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The dead body, the individual and the limits of medicine

French philosopher and historian Michel Foucault’s concept ‘governmentality’, it can be seen as a policy objective to ‘conduct the conduct’ of people in regard to organ donation. In this era of neoliberal austerity when the Irish state is withdrawing responsibility for the provision of health services, evident in ‘cost-shifting by government back onto households’ (Thomas, Burke and Barry, 2014: 1546), this is a new form of intervention it has taken on. Foucault’s fusion of ‘government’ with ‘mentality’ to form the term ‘governmentality’ signified a radical rethinking

in Reframing health and health policy in Ireland
Introducing the governmentality turn

, the politics of austerity – have created a climate in which commentators have argued that the burden of health and healthcare is being transferred to a range of actors beyond the remit of the formal state, including the individual, family and community (Mercille and Murphy, 2015; McDonnell and O’Donovan, 2009). We conclude by providing an overview of the volume and its chapters. Governmentality: some conceptual starting points That Foucault’s work has had such an influence on sociological studies of health and illness, medicine and health policy perhaps reflects the

in Reframing health and health policy in Ireland

‘consumer-oriented’ provision. Throughout the document the need for austerity was clear as efforts were geared towards trying to ‘extract maximum efficiency so that the volume and quality of patient services could be maintained at the greatest level possible at a time of very tight financial constraint’ (DoH, 1994: 8). By means of these concepts, the Department of Health (DoH) had developed and mobilised a narrative based on efficiency, performance management and other market principles that legitimised the 166 Governing neoliberal healthcare agendas proposed actions

in Reframing health and health policy in Ireland

. Some of the Park Village Sisters tried to emulate Pusey’s ascetic lifestyle, and in 1854 one Sister died, according to the death certificate from tuberculosis. Her sister, however, thought she did not die of disease but from being ‘worn out by the bodily austerities of nine years.’ In 1850 another Sister died from starvation trying to follow Pusey’s rule for Lenten fasting. Sister Etheldreda Pillans was a bright, gay lady who helped Pusey with his translations but she became very ill with smallpox in 1848 and never really recovered her health, which may have been

in Beyond Nightingale
A governmental analysis

description of the formation and implementation of care policies for older people in Ireland over the last ten years. Overall, it is clear that the competing goals of successive Irish governments have been to limit spending on care services for older people, particularly following the onset of austerity, while retaining the goodwill of older voters. This may help to explain why the official rationale for the policy reform programme in 2006 was to recognise and repay older people for their contributions to society throughout their lives, while unofficially seeing the ageing

in Reframing health and health policy in Ireland
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Governmentality, health policy and the place of critical politics

’s analysis of UHI bears witness to. In the messy realpolitiks of policy visions and programmes, however, some of the chapters raise questions about the extent to which the state – partly evidenced in specific government departments and actors, but also in the broader system of political parties – still maintains a key role in shaping and regulating daily lives. Cliona Loughnane’s analysis demonstrates how UHI emerged out of pre-election pledges from political parties, which were subsequently shelved in the context of economic austerity; Ciara O’Dwyer’s chapter similarly

in Reframing health and health policy in Ireland
The mental hospital Hamburg-Langenhorn during the Weimar Republic

Langenhorn during the Weimar period, although a very few, who held a position of trust, received pocket money for their ‘extraordinary accomplishments’. This was mentioned in a note in 1931 from the asylum’s director, in response to a request from the institution’s engineering department to raise the pocket money of patients employed there.51 The director refused the request, referring to the severe austerity measures and explaining that most of the patients who worked regularly hardly ever got pocket money although they too would deserve it. A statement from 1925, which

in Work, psychiatry and society, c. 1750–2015

wages suggests that Starcross wages were both lower than the other EVIAs and subject to contradictory inflationary and deflationary pressures in the 1920s. Higher wages had been required to attract and retain staff at a time of labour shortage between 1914 and 1920, and may have smoothed industrial relations during a period of major strikes at other Devon asylums,13 but austerity measures then led to cuts. It is interesting that most comprehensive surviving list of staff dates from this period, when Starcross was trying to assess the likely costs incurred

in Mental health nursing
The case of Universal Health Insurance – by competition

; however, in seeking to provide such access through compulsory insurance in a managed competition process provided by private and not-for-profit companies, Ireland looked set to remain an outlier in European health policy. UHI-C was being developed during a time of austerity and contraction of public spending. The reform programme made clear that Ireland could not have universal health insurance until ‘responsible’ health-cost cuts were made: ‘by reforming how we pay for healthcare through Universal Health Insurance, we can reduce the cost of achieving the best health

in Reframing health and health policy in Ireland
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Architecture, asylum and community in twentieth-century mental health care

NHS that has been particularly hit by UK government drives to austerity in recent years – both staff and patients are often left disempowered. Yet the museum and gallery could provide an alternative model, giving site users past and present a voice. I've been encouraged by how people have embraced and supported the work that we do, and realized that it's a way of keeping this site in

in Communicating the history of medicine