1/5/2023 0 Comments Neo colonialism![]() ![]() #Neo colonialism how to#As such, the neocolonialist approach to public health assumes that less economically developed nations have health problems that only White men from economically advanced powerful nations know how to solve. RP-E: The neocolonialist approach is rooted in a legacy of the strongly unjust social, political and economic systems established since colonial times. MD: What do you mean by neocolonialism and why does it matter for global health? And you don’t need to take my word for it, just look at the current health statistics for Native Americans in the United States, or indigenous communities in Mexico, or the aboriginal people in Australia and New Zealand, or the people from the Marshall Islands where the United States tested nuclear weapons, or the people of Vieques, Puerto Rico, used by the US as a bombing range for six decades against the will of the population in spite of strong evidence that it was harming their health and the environment. It is undeniable that racism was behind the justification for the extraordinarily painful cultural genocides that colonizers inflicted on local populations and the way they took over their lands and resources, that resulted in major historical trauma and negative public health consequences to this day. This concept was a direct legacy of colonialism and its profoundly racist attitudes. Interestingly, before the term “global health” started to be used more commonly, the term used for decades was “international health,” reflecting a patronizing concept whereby high-income, powerful nations help low-income countries deal with their public health problems because they are incapable of doing so by themselves. Global health problems can concentrate in just a few countries or extend globally as we’ve seen with pandemics such as COVID-19 HIV obesity and related noncommunicable diseases such heart disease, diabetes and some cancers and the mental health crisis. RP-E: Global health is the area of public health concerned with the spread of disease across countries and world regions. Pérez-Escamilla shares not only his scholarship on global health and neocolonialism having worked in more than 20 countries across all regions of the world, he also brings a first-hand perspective of health system inequity having grown up in Mexico, one of the most inequitable countries in the world. Professor Rafael Pérez-Escamilla, director of the Yale School of Public Health’s Global Health Concentration, recently discussed global health outcomes and the harmful legacy of neocolonialism with YSPH Associate Dean for Diversity, Equity and Inclusion and Associate Professor of Epidemiology (Chronic Diseases) Mayur Desai. This heightened awareness has led many to question why such injustices in health care exist and how such global health governance structures came to be. ![]() The COVID-19 pandemic has brought renewed attention to health system inequities that exist not only in our own country but around the globe. ![]()
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