• Borders Start With Numbers : How Migration Data Create “Fake Illegals”

    “We estimate that between 2009 and 2021 most border crossers labeled as “irregular/illegal” (55.4%) were actually “likely refugees,” a proportion we estimate to be 75.5% at the peak of arrivals in 2015.”

    https://journals.sagepub.com/doi/10.1177/01979183231222169

    –-> un article et une manière de calcul qui défie la catégorisation proposée par #Frontex (“irregular/illegal border crossings” - #IBCs)

    #statistiques #chiffres #asile #migrations #catégorisation #calcul

  • The sense of meaninglessness in bureaucratized science

    Looking at scientists (in the life sciences), we focus on the sense of meaninglessness associated with bureaucratization. We define the sense of meaninglessness as a perception of meaning deficit or meaning conflict in particular situations that can be associated with frustration, irritation, and/or boredom. We show that it can be caused by identity disturbance – particularly the incongruence between the ideal self as a researcher and the imposed self as a bureaucrat. We claim that the sense of meaninglessness is more likely to emerge in those activities that are further from an individual’s core identity, and more identity work is needed to make them meaningful. We also claim that processes of rationalization imposed by external agendas, particularly transitions from substantive to formal rationality (predictability, control and calculability, efficiency) contribute to the proliferation of meaninglessness in academia. The sense of meaninglessness is, therefore, ignited by the external forces colonizing academic life and constitutes an instance of the ‘irrationality of rationality’. It is an outcome or side effect of the collision between two incompatible logics of practice: bureaucratic and scientific. To show the incongruence of those competing logics, we analyze the data derived from a mixed-method study conducted between 2013 and 2014 among beneficiaries of an international research grant project. As a supplementary source of reference, we use our research on academic boredom and laboratory scientists’ work and careers.

    https://journals.sagepub.com/doi/10.1177/03063127221117227

    #sens #ESR #recherche #université #conditions_de_travail #travail #bureaucratisation #néo-management #néolibéralisation #science #frustration #ennui #rationalisation #efficacité #calculabilité #académie #irrationalité #rationalité

  • The ‘Islamo-gauchiste threat’ as political nudge

    What is ‘islamo-gauchisme’? The word sparked heated debates in French academia and in public conversations in 2020–2021. This article endeavors to shed light on the origin of the notion, to look at its uses within and outside academia, and to reflect on the political ramifications of the controversy. Islamo-gauchisme is an unsubstantial notion which operates as political nudge in the public debate: it sounds sufficiently threatening and self-explanatory to be taken seriously. This study shows that the controversy on islamo-gauchisme has helped mainstream illiberal and right-wing policies, to make them plainly acceptable to the public.

    https://journals.sagepub.com/doi/10.1177/09571558231152992
    #islamo-gauchisme #france #académique #ESR #origine #enseignement_supérieur #recherche #contreverse #débat_public

  • Greece Using Other Migrants to Expel Asylum Seekers
    (un article qui date d’avril 2022)

    Stripped, Robbed, and Forced Back to Turkey; No Chance to Seek Asylum.

    Greek security forces are employing third country nationals, men who appear to be of Middle Eastern or South Asian origin, to push asylum seekers back at the Greece-Turkey land border, Human Rights Watch said in a report released today.

    The 29-page report “‘Their Faces Were Covered’: Greece’s Use of Migrants as Police Auxiliaries in Pushbacks,” found that Greek police are detaining asylum seekers at the Greece-Turkey land border at the Evros River, in many cases stripping them of most of their clothing and stealing their money, phones, and other possessions. They then turn the migrants over to masked men, who force them onto small boats, take them to the middle of the Evros River, and force them into the frigid water, making them wade to the riverbank on the Turkish side. None are apparently being properly registered in Greece or allowed to lodge asylum claims.

    “There can be no denying that the Greek government is responsible for the illegal pushbacks at its borders, and using proxies to carry out these illegal acts does not relieve it of any liability,” said Bill Frelick, refugee and migrant rights director at Human Rights Watch. “The European Commission should urgently open legal proceedings and hold the Greek government accountable for violating EU laws prohibiting collective expulsions.”

    Human Rights Watch interviewed 26 Afghan migrants and asylum seekers, 23 of whom were pushed back from Greece to Turkey across the Evros River between September 2021 and February 2022. The 23 men, 2 women, and a boy said they were detained by men they believed to be Greek authorities, usually for no more than 24 hours with little to no food or drinking water, and pushed back to Turkey. The men and boy provided firsthand victim or witness accounts of Greek police or men they believed to be Greek police beating or otherwise abusing them.
    Sixteen of those interviewed said the boats taking them back to Turkey were piloted by men who spoke Arabic or the South Asian languages common among migrants. They said most of these men wore black or commando-like uniforms and used balaclavas to cover their faces. Three people interviewed were able to talk with the men ferrying the boats. The boat pilots told them they were also migrants who were employed by the Greek police with promises of being provided with documents enabling them to travel onward.

    A 28-year-old former commander in the Afghan army who was pushed back to Turkey in late December, said he had a conversation in Pashto with the Pakistani man ferrying the boat that took him back to Turkey: “The boat driver said, ‘We are … here doing this work for three months and then they give us … a document. With this, we can move freely inside Greece and then we can get a ticket for … another country.’”

    An 18-year-old Afghan youth described his experience after the Greek police transported him from the detention center to the river: “At the border, there were other people waiting for us.… From their language, we could recognize they were Pakistanis and Arabs. These men took our money and beat us. They beat me with sticks. They dropped us in the middle of the river. The water was to my chest, and we waded the rest of the way [to Turkey].”

    Pushbacks violate multiple human rights norms, including the prohibition of collective expulsion under the European Convention on Human Rights, the right to due process in the International Covenant on Civil and Political Rights, the right to seek asylum under EU asylum law and the EU Charter of Fundamental Rights, and the principle of nonrefoulement under the 1951 Refugee Convention.

    The Greek government routinely denies involvement in pushbacks, labeling such claims “fake news” or “Turkish propaganda” and cracking down, including through the threat of criminal sanctions, against those reporting on such incidents. On March 29, Greece’s independent authority for transparency tasked by the government to investigate pushbacks “found no basis for reports that Greek authorities have illegally turned back asylum-seekers entering the country from Turkey.”

    Major General Dimitrios Mallios, chief of the Aliens & Border Protection Branch in Hellenic Police Headquarters, denied the Human Rights Watch allegations. He said that “police agencies and their staff will continue to operate in a continuous, professional, lawful and prompt way, taking all necessary measures to effectively manage the refugees/migration flows, in a manner that safeguards on the one hand the rights of the aliens and on the other hand the protection of citizens especially in the first line border regions.”

    Greece should immediately halt all pushbacks from Greek territory, and stop using third country nationals for collective expulsions, Human Rights Watch said. The European Commission, which provides financial support to the Greek government for migration control, should require Greece to end all summary returns and collective expulsions of asylum seekers to Turkey, press the authorities to establish an independent and effective border monitoring mechanism that would investigate allegations of violence at borders, and ensure that none of its funding contributes to violations of fundamental rights and EU laws. The European Commission should also open legal proceedings against Greece for violating EU laws prohibiting collective expulsions.

    Frontex, the European Border and Coast Guard Agency, which is under increased scrutiny for complicity in migrant pushbacks in Greece, should trigger article 46 of its regulation, under which the agency has a duty to suspend or terminate operations in case of serious abuses, if no concrete improvements are made by Greece to end these abuses within three months.

    On March 1, Greece’s migration minister, Notis Mitarachi, declared before the Hellenic Parliament that Ukrainians were the “real refugees,” implying that those on Greece’s border with Turkey are not.

    “At a time when Greece welcomes Ukrainians as ‘real refugees,’ it conducts cruel pushbacks on Afghans and others fleeing similar war and violence,” Frelick said. “The double standard makes a mockery of the purported shared European values of equality, rule of law, and human dignity.”

    https://www.hrw.org/news/2022/04/07/greece-using-other-migrants-expel-asylum-seekers

    #Grèce #asile #migrations #réfugiés #pushback_helpers #Evros #frontières

    • Pushback helpers: A new level of violence

      In October 2020, Salam*, together with 15 people from Syria and Afghanistan, crossed the Evros River from #Edirne, Turkey to Greece. They walked until the next morning through the forest on the Greek side of the border area. When they rested for a few hours, they were discovered by the Greek border police.

      “At 10 a.m., after two hours, I was very tired. When I slept, the ’commando’ [Greek border police] told us ’Wake-up! Wake-up!’ They had sticks. One of our group ran away and two ’commandos’ caught him and struck him again and again.”

      The Greek police officers threatened the group, beat them, and robbed them of all their belongings. After an hour all were brought to a prison. There the group was searched again and threatened with being killed if they hid any belongings. There were about 70 to 80 people in the prison none of the detainees was provided with water or food.

      “The prison was not a [real] prison. It was a waiting room. No Food, no water, no beds. There were only two toilets, which were not clean. We stayed there from 1 p.m. and waited until midnight.”

      At midnight, armed officers whom the respondent identified not as police but rather as a private army force, came to the prison. Using brutal violence, the people were forced to undress down to their underwear and all 70 to 80 were crammed into a van without windows. For an hour the group had to wait in the overloaded van until they were taken back to the river Evros.

      Back at the river, the group had to sit in a row, still stripped to their underwear and without shoes, and were not allowed to look up. The officers tortured people for at least one hour.

      „He [the ’commando’] told us: ’If you come back, another time to Greece, I will kill you! We will kill you!’ We were around 80 and there were two [officers] on each side of us. [They struck us] for one hour or two hours, I don’t remember about this.“

      They were then forced back onto a boat driven by two people who did not appear to be members of the Greek police:

      „Two people were talking in Arabic and Turkish languages. They were not from the ’commandos’ or the Greek police. They [drove] the boat across to the other side to Turkey. One took a rope from the trees on the Turkish side to the tree on the Greek side. He didn’t have to row, he could just pull the boat with the rope. […] When we got inside the boat, the ’commando’ struck us and when we were in the boat, this person struck us. Struck, struck, struck us. All the time they struck us. My eye was swollen, and my leg, and my hand all were bad from this. After we crossed the river, he went back to the ’commandos’.“

      Back on the Turkish side, Salam and others of the group were discovered by the Turkish police. The officers chased the group. Fortunately, Salam was able to escape.

      The Pushback Helper System

      Salam’s experience of a pushback by the Greek police assisted by migrants is not an isolated case. The exploitation of the so-called Pushback Helpers, migrants who are coerced to work for the Greek police at the Turkish-Greek border and illegally push back other migrants, has been known for a long time.

      Since 2020, the Border Violence Monitoring Network has been publishing testimonies from people on the move who have had similar experiences to Salam. In April 2022, Human Rights Watch published a report based on the experiences of 16 pushback survivors on the Evros River. They reported that the boats that brought them back to Turkey were steered by non-Greek men who spoke Arabic or South Asian languages common among migrants in this area. They all reported that Greek police were nearby when the men forced the migrants onto small boats. These non-Greek men were often described as wearing black or commando uniforms, as well as balaclavas to disguise their identities. An investigation by Der Spiegel published in June 2022 came to similar findings. The testimonies of six men who reported being forced to participate in pushbacks to Turkey were affirmed with the help of the reporter team.

      The numerous testimonies of pushback survivors and the published investigations on the topic reveal a very precise pattern. The system behind the so-called pushback helpers is as follows:

      When the Greek authorities arrest a group of people on the move who have just crossed the border into Greece from Turkey, they usually choose young men who speak English, but also Arabic or Turkish. They offer them money, reportedly around $200 per month, sometimes more, and a so-called “exit document” that allows them to stay in Greece or leave for another European country. In exchange, they have to help the Greek border police with illegal pushbacks for about three to six months. For many people on the move, the fear of another pushback to Turkey and the lack of prospects to get Asylum in Greece eventually leads them to cooperate with the Greek authorities. However, most have no choice but to accept, because if migrants refuse this offer, they are reportedly beaten up and deported back to Turkey. Also, not all people receive money for such “deals”, but are forced to work for the Greek border police without payment. There are reports that people cannot move freely because the Greek police is controlling them. Some people are detained by the Greek police almost all the time and were only released at night to carry out pushbacks.

      Their task is to push other migrants who have been caught by the Greek authorities and are detained in Greek security points or -centres back across the border. The pushback helpers drive the boats to cross the river Evros and bring the protection seekers back to Turkey. They are often forced to rob the helpless people and take their money, their mobile phones and their clothes or they get to keep the stolen things that the Greek authorities have taken beforehand. When the helpers are released after a few months, some get the promised papers and make their way to Europe. However, some migrants are reported to work for the Greek border police on a long-term basis. Gangs are formed to take care of the pushback of people on the move. They also serve as a deterrent for people who are still in Turkey and considering crossing the border.

      This is a cruel, but profitable business for the Greek border police. The Greek officers do not have to cross the river Evros themselves. Firstly, it is life-threatening to cross the wide river with a small boat, and secondly, they do not have to go near the Turkish border themselves, which would lead to conflicts with the Turkish military during the pushbacks. The two countries have been in a territorial conflict for a long time.

      Modern slavery of people on the move

      Forcing people seeking protection back over a border is not only inhumane but also illegal. Pushbacks violate numerous human rights norms, such as the prohibition of collective expulsion, the right to asylum, and the principle of non-refoulment. This practice has become a regular pattern of human rights violations against people on the move by the European border regime. Although it has been proven several times in Greece that pushbacks are regularly carried out by the Hellenic Coast Guard and the Greek Border Police, the Greek government categorically denies that pushbacks exist, calling such claims “fake news” or “Turkish propaganda”.

      The fact that people on the move themselves are forced to carry out pushbacks represents a new level of brutality in the Greek pushback campaign. Not only are migrants systematically denied human rights, but they are also forced to participate in these illegal practices. Those seeking protection are exploited by the Greek authorities to carry out illegal operations on other people seeking protection. The dimension of the deployment is unknown. What is clear is that the Greek authorities are using the fear of pushbacks to Turkey by people on the move and the repressive asylum system to force people seeking protection to do their dirty work. This practice is effectively modern slavery and the dreadful reality of migrants trying to seek safety in Europe.

      Since there are no safe and legal corridors into the EU and the asylum system in Greece is extremely restrictive, most people seeking protection have no choice but to try to cross the border between Turkey and Greece clandestinely. This lack of safe and legal corridors thus makes spaces for abuse of power and exploitation of people on the move possible in the first place. Those responsible for these human rights crimes must be held accountable immediately for these human rights crimes.

      *Name changed

      https://mare-liberum.org/en/pushback-helpers-a-new-level-of-violence

      #refoulement #push-backs #refoulements #exploitation

    • Engineered migration at the Greek–Turkish border: A spectacle of violence and humanitarian space

      In February 2020, Turkey announced that the country would no longer prevent refugees and migrants from crossing into the European Union. The announcement resulted in mass human mobility heading to the Turkish border city of Edirne. Relying on freshly collected data through interviews and field visits, this article argues that the 2020 events were part of a state-led execution of ‘engineered migration’ through a constellation of actors, technologies and practices. Turkey’s performative act of engineered migration created a spectacle in ways that differ from the spectacle’s usual materialization at the EU’s external borders. By breaking from its earlier role as a partner, the Turkish state engaged in a countermove fundamentally altering the dyadic process through which the spectacle routinely materializes at EU external borders around the hypervisibilization of migrant illegality. Reconceptualizing the spectacle through engineered migration, the article identifies two complementary acts by Turkish actors: the spectacularization of European (Greek) violence and the creation of a humanitarian space to showcase Turkey as the ‘benevolent’ actor. The article also discusses how the sort of hypervisibility achieved through the spectacle has displaced violence from its points of emergence and creation and becomes the routinized form of border security in Turkey.

      https://journals.sagepub.com/doi/10.1177/09670106231194911
      #spectacle #violence #engineered_migration #ingénierie_migratoire #technologie #performativité #matérialisation #visibilité #hyper-visibilisation #espace_humanitaire

  • Quand la réponse mondiale à la pandémie de COVID-19 se fait sans la promotion de la santé

    https://journals.sagepub.com/doi/10.1177/17579759211015131

    Plus d’un an après les premiers cas déclarés de COVID-19, le monde est toujours plongé dans le marasme de la #pandémie. De vagues en vagues, les mesures prises pour enrayer l’épidémie se répètent, incapables d’endiguer le phénomène dans la plupart des pays. Le monde peine contre le SARS-CoV-2, son pouls battant au rythme du nombre de cas, d’hospitalisations et de décès médiatisés. Cette publicisation continue et massive des chiffres de la COVID-19 ne constitue-t-elle pas un des problèmes clefs de la politique de crise ? À rendre sans relâche saillantes et visibles ces données épidémiologiques spécifiques, le risque est pris de rendre invisibles d’autres problèmes, troubles et maladies, au moins aussi graves ; un risque d’autant plus inquiétant que la crise se chronicise.

    Les politiques publiques ont mobilisé, sans toujours efficacité, les outils classiques de la réponse aux phénomènes épidémiques aigus : dépister, isoler et, désormais, vacciner. Mais la COVID-19 n’est pas qu’une épidémie, c’est une #syndémie (1). Elle est asymptomatique ou peu grave pour une très large majorité de la population et ne s’aggrave qu’à la rencontre d’autres facteurs de vulnérabilité, notamment la combinaison de l’âge, de la morbidité et des conditions sociales. Elle a des effets socialement stratifiés et certaines populations, du fait de leurs conditions de vie, d’emploi et de logement, sont particulièrement vulnérables (2). En cela, les mesures universelles n’ont quasiment jamais été adaptées aux singularités des différents contextes, qu’elles soient géographiques, culturelles, politiques, etc. (3). Dans la panique, une approche totale, universelle et centralisée a été choisie presque partout dans le monde. Fermeture des lieux de vie et d’enseignement, distanciation physique, confinement généralisé. Les déterminants du vivre ensemble ont été gelés sur une très longue période pour tenter de limiter la propagation du virus et éviter la saturation hospitalière en soins intensifs.

    Pour quels résultats ? La COVID-19 a fait près de 3,2 millions de morts, quasi-exclusivement âgés de plus de 65 ans et/ou déjà malades (4). Il est à ce jour difficile de savoir dans quelle mesure ce taux a pu être infléchi par les mesures décidées. Des études soulignent l’efficacité sous conditions de certaines mesures sur la propagation du virus (5), quand d’autres pointent qu’elles n’influent pas ou négativement sur le taux de mortalité en population (6). En revanche, des données sont aujourd’hui disponibles sur les conséquences de ces mesures sur la santé de la population : 100 millions de nouvelles personnes dans l’extrême pauvreté (7), doublement du taux de chômage dans les pays de l’OCDE (8), accroissement des troubles mentaux et de l’anxiété (9–12), défaut de soins pour les patients atteints de maladies chroniques et ralentissement des activités de prévention (vaccination, dépistage) (13). Pire encore est le bilan concernant les enfants : 142 millions sont plongés dans la pauvreté (14), 463 millions n’ayant pu accéder à l’enseignement à distance subiront des retards d’apprentissage (15) et des problèmes de santé subséquents (16), une aggravation des problèmes de santé mentale (17,18) avec probablement des conséquences sur la croissance et le développement des plus jeunes (19). On craint un effondrement de décennies de progrès en santé infantile, conséquence de politiques de vaccination et d’administration des soins prénataux considérablement perturbées (20, 21) et d’une malnutrition induite par les mesures (22). Enfin, les mesures de confinement ont surexposé les enfants à la violence intrafamiliale dans un contexte d’affaiblissement des services de protection de l’enfance (23,24). Ce constat saisissant par son ampleur, sa gravité et ses victimes, les plus jeunes et les plus vulnérables, interpelle au regard des principes de bienfaisance auxquels les interventions de santé publique devraient se référer (25). Comment a-t-on pu oublier que les déterminants sociaux de la santé sont dépendants les uns des autres, que la santé s’enracine dans le fait social et que par conséquent, sur le long terme, de telles mesures ne peuvent qu’être destructrices (26) ?

    La réponse pourrait être assez simple : la méthode utilisée. Rappelons un fait que les acteurs de la promotion de la santé connaissent parfaitement. La #santé procède d’un processus d’empowerment, c’est-à-dire de capacitation des individus et des groupes à agir sur les conditions sociales, économiques, politiques ou écologiques auxquelles ils sont confrontés. Dans le contexte de la COVID-19 (7), pour être en mesure d’agir, les personnes concernées doivent avoir la possibilité de participer, de s’approprier et d’ajuster la réponse. Or, dans de très nombreux pays, l’ensemble de la communication publique sur l’épidémie s’est déployé avec intensité sans engager de dialogue avec la société civile ou les professionnels en promotion de la santé. L’objectif principal a paru être celui de susciter l’adhésion aux mesures gouvernementales en centrant la communication sur la responsabilité individuelle des personnes, et en mobilisant les registres éculés de la peur et de la culpabilisation (27). Or, les sciences politiques l’ont montré depuis longtemps : ce que le gouvernant croit gagner en capacité de décision autonome par la centralisation et la monopolisation de la décision, il le perd en capacité de mise en œuvre (28). De surcroît, les limites de cette stratégie anxiogène sont connues depuis longtemps, notamment lorsqu’elle n’est pas partagée et que, par conséquent, les communautés ne peuvent jouer le rôle de modérateur, de ressource ou de soutien (29–32) : stratégies d’évitement ou de repli sur soi, anxiété et comportements défensifs, voire pathologiques liés au stress chronique induit. C’est au niveau mondial que s’observe cette combinaison délétère de « fatigue pandémique » (33), affaiblissant la population et par conséquent la lutte contre la COVID-19. Pour lutter contre ce phénomène, l’Organisation mondiale de la Santé (7) appelle pourtant à modifier la méthode autour de quatre principes :
    i) faciliter les réponses communautaires par l’amélioration de la qualité et de la cohérence des approches,
    ii) baser les actions sur la mobilisation des preuves, mais aussi sur les spécificités des contextes, les capacités, perceptions et comportements de la communauté ;
    iii) renforcer les capacités et les solutions locales en facilitant les aptitudes et compétences des collectifs, et l’évaluation participative des mesures,
    iv) privilégier la collaboration et la mobilisation des intérêts communs entre groupes, structures et territoires dans l’effort de réponse à la COVID-19.
    Ces quatre principes, bonnes pratiques de la promotion de la santé identifiées de longue date, renvoient directement à la nécessité de croiser les expertises, les disciplines et les secteurs. Et c’est la deuxième faiblesse de la méthode utilisée jusqu’ici.

    En privilégiant une approche biomédicale où il s’agit de supprimer ou contenir un virus plutôt que d’étudier sa rencontre avec une population faisant système (34), les professionnels de la prévention et promotion de la santé, les chercheurs en sciences humaines et sociales ainsi que les citoyens ont été exclus. Or, comment embarquer des centaines de millions d’individus dans une dynamique collective qui n’en concerne directement qu’une fraction, choisir la bonne communication sur le long terme, ajuster des mesures aux territoires, aux vulnérabilités, sans les acquis de ces spécialités. Voilà 50 ans que les guides en la matière s’égrènent de chartes en chartes, de conférences de consensus en conférences de consensus, pour rappeler que « l’action coordonnée de tous les intéressés » est nécessaire car « les programmes et les stratégies de promotion de la santé doivent être adaptés aux possibilités et aux besoins locaux des pays et des régions et prendre en compte les divers systèmes sociaux, culturels et économiques » (35). Des principes endossés par la plupart des nations aujourd’hui concernées ; des principes qui n’ont pas été appliqués, sans doute inconnus des gouvernants et experts mobilisés dans la gestion de cette crise.

    Dans l’approche comme dans la méthode, dans ses résultats comme dans ses impacts, la gestion de la pandémie de COVID-19 ne peut qu’interpeller les professionnels de la promotion de la santé. Pourquoi ne sont-ils pas entendus ? Certes, nous nous étions préparés pour un sprint et c’est un marathon que nous vivons. Certes, le virus est agile, sournois car silencieux et opportuniste, comme toujours. Certes, les hôpitaux sont essorés par des années de réformes néolibérales. Mais si la surprise, voire la sidération, pourraient excuser les choix initiaux des personnes au pouvoir, l’entêtement et/ou l’aveuglement quant à leurs conséquences ne sont pas permis. Continuer de sacrifier, au nom de l’universalité des mesures, de nombreux segments de la population alors que des mesures proportionnées à la vulnérabilité des territoires et des personnes pourraient être mises en place n’est pas et plus permis. Si la mission de plaidoyer est centrale à la promotion de la santé, elle n’a jamais été aussi importante qu’aujourd’hui où le monde trébuche sur le SARS-CoV-2, générant de multiples fractures sociales, territoriales, générationnelles et communautaires, et où l’expertise jusqu’ici mobilisée prend conscience de ses limites (36).

    #covid, #autonomie, #discernement

    Cité en note 1 de https://seenthis.net/messages/938248

  • L’accès aux soins fond, la médecine sombre et le système de santé se fragmente
    On ne mesure pas suffisamment les conséquences désastreuses de la commercialisation des soins de santé.
    https://www.lalibre.be/debats/opinions/2021/08/29/lacces-aux-soins-fond-la-medecine-sombre-et-le-systeme-de-sante-se-fragmente

    Si les priorités des journalistes et des chercheurs ne devaient se fonder que sur un critère, ce serait l’importance de la souffrance et de la mortalité que l’information recherchée permettrait d’éviter. Et si, avec ce critère à l’esprit, il est un sujet qui, à côté du climat, mérite toute notre attention, c’est bien la perte d’accès aux soins de santé de qualité professionnelle ici et ailleurs.
    https://www.lalibre.be/resizer/ryvmNHOMrPeLJt7rbEmv5_NbnBI=/768x512/filters:focal(558.5x353:568.5x343)/cloudfront-eu-central-1.images.arcpublishing.com/ipmgroup/OXX7OYPDDBHRBGJNITEQOJYSDE.jpg
    Pour s’en convaincre, il faut savoir que dans les années 80, en Allemagne de l’Est, 50 à 60% de l’amélioration de la mortalité était liée à des maladies vulnérables aux soins de santé https://www.demogr.mpg.de/publications/files/1257_1042711497_1_Avoid-Germ-Poland.pdf. . Et même si la mortalité évitable est aujourd’hui plus proche de 30% (1), il y a dans le monde près de 60 millions de décès et donc, au bas mot, 20 millions de morts évitables chaque année. Aucun autre facteur pris isolément n’a un tel impact sur notre vie et notre mort. Le manque d’accès aux soins tue quatre fois plus que le changement climatique (5 millions/an), (2) et tout indique que cette préséance risque de se prolonger.

    Les conséquences de la commercialisation
    D’autant qu’une lame de fond balaie les systèmes de santé et accroît la mortalité évitable : la commercialisation des soins, la privatisation des services de santé et surtout celle de la gestion des fonds de la sécurité sociale. Après les États-Unis et les pays en développement, la vague est aux portes de l’Europe. Déjà, la Suisse et la Hollande ont rendu obligatoire l’assurance santé contractée auprès d’un assureur privé. Et ailleurs, leur part dans les dépenses de santé ne cesse de croître - sans qu’aucune base scientifique solide n’étaie cette politique. Au contraire, on peut penser qu’après que les assurances aient été privatisées, l’accès aux soins se réduise ; les dépenses de santé flambent ; l’éthique professionnelle se détériore ; et la pratique de la médecine se déprofessionnalise. https://journals.sagepub.com/doi/10.1177/0020731419847113

    Les stratégies de privatisation des soins ont été rodées au Chili, en Colombie, en Suisse et aux Pays-Bas. Les Etats réduisent les dépenses de santé tant qu’ils gèrent la sécurité sociale, ce qui la rend inacceptable aux patients et aux praticiens. Puis, après la privatisation, le ciel est leur limite. La quantité d’argent qui peut ainsi changer de main est gigantesque, puisque les dépenses de santé frôlent les 18% de PIB aux États-Unis (où le marché des assurances de santé est mûr) contre une moyenne de 10% dans les pays de l’OCDE.

    Les conséquences pratiques et théoriques de la commercialisation des soins méritent qu’on s’y attarde :

    – Avec la réduction de l’accès aux soins, la mortalité évitable augmente, mais aussi les migrations internationales.

    – La coopération internationale a sa part de responsabilité dans cette situation, elle qui a supprimé la coopération médicale pour que dans les services publics des pays en développement, on ne délivre que des programmes de santé publique, à l’exclusion des soins médicaux individuels, qui sont laissés au secteur privé. Au passage, avec ces partenariats public-privé, la coopération a créé une gigantesque bureaucratie – 120 « Global Health Initiatives », une par maladie/problème de santé - qui s’étend de Washington, Genève ou Bruxelles au plus petit village africain – sans que les Objectifs du Millénaire, malgré leur ambition très limitée, aient été atteints en Afrique.

    – Les facultés de médecine ont longtemps transmis aux étudiants une culture professionnelle et elles cherchaient, sans toujours y parvenir, à personnaliser la formation du médecin. Mais le paradigme de la formation technique - le transfert de compétences - s’est substitué à l’éducation et a desséché la formation des médecins.

    – Les politiques de privatisation segmentent les systèmes de santé avec des services pour les riches et d’autres pour les pauvres, et elles entravent la coordination clinique.

    – L’incidence des intérêts privés en recherche médicale dans les universités publiques n’a cessé de se développer. C’est pour cela que le secteur privé ne souhaite pas la privatisation de ces universités : parce qu’elles travaillent déjà pour lui. La recherche médicale s’y est donc centrée sur la relation patient / maladie / environnement / technologie, en oubliant la pratique médicale.

    – La plupart des responsables identifient la gestion de la santé au management à finalité commerciale et industrielle, alors que la pratique éthique de la médecine et les services publics justifient une gestion à finalité sociale et professionnelle, pour autant que les services publics soient destinés à garantir le droit à la santé - l’accès de tous aux soins de qualité professionnelle, dans un système universel.

    Trois forces nécessaires
    Comment résister au rouleau compresseur des banques assurances ? Si les partis politiques sont sensibles aux sirènes du lobbying des banques assurances, trois forces pourraient s’allier pour imposer l’examen politique du fondement scientifique de la privatisation des assurances de santé.

    Ce sont d’abord les organisations généralistes de patients, telles que les mutuelles, et les associations de professionnels de la santé qui pourraient ensemble définir une politique de santé dont la portée symbolique permettrait de défier les partis. Cependant, il faudrait que leurs négociations recourent à des critères scientifiques pour s’assurer que les exigences et objectifs de chaque partie reflètent bien les intérêts des patients et des professionnels.

    Puis il y a les acteurs économiques qui n’investissent pas dans les assurances de santé, et surtout ceux qui investissent hors du secteur de la santé, qui devraient pouvoir être convaincus de ce qu’ils n’ont rien à gagner de la privatisation des assurances de santé puisque plusieurs points de PIB pourraient ainsi changer de main.

    En définitive, la réalisation du droit à la santé conditionne la justice sociale, mais aussi la santé économique de l’Europe. En outre, la politique de coopération internationale des États européens devraient refléter les principes humanistes qui continuent, mais pour combien de temps encore, à inspirer chez eux la mission de la sécurité sociale et des services de santé. Sans prise de conscience collective, la commercialisation des soins de santé continuera à avancer de manière larvée, puis de plus en plus rapidement – et la sécurité sociale si chèrement acquise en Europe disparaîtra, tout comme la pratique éthique de la médecine et l’autonomie professionnelle des médecins.

    (1) Nolte E, McKee M. “Variations in amenable mortality trends in 16 high-income nations.” Health Policy 2011 ;103(1):47-52.
    (2) Qi Zhao, Yuming Guo, Tingting Ye, et al. Global, regional, and national burden of mortality associated with non-optimal ambient temperatures from 2000 to 2019 : a three-stage modelling study. Lancet Planet Health 2021 ; 5 : e415–25

    Une carte blanche de Jean-Pierre Unger, Prof. Em. Institut de Médecine Tropicale d’Anvers, Département de Santé Publique, Visiting Professor, Health and Society Institute, University of Newcastle. (https://jeanpierreunger.be)

    #santé #soins #médecine #médecins #mortalité #commercialisation des soins #privatisation #assurance #sécurité_sociale #assurance_santé #public-privé #bureaucratie #technologie #management #banques_assurances

    • L’incidence des intérêts privés en recherche médicale dans les universités publiques n’a cessé de se développer. C’est pour cela que le secteur privé ne souhaite pas la privatisation de ces universités : parce qu’elles travaillent déjà pour lui.

  • Jan Švelch sur Twitter :

    My article about in-game crediting practices is out now in Games and Culture. I have analyzed 100 games published between 2016-20 from 4 sectors of video game production: AAA, AA, indie, freemium games as service. 3 main findings below […]

    https://twitter.com/snewgoblin/status/1421089782910828545

    Developer Credit: Para-Industrial Hierarchies of In-Game Credit Attribution in the Video Game Industry

    Developer credit has been a contested issue in the video game industry since the 1970–80s, when Atari prevented its programmers from publicly claiming authorship for games they had developed. The negotiations over what constitutes a noteworthy contribution to video game development are ongoing and play out in the unregulated space of in-game credits. Here, some creators get top billing akin to film and television credits, while others struggle to be recognized for their work. By analyzing in-game credits of 100 contemporary games published between 2016 and 2020 and representing four major sectors of video game production (AAA, AA, indie, and freemium games as service), I identify recurrent patterns, such as opening credits, order, role descriptions (or lack thereof), and systematic credit omission, that both reinforce and subvert the notion of core development roles and above-the-line/below-the-line divisions.

    https://journals.sagepub.com/doi/10.1177/15554120211034408

    #jeu_vidéo #jeux_vidéo #crédits #générique #attribution #développement #compilation #analyse

  • Truck-Driving Jobs: Are They Headed for Rapid Elimination? - Maury Gittleman, Kristen Monaco, 2020
    https://journals.sagepub.com/doi/10.1177/0019793919858079

    The authors analyze the potential effects of automation on the jobs of truck drivers and conclude that media accounts predicting the imminent loss of millions of truck-driving jobs are overstated. Their conclusion is based on three main factors. First, the count of truck drivers is often inflated due to a misunderstanding of the occupational classification system used in federal statistics. Second, truck drivers do more than drive, and these non-driving tasks will continue to be in demand. Third, the requirements of technology, combined with complex regulations over how trucks can operate in the United States, imply that certain segments of trucking will be easier to automate than others. Long-haul trucking (which constitutes a minority of jobs) will be much easier to automate than will short-haul trucking (or the last mile), in which the bulk of employment lies. Although technology will likely transform the status quo in the trucking industry, it does not necessarily imply the wholesale elimination of the demand for truck drivers, as conventional accounts suggest.

    #Travail #Véhicules_autonomes #Camions #Camionneurs #Hype #Intelligence_articficielle

  • Interpretation as luxury : Heart patients living with data doubt, hope, and anxiety - Stine Lomborg, Henriette Langstrup, Tariq Osman Andersen, 2020
    https://journals.sagepub.com/doi/10.1177/2053951720924436

    Personal health technologies such as apps and wearables that generate health and behavior data close to the individual patient are envisioned to enable personalized healthcare - and self-care. And yet, they are consumer devices. Proponents of these devices presuppose that measuring will be helpful, and that data will be meaningful. However, a growing body of research suggests that self-tracking data does not necessarily make sense to users. Drawing together data studies and digital health (...)

    #Fitbit #algorithme #bracelet #wearable #métadonnées #BigData #QuantifiedSelf #santé (...)

    ##santé ##émotions
    /pb-assets/Images/SJ_Twitter_Card-1557144152440.jpg

  • Mesurer les discriminations par origine en France grâce aux noms de famille
    https://medium.com/@mazieres/mesurer-les-discriminations-par-origine-en-france-gr%C3%A2ce-aux-noms-de-fam


    Plus une origine a un ratio supérieur à 1 (la référence), plus elle est “sur-représentée”, c’est à dire qu’elle est plus présente dans le groupe que dans la population globale. Et inversement, plus il est inférieur à 1, plus elle est “sous-représentée”.

    Origines et noms de famille
    Imaginez vous un instant dans un petit village français, en plein moyen-âge. Il y a 5 personnes qui s’appelle Antoine dans le coin et, pour une raison quelconque, vous devez les distinguer les uns des autres, par exemple :
    - « Salut ! Je crois que j’ai vu Antoine voler ton scooter hier ? »
    – « Quoi !? Quel Antoine ? »
    – « Celui avec la maison toute pourrie. »

    Voilà ! C’est une origine possible — quoique apocryphe — de mon nom de famille : Mazières. Une des nombreuses versions, en latin vulgaire, du mot Masure, qui signifie vaguement maison toute pourrie. Il en va de même pour de nombreux noms de famille, qui font référence à des lieux (Dupont, celui près du pont), des traits physiques (Petit, le petit, Morel, celui à la peau mat), des occupations (Fournier, le boulanger, Ferrand, le maréchal-ferrant), des surnoms (Martin, le guerrier fertile, Bernard, l’ours fort), etc.

    tout le billet est passionnant…

  • Manipulate to empower : Hyper-relevance and the contradictions of marketing in the age of surveillance capitalism - Aron Darmody, Detlev Zwick, 2020
    https://journals.sagepub.com/doi/10.1177/2053951720904112

    Abstract In this article, we explore how digital marketers think about marketing in the age of Big Data surveillance, automatic computational analyses, and algorithmic shaping of choice contexts. Our starting point is a contradiction at the heart of digital marketing namely that digital marketing brings about unprecedented levels of consumer empowerment and autonomy and total control over and manipulation of consumer decision-making. We argue that this contradiction of digital marketing is (...)

    #algorithme #manipulation #technologisme #BigData #consommation #marketing

    /pb-assets/Images/SJ_Twitter_Card-1557144152440.jpg

  • The trainer, the verifier, the imitator : Three ways in which human platform workers support artificial intelligence - Paola Tubaro, Antonio A Casilli, Marion Coville, 2020
    https://journals.sagepub.com/doi/10.1177/2053951720919776

    This paper sheds light on the role of digital platform labour in the development of today’s artificial intelligence, predicated on data-intensive machine learning algorithms. Focus is on the specific ways in which outsourcing of data tasks to myriad ‘micro-workers’, recruited and managed through specialized platforms, powers virtual assistants, self-driving vehicles and connected objects. Using qualitative data from multiple sources, we show that micro-work performs a variety of functions, (...)

    #travail #GigEconomy #BigData #reconnaissance #prédiction #AmazonMechanicalTurk #Amazon #modération #technologisme (...)

    ##algorithme
    /pb-assets/Images/SJ_Twitter_Card-1557144152440.jpg

  • Fires in the Void : The Need for Migrant Solidarity

    For most, Barcelona’s immigrant detention center is a difficult place to find. Tucked away in the Zona Franca logistics and industrial area, just beyond the Montjuïc Cemetery, it is shrouded in an alien stillness. It may be the quietest place in the city on a Saturday afternoon, but it is not a contemplative quiet. It is a no-one-can-hear-you-scream quiet.

    The area is often described as a perfect example of what anthropologist Marc Augé calls a non-place: neither relational nor historical, nor concerned with identity. Yet this opaque institution is situated in the economic motor of the city, next to the port, the airport, the public transportation company, the wholesale market that provides most of the city’s produce and the printing plant for Spain’s most widely read newspaper. The detention center is a void in the heart of a sovereign body.

    Alik Manukyan died in this void. On the morning of December 3, 2013, officers found the 32-year-old Armenian dead in his isolation cell, hanged using his own shoelaces. Police claimed that Manukyan was a “violent” and “conflictive” person who caused trouble with his cellmates. This account of his alleged suicide was contradicted, however, by three detainees. They claimed Alik had had a confrontation with some officers, who then entered the cell, assaulted him and forced him into isolation. They heard Alik scream and wail all through the night. Two of these witnesses were deported before the case made it to court. An “undetectable technical error” prevented the judge from viewing any surveillance footage.

    The void extends beyond the detention center. In 2013, nearly a decade after moving to Spain, a young Senegalese man named #Alpha_Pam died of tuberculosis. When he went to a hospital for treatment, Pam was denied medical attention because his papers were not in order. His case was a clear example of the apartheid logic underlying a 2012 decree by Mariano Rajoy’s right-wing government, which excluded undocumented people from Spain’s once-universal public health care system. As a result, the country’s hospitals went from being places of universal care to spaces of systematic neglect. The science of healing, warped by nationalist politics.

    Not that science had not played a role in perpetuating the void before. In 2007, during the Socialist government of José Luis Rodríguez Zapatero, #Osamuyi_Aikpitanyi died during a deportation flight after being gagged and restrained by police escorts. The medical experts who investigated Aikpitanyi’s death concluded that the Nigerian man had died due to a series of factors they called “a vicious spiral”. There was an increase in catecholamine, a neurotransmitter related to stress, fear, panic and flight instincts. This was compounded by a lack of oxygen due to the flight altitude and, possibly, the gag. Ultimately, these experts could not determine what percentage of the death had been directly caused by the gag, and the police were fined 600 euros for the non-criminal offense of “light negligence”.

    The Romans had a term for lives like these, lives that vanish in the void. That term was #homo_sacer, the “sacred man”, who one could kill without being found guilty of murder. An obscure figure from archaic law revived by the philosopher #Giorgio_Agamben, it was used to incorporate human life, stripped of personhood, into the juridical order. Around this figure, a state of exception was produced, in which power could be exercised in its crudest form, opaque and unaccountable. For Agamben, this is the unspoken ground upon which modern sovereignty stands. Perhaps the best example of it is the mass grave that the Mediterranean has become.

    Organized Hypocrisy

    Its name suggests that the Mediterranean was once the world’s center. Today it is its deadliest divide. According to the International Organization for Migration, over 9,000 people died trying to cross the sea between January 1, 2014 and July 5, 2018. A conservative estimate, perhaps. The UN Refugee Agency estimates that the number of people found dead or missing during this period is closer to 17,000.

    Concern for the situation peaks when spectacular images make the horror unavoidable. A crisis mentality takes over, and politicians make sweeping gestures with a solemn sense of urgency. One such gesture was made after nearly 400 people died en route to Lampedusa in October 2013. The Italian government responded by launching Operation #Mare_Nostrum, a search-and-rescue program led by the country’s navy and coast guard. It cost €11 million per month, deploying 34 warships and about 900 sailors per working day. Over 150,000 people were rescued by the operation in one year.

    Despite its cost, Mare Nostrum was initially supported by much of the Italian public. It was less popular, however, with other European member states, who accused the mission of encouraging “illegal” migration by making it less deadly. Within a year, Europe’s refusal to share the responsibility had produced a substantial degree of discontent in Italy. In October 2014, Mare Nostrum was scrapped and replaced by #Triton, an operation led by the European border agency #Frontex.

    With a third of Mare Nostrum’s budget, Triton was oriented not towards protecting lives but towards surveillance and border control. As a result, the deadliest incidents in the region’s history occurred less than half a year into the operation. Between April 13 and April 19, 2015, over one thousand people drowned in the waters abandoned by European search and rescue efforts. Once again, the images produced a public outcry. Once again, European leaders shed crocodile tears for the dead.

    Instead of strengthening search and rescue efforts, the EU increased Frontex’s budget and complemented Triton with #Operation_Sophia, a military effort to disrupt the networks of so-called “smugglers”. #Eugenio_Cusumano, an assistant professor of international relations at the University of Leiden, has written extensively on the consequences of this approach, which he describes as “organized hypocrisy”. In an article for the Cambridge Review of International Affairs (https://journals.sagepub.com/doi/10.1177/0010836718780175), Cusumano shows how the shortage of search and rescue assets caused by the termination of Mare Nostrum led non-governmental organizations to become the main source of these activities off the Libyan shore. Between 2014 and 2017, NGOs aided over 100,000 people.

    Their efforts have been admirable. Yet the precariousness of their resources and their dependence on private donors mean that NGOs have neither the power nor the capacity to provide aid on the scale required to prevent thousands of deaths at the border. To make matters worse, for the last several months governments have been targeting NGOs and individual activists as smugglers or human traffickers, criminalizing their solidarity. It is hardly surprising, then, that the border has become even deadlier in recent years. According to the UN Refugee Agency, although the number of attempted crossings has fallen over 80 percent from its peak in 2015, the percentage of people who have died or vanished has quadrupled.

    It is not my intention, with the litany of deaths described here, to simply name some of the people killed by Europe’s border regime. What I hope to have done instead is show the scale of the void at its heart and give a sense of its ruthlessness and verticality. There is a tendency to refer to this void as a gap, as a space beyond the reach of European institutions, the European gaze or European epistemologies. If this were true, the void could be filled by simply extending Europe’s reach, by producing new concepts, mapping new terrains, building new institutions.

    But, in fact, Europe has been treating the void as a site of production all along. As political theorist #Sandro_Mezzadra writes, the border is the method through which the sovereign machine of governmentality was built. Its construction must be sabotaged, subverted and disrupted at every level.

    A Crisis of Solidarity

    When the ultranationalist Italian interior minister Matteo Salvini refused to allow the MV #Aquarius to dock in June 2018, he was applauded by an alarmingly large number of Italians. Many blamed his racism and that of the Italians for putting over 600 lives at risk, including those of 123 unaccompanied minors, eleven young children and seven pregnant women.

    Certainly, the willingness to make a political point by sacrificing hundreds of migrant lives confirms that racism. But another part of what made Salvini’s gesture so horrifying was that, presumably, many of those who had once celebrated increasing search and rescue efforts now supported the opposite. Meanwhile, many of the same European politicians who had refused to share Italy’s responsibilities five years earlier were now expressing moral outrage over Salvini’s lack of solidarity.

    Once again, the crisis mode of European border politics was activated. Once again, European politicians and media talked about a “migrant crisis”, about “flows” of people causing unprecedented “pressure” on the southern border. But attempted crossings were at their lowest level in years, a fact that led many migration scholars to claim this was not a “migrant crisis”, but a crisis of solidarity. In this sense, Italy’s shift reflects the nature of the problem. By leaving it up to individual member states, the EU has made responding to the deaths at the border a matter of national conviction. When international solidarity is absent, national self-interest takes over.

    Fortunately, Spain’s freshly sworn-in Socialist Party government granted the Aquarius permission to dock in the Port of #Valencia. This happened only after Mayor Ada Colau of Barcelona, a self-declared “City of Refuge”, pressured Spanish President Pedro Sánchez by publicly offering to receive the ship at the Port of Barcelona. Party politics being as they are, Sánchez authorized a port where his party’s relationship with the governing left-wing platform was less conflictive than in Barcelona.

    The media celebrated Sánchez’s authorization as an example of moral virtue. Yet it would not have happened if solidarity with refugees had not been considered politically profitable by institutional actors. In Spain’s highly fractured political arena, younger left-wing parties and the Catalan independence movement are constantly pressuring a weakened Socialist Party to prove their progressive credentials. Meanwhile, tireless mobilization by social movements has made welcoming refugees a matter of common sense and basic human decency.

    The best known example of this mobilization was the massive protest that took place in February 2017, when 150,000 people took to the streets of Barcelona to demand that Mariano Rajoy’s government take in more refugees and migrants. It is likely because of actions like these that, according to the June 2018 Eurobarometer, over 80 percent of people in Spain believe the country should help those fleeing disaster.

    Yet even where the situation might be more favorable to bottom-up pressure, those in power will not only limit the degree to which demands are met, but actively distort those demands. The February 2017 protest is a good example. Though it also called for the abolition of detention centers, racial profiling and Spain’s racist immigration law, the march is best remembered for the single demand of welcoming refugees.

    The adoption of this demand by the Socialist Party was predictably cynical. After authorizing the Aquarius, President Sánchez used his momentarily boosted credibility to present, alongside Emmanuel Macron, a “progressive” European alternative to Salvini’s closed border. It involved creating detention centers all over the continent, with the excuse of determining people’s documentation status. Gears turn in the sovereign machine of governmentality. The void expands.

    Today the border is a sprawling, parasitic entity linking governments, private companies and supranational institutions. It is not enough for NGOs to rescue refugees, when their efforts can be turned into spot-mopping for the state. It is not enough for social movements to pressure national governments to change their policies, when individual demands can be distorted to mean anything. It is not enough for cities to declare themselves places of refuge, when they can be compelled to enforce racist laws. It is not enough for political parties to take power, when they can be conditioned by private interests, the media and public opinion polls.

    To overcome these limitations, we must understand borders as highly vertical transnational constructions. Dismantling those constructions will require organization, confrontation, direct action, sabotage and, above all, that borderless praxis of mutual aid and solidarity known as internationalism. If we truly hope to abolish the border, we must start fires in the void.

    https://roarmag.org/magazine/migrant-solidarity-fires-in-the-void
    #solidarité #frontières #migrations #réfugiés #asile #détention_administrative #rétention #Barcelone #non-lieu #Espagne #mourir_en_détention_administrative #mort #décès #mourir_en_rétention #Alik_Manukyan #renvois #expulsions #vie_nue #Méditerranée #hypocrisie #hypocrisie_organisée #ONG #sauvetage #sabotage #nationalisme #crise #villes-refuge #Valence #internationalisme #ouverture_des_frontières #action_directe

    signalé par @isskein