A Second Opinion: Rethinking the Public-Private Dichotomy for Health Insurance

2003 ◽  
Vol 33 (2) ◽  
pp. 283-313 ◽  
Author(s):  
Brian Gran
Keyword(s):  
Health Insurance ◽  
Social Policy ◽  
Methodological Approach ◽  
Policy Formation ◽  
Social Phenomena ◽  
Public And Private ◽  
The Public ◽  
The Third ◽  
The Social ◽  
Industrialized Democracies

Does the public-private dichotomy effectively describe health insurance systems in the advanced industrialized democracies? Is the boundary separating the public and private sectors accurate for studies of social policy formation and cutback? This article has three goals. The first is to discuss reasons for reconsidering the public-private dichotomy, as it applies to health insurance systems. The second is to offer a reconceptualization of the public-private demarcation useful for analyses of health insurance systems; the author presents four sectors that may illuminate patterns of health insurance for different OECD countries: the social, individual, public, and market sectors. The third goal is to present results using a new methodological approach useful for studying complex social phenomena: the fuzzy-set approach, which allows researchers to treat social phenomena as partially belonging to more than one category. This approach is employed to demonstrate that health insurance provision rarely is solely public or private, but is formed by a combination of sectors. Underlying these three goals is the contention that comparative and historical sociological researchers can offer innovative approaches to the study of health insurance and the interests served by public and nonpublic health insurance programs through reconceiving the public-private dichotomy.

Listening for the “Still Small Voice” of Mendelssohn’s Domestic Elijah

2015 ◽  
Vol 32 (1) ◽  
pp. 40-77
Author(s):  
Peter Mercer-Taylor
Keyword(s):  
Second Phase ◽  
Divine Presence ◽  
Final Phase ◽  
Public And Private ◽  
The Public ◽  
The Third ◽  
Interpretive Approach ◽  
Will To Live ◽  
Three Phases

The notion that there might be autobiographical, or personally confessional, registers at work in Mendelssohn’s 1846 Elijah has long been established, with three interpretive approaches prevailing: the first, famously advanced by Prince Albert, compares Mendelssohn’s own artistic achievements with Elijah’s prophetic ones; the second, in Eric Werner’s dramatic formulation, discerns in the aria “It is enough” a confession of Mendelssohn’s own “weakening will to live”; the third portrays Elijah as a testimonial on Mendelssohn’s relationship to the Judaism of his birth and/or to the Christianity of his youth and adulthood. This article explores a fourth, essentially untested, interpretive approach: the possibility that Mendelssohn crafts from Elijah’s story a heartfelt affirmation of domesticity, an expression of his growing fascination with retiring to a quiet existence in the bosom of his family. The argument unfolds in three phases. In the first, the focus is on that climactic passage in Elijah’s Second Part in which God is revealed to the prophet in the “still small voice.” The turn from divine absence to divine presence is articulated through two clear and powerful recollections of music that Elijah had sung in the oratorio’s First Part, a move that has the potential to reconfigure our evaluation of his role in the public and private spheres in those earlier passages. The second phase turns to Elijah’s own brief sojourn into the domestic realm, the widow’s scene, paying particular attention to the motivations that may have underlain the substantial revisions to the scene that took place between the Birmingham premiere and the London premiere the following year. The final phase explores the possibility that the widow and her son, the “surrogate family” in the oratorio, do not disappear after the widow’s scene, but linger on as “para-characters” with crucial roles in the unfolding drama.

Early Debates

2018 ◽  
Author(s):  
Samuel Llano
Keyword(s):  
Eighteenth Century ◽  
Public Space ◽  
Domestic Space ◽  
Limited Resources ◽  
Public And Private ◽  
Conduct Manuals ◽  
The Public ◽  
Clear Cut ◽  
The Social ◽  
Undeserving Poor

This chapter provides an account of how organilleros elicited public anger because their activity did not fit into any of the social aid categories that had been in place since the late eighteenth century. Social aid in Spain relied on a clear-cut distinction between deserving and undeserving poor in order to rationalize the distribution of limited resources and reduce mendicancy on the streets. Organilleros could not, strictly speaking, be considered idle, since they played music, but their activity required no specific skills and was regarded with suspicion as a surrogate form of begging. The in-betweenness of the organillero caused further anger as it challenged attempts to establish a neat distinction between public and private spaces. On one hand, organillo music penetrated the domestic space, which conduct manuals of the nineteenth century configured as female; on the other, it brought women into the public space, which those manuals configured as male.

scholarly journals Power, Agency, Relationality and Welfare Practice

2015 ◽  
Vol 44 (4) ◽  
pp. 687-705 ◽  
Author(s):  
RACHAEL DOBSON
Keyword(s):  
Social Policy ◽  
Practice Research ◽  
Social Worlds ◽  
Social Phenomena ◽  
Working Through ◽  
Starting Point ◽  
The Social ◽  
The Individual ◽  
The Relationship

AbstractThis article argues that constructions of social phenomena in social policy and welfare scholarship think about the subjects and objects of welfare practice in essentialising ways, with negativistic effects for practitioners working in ‘regulatory’ contexts such as housing and homelessness practice. It builds into debates about power, agency, social policy and welfare by bringing psychosocial and feminist theorisations of relationality to practice research. It claims that relational approaches provide a starting point for the analysis of empirical practice data, by working through the relationship between the individual and the social via an ontological unpicking and revisioning of practitioners' social worlds.

scholarly journals ENTRE O PÚBLICO E O PRIVADO: O PAPEL DA MULHER NOS MOVIMENTOS SOCIAIS E A CONQUISTA DE DIREITOS NO DECORRER DA HISTÓRIA * BETWEEN PUBLIC AND PRIVATE: THE ROLE OF WOMEN IN SOCIAL MOVEMENTS AND THE CONQUEST OF RIGHTS IN THE COURSE OF HISTORY

2015 ◽  
Vol 4 (3) ◽  
pp. 50
Author(s):  
Elizabete David Novaes
Keyword(s):  
Social Movements ◽  
Political Participation ◽  
Social Movement ◽  
Social Role ◽  
Modern Science ◽  
Public And Private ◽  
The Public ◽  
Active Subject ◽  
The Social

<p><strong>Resumo:</strong> O presente artigo busca evidenciar o papel social das mulheres nos movimentos sociais promovidos no decorrer da história. Para cumprir com tal propósito, discute o caráter patriarcal da ciência cartesiana; apresenta uma reflexão acerca da articulação entre o público e privado; elabora uma revisão teórica acerca da historiografia da mulher, ressaltando a ação da mulher em diferentes momentos da história, buscando evidenciá-la como sujeito ativo, capaz de integrar o público e o privado, participando da conquista de direitos. Para enfatizar as articulações existentes entre as dimensões pública e privada, este artigo defende que historicamente a mulher politiza vias não políticas do cotidiano, atuando em movimentos sociais promotores de reivindicações e manifestações sociais, de modo a superar limites ideologicamente traçados pelo viés patriarcal da ciência moderna, de base cartesiana, atuando na luta por direitos e participação política na história.</p><p><strong>Palavras-chave:</strong> gênero; historiografia; público e privado; movimentos sociais; direitos.</p><p><strong>Abstract:</strong> This paper describes evidences of the social role of the women inside different social movements occurred during our history. It began with a discussion the patriarchal character of Cartesian science, presents reflections about the public and private articulation, a theoretical review of the women´s historiography, emphasizing their action at different times in history and trying to emphazise them as active subject which is capable to integrate the public and private, participating of the conquer their rights. To emphasize all the previous articulations between the public and private dimensions, this manuscript argues that historically women politicize daily non-political pathways. Their actuations in social movements promote the demands and social manifestations in order to ideologically overcome the limitations set by the the patriarchal bias of modern science, acting in the the fight (ou struggle) for rights and political participation in history.</p><p><strong>Keywords:</strong> gender, historiography, public and private; social movement; rights.</p>

scholarly journals The Social Oikos

2021 ◽  
Vol 7 (1) ◽  
pp. 20-32
Author(s):  
Michael Lee Humphrey
Keyword(s):  
United States ◽  
The United States ◽  
The Self ◽  
Ancient World ◽  
Public And Private ◽  
The Public ◽  
The Core ◽  
The Social ◽  
Nuanced Understanding ◽  
Core Points

In one of the foundational articles of persona studies, Marshall and Barbour (2015) look to Hannah Arendt for development of a key concept within the larger persona framework: “Arendt saw the need to construct clear and separate public and private identities. What can be discerned from this understanding of the public and the private is a nuanced sense of the significance of persona: the presentation of the self for public comportment and expression” (2015, p. 3). But as far back as the ancient world from which Arendt draws her insights, the affordance of persona was not evenly distributed. As Gines (2014) argues, the realm of the household, oikos, was a space of subjugation of those who were forced to be “private,” tending to the necessities of life, while others were privileged with life in the public at their expense. To demonstrate the core points of this essay, I use textual analysis of a YouTube family vlog, featuring a Black mother in the United States, whose persona rapidly changed after she and her White husband divorced. By critically examining Arendt’s concepts around public, private, and social, a more nuanced understanding of how personas are formed in unjust cultures can help us theorize persona studies in more egalitarian and robust ways.

scholarly journals Global Challenges of Social Policy on the Example of the Labor Market: The Experience of Kazakhstan

2019 ◽  
Vol 2 (2) ◽  
pp. 87
Author(s):  
G. Jussupova
Keyword(s):  
Labor Market ◽  
Social Policy ◽  
Industrial Revolution ◽  
Social Processes ◽  
Business And Society ◽  
Public And Private ◽  
The Public ◽  
Global Challenges ◽  
Demographic Processes ◽  
Political Economic

The processes of globalization affect many economic and social processes, and the labor market is no exception. The situation in the labor market is always the center of attention for the state, business, and society as a whole. It determines the economic development of the country, social policy, the competitiveness of enterprises, and human capital. This article discusses global challenges such as the fourth industrial revolution, the digital transformation of society and industry, migration processes and informal employment, the problems of identifying social status for the population, and the system of accounting for social benefits. Because the labor market is experiencing the strongest impact of political, economic, social, and demographic processes, it has its own characteristics in each country, and this article discusses the internal problems of the Kazakhstan labor market. In addition, the article provides suggestions for improving social policy issues, employment through the automation of social processes and services, the digitalization of the public and private sectors, and the creation and development of information infrastructure of the labor market.

scholarly journals The Politics of Gendered Spatializations: A Study of Cityscapes in Manu Joseph’s Novels

2020 ◽  
Author(s):  
M.S. Parvathi ◽  
Keyword(s):  
Urban Landscape ◽  
The Body ◽  
Urban Spaces ◽  
City Image ◽  
Spatial Practices ◽  
Spatial Politics ◽  
Public And Private ◽  
The Public ◽  
The Social ◽  
The City

Burton Pike (1981) terms the cityscapes represented in literature as word-cities whose depiction captures the spatial significance evoked by the city-image and simultaneously, articulates the social psychology of its inhabitants (pp. 243). This intertwining of the social and the spatial animates the concept of spatiality, which informs the positionality of urban subjects, (be it the verticality of the city or the horizonality of the landscape) and determines their standpoint (Keith and Pile, 1993). The spatial politics underlying cityscapes, thus, determine the modes of social production of sexed corporeality. In turn, the body as a cultural product modifies and reinscribes the urban landscape according to its changing demographic needs. The dialectic relationship between the city and the bodies embedded in them orient familial, social, and sexual relations and inform the discursive practices underlying the division of urban spaces into public and private domains. The geographical and social positioning of the bodies within the paradigm of the public/private binary regulates the process of individuation of the bodies into subjects. The distinction between the public and the private is deeply rooted in spatial practices that isolate a private sphere of domestic, embodied activity from the putatively disembodied political, public sphere. Historically, women have been treated as private and embodied and the politics of the demarcated spaces are employed to control and limit women’s mobility. This gendered politics underlying the situating practices apropos public and private spaces inform the representations of space in literary texts. Manu Joseph’s novels, Serious Men (2010) and The Illicit Happiness of Other People (2012), are situated in the word-cities of Mumbai and Chennai respectively whose urban spaces are structured by such spatial practices underlying the politics of location. The paper attempts to problematize the nature of gendered spatializations informing the location of characters in Serious Men and The Illicit Happiness of Other People.

scholarly journals RELAÇÃO PÚBLICO-PRIVADA E PRECARIZAÇÃO DO TRABALHO: UM ENSAIO TEÓRICO

2018 ◽  
Vol 15 (Especial 2) ◽  
pp. 572-577
Author(s):  
João Gomes Moreira ◽  
Fernanda Aparecida Augusto ◽  
Irene Caires da Silva ◽  
Maria Elisa Nogueira Oliveira ◽  
Tatiana Veiga Uzeloto
Keyword(s):  
Public Education ◽  
Current Situation ◽  
The State ◽  
Social Policies ◽  
Third Way ◽  
Historical Process ◽  
The Public ◽  
The Third ◽  
The Social

This article aims to discuss the dismantling that the neoliberal proposals have been making in relation to social policies, which the State, in fulfillment of its duty, should provide for the wellbeing of the population, in a democratic way. It was sought to clarify that the public-private relationship is nothing more than a major strategy of capital to create and expand new market niches to overcome the cyclical crisis of capitalism, always presented with new clothes in the mutations that are processed, to reduce the effects of the inevitable in the social asphyxiation that eventually generated great revolutions recorded in its historical process. This article is of bibliographic character, where information was sought in doctrines, periodicals, specialized magazines, official websites and others. Finally, it was a brief diagnosis of the current situation of the Brazilian public education that, from the third way, has been incorporating new forms of action based on the logic of the market.

Utilization of Primary Health Services in Hong Kong

2015 ◽  
pp. 1159-1176
Author(s):  
Raymond K. H. Chan ◽  
Kang Hu
Keyword(s):  
Health Care ◽  
Hong Kong ◽  
Health Insurance ◽  
Health Services ◽  
Private Insurance ◽  
Public Health Services ◽  
Public And Private ◽  
The Public ◽  
Primary Health ◽  
Primary Health Services

This chapter analyzes the issue of primary health care utilization in Hong Kong and introduces the case of Hong Kong where a special division between public and private sectors has developed in the field of primary health services. The chapter argues that in the foreseeable future, it is likely that the division of health care between the public and private sector will be maintained. In recent years, more and more individuals and families have purchased private health insurance so as to gain more options. The idea of universal health insurance was rejected by the public in recent consultations; the current alternative is government-regulated private insurance. Although private primary health services will continue as usual in the near future, public primary health services should be maintained or even expanded. Given the costliness of private services (especially specialist services), it is recommended that more resources should be invested in corresponding public health services.

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