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Sustainable Development. 2000; 8(3):135-141.Neo-Malthusianism advocates 'population control' as the solution to all major global problems. While overpopulation is a serious problem, blaming the population growth in the South as the prime cause for the destruction of the environment is hypocritical. Rather than the 'bottom billion', it is the 'top billion' population from the 'affluent' West - and their 'effluence' - that is inflicting greater environmental injury to the earth. In the patriarchal system of free-market economy, aborigines and women are marked inferior. Given the strong preference for male children in many Third World countries, the statistics on 'missing girls' explain the sad situation of female infanticide and underreporting of female births. Most contraceptive research is aimed at women only. Furthermore, newly developed contraceptives would be first tested on poor women of colour, often without their knowledge or consent. However, after the 1994 Cairo Population Conference, reproductive rights and empowerment of women are recognized as key issues in controlling population growth. There must be a radical change and paradigm shift in policy-making at every level from subjugation and subordination to partnership in order to solve most of the world's problems. (author's)
Assessment and implementation of health care priorities in developing countries: incompatible paradigms and competing social systems.
Social Science and Medicine. 1984; 19(4):373-84.This paper addresses conceptual issues underlying the assessment and implementation of health care priorities in developing countries as practiced by foreign development agencies coping with a potentially destabilizing unmet social demand. As such, these agencies mediate the gap between existing health care structures patterned around the narrow needs of the ruling classes and the magnitude of public ill-health which mass movements strive to eradicate with implications for capitalism at large. It is in this context that foreign agencies are shown to intervene for the reassessment and implementation of health care priorities in developing countires with the objective of defending capitalism against the delegitimizing effects of its own development, specifically the persistence of mass disease. Constrained by this objective, the interpretations they offer of the miserable state of health prevailing in developing countries and how it could be improved remains ideological: it ranges between "stage theory" and modern consumption-production Malthusiansim. Developing countries are entering into a new pattern of public health which derives from their unique location in the development of capitalism, more specifically in the new international division of labor. Their present position affects not only the pattern and magnitude of disease formation but also the effective alleviation of mass disease without an alteration in the mode of production itself. In the context of underdevelopment, increased productivity is at the necessary cost of public health. Public health improvement is basically incompatible with production-consumption Malthusianism from which the leading "Basic Needs" orientation in the assessment and implementation of health care priorities derives. Marx said that "countries of developing capitalism suffer not only from its development but also from its underdevelopment." (author's modified)