In 21st century capitalism, financial markets reign supreme. The elevation of investing, trading, and speculating as a way of making profit has shifted economic power towards institutional investors and enhanced the power of financial capital. Financialisation has introduced uncertainty in the commitment to public provision of goods and services. The behaviours of corporations focus more on profit for shareholders and senior executives to the detriment of wages, worker protections, livelihoods, and impact on prices and the environment. The practices of this financial system pose major challenges to public health and planetary health equity through the influence on social inequality, climate change, and health outcomes. The aim of this Viewpoint is to expand the understanding of the commercial determinants of health to explicitly include the financial system and present key plausible pathways via which the financialisation of advanced economies influences public health and planetary health equity. The global public health community must pay close attention to these key commercial determinants of health. It is now crucial to reduce the power of financial actors and hold financial actors accountable. Civil society groups can highlight their practices, articulate alternative visions, and hold financial actors and governments to account. Interdisciplinary research must provide a diagnosis of the financial and public health issues, and, importantly, illuminate effective pathways forward. Financial and commercial worlds must return to stakeholder primacy rather than that of the shareholder.

中文翻译：

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金融化：21 世纪健康公平的商业决定因素


在 21 世纪的资本主义中，金融市场占据主导地位。投资、交易和投机作为一种盈利方式的提升，使经济力量转向机构投资者，并增强了金融资本的力量。金融化给公共提供商品和服务的承诺带来了不确定性。公司的行为更多地关注股东和高级管理人员的利润，而损害了工资、工人保护、生计以及对价格和环境的影响。这种金融体系的做法通过对社会不平等、气候变化和健康结果的影响，对公共卫生和地球健康公平构成重大挑战。本观点的目的是扩大对健康商业决定因素的理解，以明确包括金融体系，并提出发达经济体金融化影响公共卫生和地球健康公平的关键合理途径。全球公共卫生界必须密切关注这些影响健康的关键商业决定因素。现在至关重要的是减少金融行为者的权力并追究金融行为者的责任。公民社会团体可以强调他们的做法，阐明不同的愿景，并追究金融行为者和政府的责任。跨学科研究必须提供对金融和公共卫生问题的诊断，重要的是，阐明有效的前进道路。金融和商业世界必须回归利益相关者的首要地位，而不是股东的首要地位。