Contradictions in health: on acumulation and legitimation in Latin American neoliberal and social states

This text uses the perspective of the contradiction between capital accumulation and legitimation of the social order to examine Latin American health systems. Analyzes, on one hand, the new areas and strategies of accumulation in health under neoliberal globalization and, on the other, the recovery of health as a public domain to assure the universal right to health by progressive governments. It observes how the guarantee of this right has turned it into a field of political struggle where private economic agents and progressive governments clash and how the neoliberal offensive has appropriated ideologically the progressive discourse but changing its content.

本文以资本积累与社会秩序合法性之间的矛盾为分析视角，对拉丁美洲医疗体系展开系统性考察。一方面剖析新自由主义全球化语境下医疗领域的新型资本积累场域与运作策略，另一方面探讨进步主义政府将医疗回归为公共领域、以保障全民健康权的实践路径。研究同时检视了该项权利的保障如何演变为私人经济主体与进步主义政府博弈交锋的政治场域，以及新自由主义攻势如何在意识形态层面挪用进步主义话语却篡改其核心内涵。