"QUIÉN MERECE VIVIR": LA NECROPOLÍTICA SANITARIA DE LA EXTREMA DERECHA GLOBAL

Abstract

The article analyzes how contemporary far-right movements are transforming the health sector into a contested political arena where the boundaries of who deserves to live, under what conditions, and who is deemed expendable are being redefined. Through the examination of cases such as Trump, Bolsonaro, Meloni, and Milei, it demonstrates that these political projects go beyond mere budgetary cuts: they implement an ideological reconfiguration that naturalizes health exclusion through the application of social Darwinist principles and health-related necropolitics.

To sustain this naturalization of exclusion, the far right defines what constitutes valid scientific knowledge. The article identifies three interrelated mechanisms through which science is turned into a battleground: the production of pseudoscientific frameworks (such as the “Great Replacement” theory); the selective delegitimization of established knowledge (exemplified in the notion of “gender ideology”); and the implementation of a health-related necropolitics that frames preventable mortality as the outcome of “natural selection.”

This project can be resisted through the reaffirmation of solidarity as an ethical principle that reorients social organization around the collective right to live with dignity.