Joanne Wilson
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Neoliberal governmentality and public health policy in Ireland
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The Irish government has developed policies that set out its vision, priorities and direction for improving and sustaining the health of its people. This chapter critically appraises how these strategies have been configured to structure responsibility for health. It exposes a number of key characteristics of neoliberal governmentality, including the shift towards a market-based model of health, and the distribution of power across a range of agents and agencies of health. The need to reduce healthcare expenditure appeared in the first national, strategic public health policy, Shaping a Healthier Future. The chapter illustrates three evolving rationalities in strategic public health policies in Ireland. They are a market-based model of healthcare, devolution of responsibility, and capabilities and techniques to manage the self and ensure individual behaviour aligns with political objectives.

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