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Children’s health and biosocial power
Kevin Ryan

‘whole system approach’ to governance, meaning that this is an attempt to mobilise and coordinate the ‘whole-of-Government’ and the ‘whole-ofsociety’ (DoH, 2013: 8, 13). Viewed historically, it could be argued that these broad conceptions of health and governance are continuous rather than discontinuous with the past, and so is the way the new strategy prioritises children, which it does. In terms of operationalising the long-term objective, which is about reducing expenditure on ‘sickness benefits’ while increasing ‘productivity and contributions to the exchequer

in Reframing health and health policy in Ireland
A governmental analysis
Ciara O’Dwyer

that choice, respect and compensation were not the key drivers of the reform Long-term care policy in Ireland 233 process. Instead, the focus was in keeping the costs incurred by the state as low as possible as it planned for a projected rise in the over-65 population. Indeed, the Working Group was anxious to ensure that older people be asked to contribute towards the cost of their care: ‘It is clear that a substantial burden will fall on the Exchequer … The extent of the financing burden which falls on the State will depend on the level of co-payment which is

in Reframing health and health policy in Ireland