貧窮國家對其民眾之健康有何義務?【全球瞭望】
What Duties Do Poor Countries Have for the Health of Their Own People?
全球衛生社群面對各地人們的健康問題,常提出一個關鍵的問題:富裕國家對貧窮國家人們的健康有何責任?而貧窮國家自身的政府又該負起怎樣的責任?本文主張:首先,政治領導人物有責任將該國預算中的一定合理比例投入醫療衛生服務上,以作為國際人權義務的一部分;其次,其必須以公平、公開、沒有利益衝突的方式來進行治理;最後,雖然其擁有廣泛的裁量權限,政治領導人物必須在各種相互競爭的健康優先事項上,公平地分配資源。
The global health community has struggled to answer a pivotal question: What do rich countries owe to the world’s least healthy people? What duties do low-income countries have for the health of their own populations? This article argues that, first, political leaders have a duty to spend a reason ─ able portion of their national budgets on health services as part of their international human rights obligations; Second, they must govern justly, openly, and without conflicts of interest; and finally, although they have a range of discretion, political leaders must allocate resources fairly among competing health priorities.
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