Health reform in the 21st century: knowledge dispute and planned ignorance in the era of digital acceleration and collapse of bioethics
DOI:
https://doi.org/10.17533/udea.rfnsp.e355017Keywords:
university education in health, hyperneoliberalism, strategic ignorance, epistemic justice, neoextractivism, digital thinking, artificial intelligence, health reformAbstract
The greatest paradox of human society in the 21st century is the dizzying acceleration of unbridled neo-extractivism, and the collapse of the principles and values that make healthy living possible. This is aggravated in current times, paradoxically, when humanity reaches the highest thresholds of knowledge and technology. The exponential and parallel growth of the private accumulation of wealth, along with the reproduction of profound inequality, is now taking place even in unprecedented spaces and dimensions of hyper-neoliberal accumulation, within a civilization guided by greed. The consequences in the field of planetary health are devastating. In this era, human knowledge and accelerated digital thinking—misnamed “artificial intelligence”—instead of strongly promoting the emancipatory uses of technologies, are generating increasingly dangerous productive systems, distorting the potential of science and distancing universities from a fight for so-called “epistemic justice”, in the complex task of overcoming biased scientific knowledge that feeds strategic ignorance and blocks academic reform.
Downloads
References
Proctor R, Schiebinger L, editores. Agnotology. The making and unmaking of ignorance. Stanford, ca: Stanford University Press; 2008.
Breilh J, Tilleria Y. Aceleración global y despojo en Ecuador. El retroceso del derecho a la salud en la era neoliberal. Quito: Universidad Andina Simón Bolívar, Abya Yala; 2009.
Breilh J. sars-CoV2: rompiendo el cerco de la ciencia del poder. En Amadeo P, Conde L, editores. Posnormales. Ciudad de la Plata: aspo Argentina; 2020. pp. 31-90.
Breilh J. Critical epidemiology and the people’s health. New York: Oxford University Press; 2021.
Echeverría B. Siete aproximaciones a Walter Benjamin. Bogotá: Ediciones Desde abajo; 2015.
Pignati W, Corrêa M, Leão L, et al. editores. Desastres socio-sanitarios-ambientais do agronegocio e resistencias agroecológicas no Brasil. São Paulo: Outras Expressoes; 2021.
Lombardi L. Geografía do uso agrotóxicos no Brasil e conexoes com a Uniao Europeia. São Paulo: felch-usp; 2017.
Fraser N. Capitalismo caníbal. Qué hacer con este sistema que devora la democracia y el planeta, y hasta pone en peligro su propia existencia. Buenos Aires: Siglo Veintiuno Editores; 2023.
Guillen H. La deshomogenización del discurso neoliberal: del ordoliberalismo alemán al ultraliberalismo austro-estadounidense. Economía unam. 2020:16(47):140-186.
Breilh J. Epidemiología crítica y la salud de los pueblos. Quito-México-Buenos Aires: Universidad Andina Simón Bolívar; unam; clacso; 2023.
Hobbes T. Leviathan, or the matter, forme and power of a common-wealth ecclesiastical and civil. London. 1651
Hobbes T. Leviatan. Madrid: sarpe; 1984.
Breilh J. Epidemiología del siglo xxi y ciberespacio: repensar la teoría del poder y la determinación social de la salud. Rev. Bras. Epidemiol. 2015;18(4):972-82. doi: https://doi.org/10.1590/1980-5497201500040025
Tapia L. La sustitución del pueblo. La Paz: Editorial Autodeterminación; 2014.
Human Rights Institute. Evolving lanscapes of human rights: Celebrating 20 years of interdisciplinarity and innovation. Bradley: University of Connecticut, march 29-31; 2023.
Breilh J. Epidemiología. Economía política y salud. Bases estructurales de la determinación social de la salud (7.a ed.). Quito, Ecuador: Universidad Andina-Corporación Editora Nacional; 2010.
Breilh J. Nuevos conceptos y técnicas de investigación (3.a ed.). Quito: Ediciones ceas; 1997.
Breilh J. Epidemiología crítica: ciencia emancipadora e interculturalidad. Buenos Aires: Lugar Editorial; 2003.
Foucault M. Las palabras y las cosas. Una arqueología de las ciencias humanas (17.a ed.). México: Siglo XXI; 1986.
Foucault M. El nacimiento de la clínica: una arqueología de la mirada médica (22.a ed.). México: Siglo XXI Editores; 2006.
Foucault, Michel. Historia de la locura en la época clásica. Vol. 1. Bogotá: Fondo de Cultura Económica; 2000.
Levins R, Lewontin R. The dialectical biologist. Cambridge: Harvard University Press; 1985.
Breilh J. The social determination of health and the transformation of rights and ethics. Glob Public Health. 2023;18(1):2193830. doi: https://doi.org/10.1080/17441692.2023.2193830
García Canclini N. Gramsci e as culturas populares na America Latina. En: Coutinho C, Nogueira R, editores. Gramsci e a America Latina. Sao Pualo: Paz e Terra; 1993; pp. 61-83.
Vidal S. Ética y negociaciones para el acceso a vacunas: excepcionalismos metodológicos y éticos. Revista Colomb. Bioét. 2022;17(1):1-19. doi: https://doi.org/10.18270/rcb.v17i1.3935
Bohoslavsky JP, editor. Ciencias y pandemia. Una epistemología para los derechos humanos. Buenos Aires: Editorial de la Universidad Nacional de La Plata; 2022.
Subramanian S, Kumar A. Increases in covid-19 are unrelated to levels of vaccination across 68 countries and 2947 counties in the United States. Eur J Epidemiol. 2021;36:1237-40. doi: https://doi.org/10.1007/s10654-021-00808-7
Harding S. Is science multicultural? Postcolonialisms, feminisms, and epistemologies. Race, gender, and science. Bloomington, Ind: Indiana University Press; 1998.
Klein N. The shock doctrine. Toronto: Random House; 2007.
Michaels D. Doubt is their product: How industry’s assault on science threatens your health. Oxford, New York: Oxford University Press; 2008.
Breilh J. Lógica de lucro, debilidad jurídica y ciencia comprada. Centro Brasileiro de Estudos de Saúde. 2012. Disponible en: http://cebes.org.br/2013/12/logica-de-lucro-debilidad-juridica-y-ciencia-comprada/
Jones R, James W. The biomedical bubble. Why uk research and innovation needs a greater diversity of priorities, politics, places and people. Cambridge, uk: nesta; 2018.
Dussel E. Conferencia al Encuentro Internacional “La Universidad que Pensamos”: a 100 años de Córdoba. Quito: Universidad Andina Simón Bolívar, Sede Ecuador; 2018.
Crawford K. Atlas de inteligencia artificial: poder, política y costos planetarios. Buenos Aires: Fondo de Cultura Económica; 2022.
Ullman H. Life in code. A personal history of technology. New York: mcd; 2017.
Nicolelis M. El verdadero creador de todo. Cómo el cerebro humano da forma a nuestro universo. Madrid: Ediciones Paidós; 2022.
Nicolelis M. 2023. Inteligência artificial: tudo o que você precisa saber - Miguel Nicolelis. Entrevistado por Breno Altman. Opera Mundi [Video]. Disponible en: https://www.youtube.com/watch?v=NmTHQey09TY
Franco S. Un resumen ejecutivo del informe final de la Comisión de la Verdad. Bogotá: Ochoa Impresores; 2023.
Otálvaro G, Guerrero J, editores. El derecho fundamental a la salud y la seguridad social a 30 años de la Constitución Política de 1991: retos y aprendizajes. Medellín: Fondo Editorial fcsh, Universidad de Antioquia; 2022.
Breilh J. The social determination of health and the transformation of rights and ethics. A meta-critical methodology for responsible and reparative science. Glob. Public Health. 2023;18(1):2193830. doi: https://doi.org/10.1080/17441692.2023.2193830
Breilh J. La determinación social de la salud y la transformación del derecho y la ética. Metodología meta-crítica para una ciencia responsable y reparadora. Rev. Redbioética/Unesco. 2022;11(25):39-59.
Sackett D. The sins of expertness and a proposal for redemption. bmj. 2000;320(7244):1283.
Echeverría B. La izquierda: reforma y revolución. Utopías. 1990;(6):10-14.
Horton R. Offline: Health’s intercultural turn. The Lancet, 2023;401(10370):12.
Published
How to Cite
License
Copyright (c) 2023 Universidad de Antioquia
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The contents of the articles are the responsibility of the authors
The editorial committee has editorial independence from the National School of Public Health "Héctor Abad Gómez" of the University of Antioquia.
The editorial committee is not responsible for aspects related to copying, plagiarism or fraud that may appear in the articles published in it.
When you are going to reproduce and disclose photographs or personal data in printed or digital format, informed consent is required. Therefore, this requirement is required of the author at the time of receipt of the manuscript.
Authors are responsible for obtaining the necessary permissions to reproduce any material protected by reproduction rights.
The authors preserve the moral rights and assign the economic rights that will correspond to the University of Antioquia, to publish it, distribute electronic copies, include them in indexing services, directories or national and international databases in Open Access, under the Creative Commons Attribution license -Not Commercial-Share Equal 4.0 International Commercial (CC BY-NC-SA) which allows others to distribute, remix, retouch, and create from the work in a non-commercial way, as long as the respective credit and license are granted. new creations under the same conditions.
The authors will sign the declaration of transfer of economic rights to the University of Antioquia, after the acceptance of the manuscript.
The editorial committee reserves the right to reject the articles whose authors do not offer satisfactory explanations about the contribution of each author, to meet the criteria of authorship in the submission letter. All authors must meet the four criteria of authorship according to ICMJE: "a) .- That there is a substantial contribution to the conception or design of the article or to the acquisition, analysis or interpretation of the data. b) That they have participated in the design of the research work or in the critical review of its intellectual content. c) .- That has been intervened in the approval of the final version that will be published.d). That they have the capacity to respond to all aspects of the article in order to ensure that issues related to the accuracy or integrity of any part of the work are adequately investigated and resolved. "
-- 
--
