text, provides an inclusive forum for action-oriented dialogue among human rights practitioners.
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