The ability to live a full and flourishing life is severely constrained by poor health, and made literally impossible by death. For those suffering through the trials of chronic illness or with diminished physical capacity, a flourishing life is that much more difficult to realize. Retired janitor Geraldine Mayho suffers a bewildering array of undiagnosed ailments, from headaches to stomach aches and heart problems. The closest she has probably come to an accurate diagnosis was a doctor's note claiming that she suffered from exposure to
➤ The basic principles of the National Health Service
➤ The origins of modern problems in health policy
➤ Review of Conservative policies on health in the 1980s and 1990s
➤ Review of Labour policies after 1997
➤ Critique of these policies
➤ Analysis of the enduring problems in making health policy
The National Health Service came into existence in 1948 after a prolonged
period of negotiation between the reforming Labour government of the day
and various sections of the medical profession. It was an idea with great
popular support, but which also
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.
Clothing’s Impact on the Body in Italy and England, 1550–1650
Studies of early modern dress frequently focus on its connection with status and identity, overlooking clothing’s primary function, namely to protect the body and promote good health. The daily processes of dressing and undressing carried numerous considerations: for example, were vital areas of the body sufficiently covered, in the correct fabrics and colours, in order to maintain an ideal body temperature? The health benefits of clothing were countered by the many dangers it carried, such as toxic dyes, garments that were either too tight or voluminous, or harboured dirt and diseases that could infect the body. This article draws on medical treatises and health manuals printed and read in Italy and England, as well as personal correspondence and diaries, contextualised with visual evidence of the styles described. It builds on the current, wider interest in preventative medicine, humoral theory, health and the body in the early modern period by focusing in depth on the role of clothing within these debates.
This book presents a comprehensive account of a major innovation in hospital funding before the NHS. The voluntary hospitals, which provided the bulk of Britain’s acute hospital services, diversified their financial base by establishing hospital contributory schemes. Through these, working people subscribed small, regular amounts to their local hospitals, in return for which they were eligible for free hospital care. The book evaluates the extent to which the schemes were successful in achieving comprehensive coverage of the population, funding hospital services, and broadening opportunities for participation in the governance of health care and for the expression of consumer views. It then explores why the option of funding the post-war NHS through mass contribution was rejected, and traces the transformation of the surviving schemes into health cash plans. This is a substantial investigation into the attractions and limitations of mutualism in health care. It is relevant to debates about organisational innovations in the delivery of welfare services.
Accounting is about ‘how much’ and is usually assumed to be about money. It is viewed as a financial technology related to the administration of finances, costing, and the calculation of efficiency. But this book suggests a broader understanding of accounting, linking related perspectives and lines of research that have so far remained surprisingly unconnected: as a set of calculative practices and paper technologies that turn countable objects into manageable units, figures, and numbers that enable subsequent practices of reckoning, calculating, valuing, controlling, justifying, communicating, or researching and that generate and appear in account- or casebooks, ledgers, lists, or tables. And Accounting for Health involves both money and medicine and raises moral issues, given that making a living from medical treatment has ethical ramifications. Profiting from the ‘pain and suffering of other people’ was as problematic in 1500 as it is in today’s debates about the economisation of medicine and the admissibility of for-profit hospitals. In current debates about economisation of medicine, it is hardly noticed that some versions of these patterns and problems has been with health and medicine for centuries – not only in the modern sense of economic efficiency, but also in a traditional sense of good medical practice and medical accountability. Spanning a period of five centuries (1500–2011) and various institutional settings of countries in the Western world, Accounting for Health investigates how calculative practices have affected everyday medical knowing, how these practices changed over time, and what effects these changes have had on medicine and medical knowledge.
This book seeks to integrate the history of mental health nursing with the wider history of institutional and community care for people experiencing mental illness and/or living with a learning disability. It develops new research questions by drawing together a concern with exploring the class, gender, skills and working conditions of practitioners with an assessment of the care regimes staff helped create and patients’ experiences of them. Contributors from a range of disciplines use a variety of source material to examine both continuity and change in the history of care over two centuries. The book benefits from a foreword by Mick Carpenter and will appeal to researchers and students interested in all aspects of the history of nursing and the history of care. The book is also designed to be accessible to practitioners and the general reader.
The inhabitants of most OECD countries tend to regard state intervention in the everyday lives of individual citizens and in society at large with certain scepticism. Health promotion is really not about curing diseases or even about preventing diseases. The overall aim of this book is to provide a critical understanding of current health promotion ideas and practices unfolding in liberal democracies. It identifies and discusses the merits and the limitations of the most influential political science and sociological analyses seeking to critically address contemporary politics of health. Foucault's analytics of power and government are discussed. The book then seeks to provide a solid understanding of the wider political context of health promotion in England and Denmark, examining obesity control in these regions. It also analyses how and why psychiatric patients, particularly those with chronic mental illness in England and Denmark, are urged to take charge of their mental illness with reference to the notion of rehabilitation. Key shifts in predominant forms of political rationalities and expert knowledge on how best to treat psychiatric patients are also analysed. Finally, the book examines how expert knowledge and political rationalities informed political interventions (policies, programmes, and technologies) in an attempt to promote rehabilitation along with increased implementation of community- based treatment. It summarizes the analytical findings regarding the governing of citizens through lifestyle and rehabilitation respectively. Further research is required on the politics of health promotion.
What does global health stem from, when is it born, how does it relate to the
contemporary world order? This book explores the origins of global health, a new
regime of health intervention in countries of the global South, born around
1990. It proposes an encompassing view of the transition from international
public health to global health, bringing together historians and anthropologists
to explore the relationship between knowledge, practices and policies. It aims
at interrogating two gaps left by historical and anthropological studies of the
governance of health outside Europe and North America. The first is a temporal
gap between the historiography of international public health through the 1970s
and the numerous anthropological studies of global health in the present. The
second originates in problems of scale. Macro-inquiries of institutions and
politics, and micro-investigations of local configurations, abound. The book
relies on a stronger engagement between history and anthropology, i.e. the
harnessing of concepts (circulation, scale, transnationalism) crossing both of
them, and on four domains of intervention: tuberculosis, mental health, medical
genetics and traditional (Asian) medicines. The volume analyses how the new
modes of ‘interventions on the life of others’ recently appeared, why they blur
the classical divides between North and South and how they relate to the more
general neoliberal turn in politics and economy. The book is meant for
academics, students and health professionals interested in new discussions about
the transnational circulation of drugs, bugs, therapies, biomedical technologies
and people in the context of the ‘neoliberal turn’ in development practices.
Conflict poses considerable challenges for services that support communities, and in particular those affected by violence. This book describes the work undertaken in Omagh against the background of the most recent period of violent conflict in Ireland, and specifically it draws upon the work following the Omagh bombing. The bombing came just four months after the Northern Ireland peace agreement, known formally as the Belfast Agreement of 1998, and more informally as the Good Friday Agreement. The book describes the impact of the bomb and the early responses. Local trade unions, employers and the business community played key roles at times, particularly in underlining the need for solidarity and in identifying themselves with the desire for peace. The book looks at the outcome of needs-assessments undertaken following the Omagh bombing. The efforts to understand the mental health and related impact of the violence associated with the Troubles in Northern Ireland over the period 1969 to 2015 are focused in detail. The later efforts to build services for the benefit of the wider population are described, drawing upon the lessons gained in responding to the Omagh bombing. The developments in therapy, in training and education, and in research and advocacy are described with reference to the work of the Northern Ireland Centre for Trauma and Transformation (NICTT). The book draws together key conclusions about the approaches that could be taken to address mental health and well-being as an essential component of a peace-building project.