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A governmental analysis

Recent years have witnessed a burgeoning international literature which seeks to analyse the construction of health and health policy through an analytical lens drawn from post-Foucauldian ideas of governmentality. This book is the first to apply the theoretical lens of post-Foucauldian governmentality to an analysis of health problems, practices, and policy in Ireland. Drawing on empirical examples related to childhood, obesity, mental health, smoking, ageing and others, it explores how specific health issues have been constructed as problematic and in need of intervention in the Irish State. The book focuses specifically on how Jean Jacques Rousseau's critical social theory and normative political theory meet as a conception of childhood. The 'biosocial' apparatus has recently been reconfigured through a policy framework called Healthy Ireland, the purpose of which is to 'reduce health inequalities' by 'empowering people and communities'. Child fatness continues to be framed as a pervasive and urgent issue in Irish society. In a novel departure in Irish public health promotion, the Stop the Spread (STS) campaign, free measuring tapes were distributed throughout Ireland to encourage people to measure their waists. A number of key characteristics of neoliberal governmentality, including the shift towards a market-based model of health; the distribution of power across a range of agents and agencies; and the increasing individualisation of health are discussed. One of the defining features of the Irish health system is the Universal Health Insurance and the Disability Act 2005.

The case of Universal Health Insurance – by competition

9 Cliona Loughnane Governing healthcare: the case of Universal Health Insurance – by competition Introduction One of the defining features of the Irish health system, since the establishment of Voluntary Health Insurance (VHI) in the 1950s, has been a heavy reliance by those who can afford it on private health insurance. Thus the Irish health system, which is three quarters funded by taxation (Wren, Connolly and Cunningham, 2015), is a strange mix of a national health system with high levels of private insurance cover (with up to 50% of the population holding

in Reframing health and health policy in Ireland
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Physician-publics, citizen-audiences and a half-century of health-care debates in Canada

to the party anthem, ‘CCF to victory’. 1 Canadians, when they participate in patriotic displays, tend to lean toward expressions of welfare-state nationalism. The CBC production Prairie Giant aired 50 years after the passage of the 1966 Medical Care Act, federal legislation enabling the keystone component of Canada's universal health-insurance system, otherwise known as

in Communicating the history of medicine
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US exceptionalism

Communities. (2003). Regulation of the European Parliament and the Council Concerning the Registration, Evaluation, Authorisation and Restrictions of Chemicals (REACH) . Brussels: Commission of the European Communities. Congressional Budget Office. (1991). Universal Health Insurance Coverage Using Medicare's Payment Rates . Washington DC: US Government Printing Office. Congressional Budget Office. (2011). Letter to Honorable John Boehner, Speaker of the House, January 6: Review of the H.R. 2, The Repealing the Job

in Neoliberal lives
Active internationalism and ‘credible neutrality’

the organisation of production and increased production would maintain social welfare measures (Tilton, 1990 : 48). The post-war ‘harvest’ period saw the Social Democrats achieve full employment, a basic retirement system, child benefits, a universal health insurance system, more progressive taxation, an active labour market policy and housing subsidies, to name a few of the major successes (Tilton, 1990: 4). The

in The social construction of Swedish neutrality

previously. The solidaristic welfare state in Sweden became an exemplary model of democratic socialism, brought about by the Social Welfare Committee, which was appointed in 1938, with a sweeping mandate for change. What it came up with surpassed Beveridge and the UK: generous pensions and family allowances, workers’ compensation, and health insurance without peer. The bedrock of the Swedish system was the triumph of egalitarian universalism. Health insurance was prominent in this scheme, but pensions came foremost. The law on national pensions passed in 1946 extended the

in The great forgetting