Özet:

Abstract The objective of the study presented here is the critical analysis of the prevailing development models reflected in the metric of the human development index, and the proposal of alternative development/welfare models, in sustainable equity, a metric based on the burden of inequity and a well-being index in sustainable equity. The only global health goal agreed to by all countries is the constitution of the World Health Organization, which aspires to the “best attainable standard of health for all”. Based on international data, from 1960-2020, we have identified this “best viable level of health” and identified countries with health (life expectancy above the world average) and economic and ecological conditions that are reproducible for all, including the coming generations. In this article, using these healthy, reproducible and sustainable (SRS) references, we can adjust the mortality rates by age and sex, published by the United Nations Population Division every five years. Excess mortality relative to the SRS means is the burden of health inequity, a powerful indicator of socioeconomic justice. It also allows the establishment of the "dignity threshold" (below which no country has achieved the best possible health) and the equity curve, between said threshold and a maximum level, above which global equity and sustainability are not viable and well-being does not improve for the privileged either. Considering these and other concurrent elements, we propose the index of "sustainable well-being in equity" for discussion and debate. The article concludes by justifying the advantages of its adoption.

Anahtar Kelimeler: