This submission argues that one of the essential elements to “profoundly transform economies to make them greener, fairer and more inclusive” is to review the current macroeconomic system, which itself is a continuation of the historical and ongoing consequence of colonialism: its impact on people and to embark on a radical global system change - one which places people and the planet before profits.
Around the world, health systems and health financing have been eroded, undermined and weakened by decades of neoliberalism, austerity, privatisation and structural adjustment programs and an emphasis on minimising State intervention and relying on a discourse of “personal responsibility.
The rising inequalities, made even starker due to the COVID-19 Pandemic, are a symptom of the failed economic system that prioritises profit over people and impoverishes people. It is very important to look at the impact of the erosion of public systems through privatisation and financialisation and resulting human rights violations and abuses. In particular, to delve deeper into why public health systems were woefully inadequate to deal with the Pandemic.
The submission highlights the importance of an intersectional analysis that recognizes the ableist, sexist and patriarchal systems,structures and institutions that define productivity and dependency. Changes to these systems, structures and institutions will contribute to the realization of bodily autonomy, where persons with disabilities, and especially women with disabilities,have the ability to make and exercise choices not limited by oppression,discrimination, stigma, coercion, violence, lack of opportunities or possible consequences.
This submission first suggests that the Committee should develop an intersectional analysis that recognizes the ableist, sexist and patriarchal systems, structures and institutions that define productivity and dependency. Secondly, it highlights how the full enjoyment of sexual and reproductive rights, broadly understood, redistributes resources, legitimacy, and power, therefore conditioning access to and keeping work. In reciprocity, access to work mediates the exercise of sexual and reproductive rights. The submission concludes by suggesting recommendations for structural changes to accessing work, health, education, and social protection systems.