scholarly journals Unas notas sobre la manera de pensar las relaciones entre la medicina y los poderes públicos / Notes on How to Consider The Relationship Between Medicine and Public Authorites

Author(s):  
José Luis González Quirós

ABSTRACTIn order to examine relations between political authorities and the health system we need a historical view that allows us to understand the drift of the ever expanding health system under liberal systems and the introduction of new concepts such as the right to health under so-called Welfare States. State appropriation of citizens’ health, through health systems, changes the paradigm of the doctor-patient relationship as understood traditionally and historically, and makes us cautious about what may be a threat to our individual liberties, with a disproportionate health service and states that intervene directly in the lives of their citizens not only as regards the law but also their health and bodies. This all needs to be analyzed unreservedly and we must be careful that the right to health does not become an instrument of power and control by states over citizens, thus diminishing our liberties.RESUMENLa necesidad de examinar las relaciones entre poder político y sistema sanitario requiere de una mirada histórica que nos permita comprender la deriva que al amparo de los sistemas liberales ha ido teniendo el cada vez más expansivo sistema sanitario y la introducción de nuevos conceptos como el derecho a la salud propio de los llamados Estados del Bienestar. La apropiación por parte de los Estados, a través de los sistemas sanitarios, de la salud de los ciudadanos cambia el paradigma de relación medico / paciente que había sido tradicional a lo largo de la historia y nos hace ser precavidos sobre lo que puede resultar una amenaza a nuestras propias libertades individuales con una sanidad seguramente desmedida y unos Estados que intervienen directamente en la vida  de sus ciudadanos no solo jurídicamente, sino sanitariamente, corporalmente. Todo ello requiere ser analizado sin reservas de ningún tipo y estar atentos no vaya a ser que el derecho a la salud acabe siendo un instrumento de poder y control por parte de los Estados sobre los ciudadanos que permita una disminución de nuestras libertades.

1969 ◽  
Vol 23 (2) ◽  
pp. 271-280 ◽  
Author(s):  
V. R. Young ◽  
P. C. Huang

1. After 14 days on a diet containing 5 or 25% casein male rats received a fracture of the left femur. Four hours before they were killed the injured and control rats were injected with [1-14C]leucine; the incorporation of radioactivity into an isolated fraction of skeletal muscle ribosomes was studied 6, 12, 24, 48, 72, 96 and 228 h after injury.2. The incorporation of [14C]leucine into the ribosome fraction in right thigh muscles dropped to 40% of control values 72 h after fracture in well-nourished rats and after 96 h with diets containing 5 or 25%, casein.3. The specific activity of the trichloroacetic acid-soluble fraction of muscle from injured rats was equal to or higher than that of the controls during the first 72 h but lower at 96 h.4. These results suggest that a reduced incorporation of amino acids by ribosomes from the right thigh muscle occurred on day 3 after fracture in the group receiving 25% casein but not in the group receiving 5% casein.5. Muscle RNA and DNA concentrations were not affected by the injury.6. The relationship between these findings and the loss of muscle N after injury is discussed.


Xihmai ◽  
2020 ◽  
Vol 15 (29) ◽  
Author(s):  
Marí­a Marta Mainetti [1] ◽  
Susana La Rocca [2]

ResumenNos proponemos reflexionar acerca de la relación entre dos principios bioéticos fundamentales en el ejercicio del derecho a la salud: el principio de autonomí­a y el de vulnerabilidad, en el marco de cambios legales en salud ocurridos en las últimas décadas en Argentina. El respeto a la vulnerabilidad comienza a consolidarse no sólo como el reconocimiento al principio más esencial de la Bioética sino como la base de toda la ética. La vulnerabilidad de individuos y poblaciones requiere una concepción de autonomí­a que implique en sí­ misma la inclusión. Se presentan algunas reflexiones y resultados de un proyecto de investigación realizado en 2018-2019 desde la Universidad Nacional de Mar del Plata, que analiza este tema a partir de la percepción de los profesionales de la salud pública en el Partido de General Pueyrredón, provincia de Buenos Aires, Argentina. Palabras clave: autonomí­a, vulnerabilidad, bioética, leyes en salud, derecho a la salud. AbstractWe propose to reflect on the relationship between two fundamental bioethical principles in the exercise of the right to health: the principle of autonomy and that of vulnerability, within the framework of legal changes in health that have occurred in recent decades in Argentina. Respect for vulnerability begins to consolidate not only as recognition of the most essential principle of Bioethics but as the basis of all ethics. The vulnerability of individuals and populations requires a conception of autonomy that implies inclusion in itself. Some reflections and results of a research project carried out in 2018-2019 from the National University of Mar del Plata are presented, which analyzes this topic from the perception of public health professionals in the Party of General Pueyrredón, province of Buenos Aires, Argentina.Keywords: autonomy, vulnerability, bioethics, health laws, right to health.  [1] Lic. en Antropologí­a. Mg. en Bioética. Dra. en Ciencias de la Vida. Docente e investigadora de la Universidad Nacional de Mar del Plata, Argentina. Integrante del Programa Temático Interdisciplinario en Bioética de la UNMDP.[2] Prof. en Filosofí­a. Mg. en Epistemologí­a. Docente e investigadora de la Universidad Nacional de Mar del Plata, Argentina. Coordinadora del Programa Temático Interdisciplinario en Bioética de la UNMDP.


2019 ◽  
Vol 17 (1/2) ◽  
pp. 132-138 ◽  
Author(s):  
Constantine Gidaris

This paper examines the relationship between interactive life insurance companies and their policyholders and the way in which wearable fitness devices are deployed by these companies as data-generating surveillance technologies instead of personal health and fitness devices. Working within an expanded framework of “surveillance capitalism” (Zuboff 2015), I argue that while the notion of self-care generally associated with wearable fitness devices is underpinned by neoliberal constructs, the incentivization of interactive life insurance programs works to obscure the immense value placed on information capital. This paper briefly considers the legal loopholes involved in the harvesting of sensitive health and fitness information from consumer wearables and suggests that the push toward fitness trackers has little to do with any real concerns for the health and fitness of consumers and policyholders. Lastly, I consider different forms of unwaged labour in the relationship between policyholders and interactive life insurance programs. I contend that policyholders do not recognise the free and immaterial labour that goes into sustaining the data-based business model that interactive life insurance companies and social media platforms use and rely on for profit. In so doing, they relinquish power and control over the data they work to produce, only so that the information can be commodified and used against them.


Author(s):  
Mohan Jyoti Dutta

Power constitutes discourse and is in turn, constituted by discourse. Power mediates the relationship between economics and discourse, working through discourse to reproduce the extractive interests of capital. It is on hand, embedded in economic structures; on the other hand, it is often enacted through discursive processes, discursive spaces, and discursive tactics. A conceptual framework for theorizing power is offered in this overview in order to understand the various approaches to power in communication studies, the divergences between these approaches and the convergences between them. A Marxist analysis of power as rooted in economic structures and exerted in oppression is positioned in relationship with post-structuralist reading of power as fragmented and multi-sited. Reading power and control through a framework of intersectionality foregrounds the intersections between class, race, gender, caste, and colonial formations. The various sites of workings of power are examined, from interpersonal relationships, to groups, to organizations and communities, to mediated spaces. The roles of communication strategy, communicative inversions, and communicative erasure are articulated in the context of power, depicting the ways in which power plays out through communication. These concepts then grapple with the contemporary context of power and communication in the realm of the digital, and outline potential anchors for communication scholarship seeking to explain & resist power amid the digital turn in the neoliberal transformation of the globe. Attention is paid to the extractive industries, poor working conditions, big data industries driving behavior change, and digital development markets that are continually consolidating new forms of capitalist profiteering.


2017 ◽  
Vol 49 (8) ◽  
pp. 1905-1921 ◽  
Author(s):  
Tom Disney

This article reconsiders children’s mobilities through the relationship between care and control in the context of Russia’s disability orphanages. Drawing upon the lens of carceral mobilities, the article challenges the dominant conceptualisations of children’s mobilities as ‘independent’ or necessarily intertwined with notions of ‘wellbeing’. Instead this piece draws upon ethnographic research into the Russian disability orphanage system to present three typologies of multi-scalar carceral mobilities which children experience in this context; firstly as a form of spatial segregation and containment, secondly as a form of punishment and finally enforced stillness and restraint as a form of care. In doing so it provides new insights into the nature of the everyday for children in restricted institutional environments, largely absent from the wider geographical literature. Through the lens of carceral mobility this article provides a more nuanced geographical reading of the orphanage beyond an environment variously understood to harm or problematically to provide shelter, but as an institution enmeshed in biopolitical processes of power and control.


2016 ◽  
Vol 5 (2) ◽  
pp. 169-193
Author(s):  
Judith Bueno de Mesquita ◽  
Gen Sander ◽  
Paul Hunt

The harm to health of victims of civil and political rights abuses has been a focus of some reparations programmes. Rehabilitation has been the primary form of reparation for harm to health. Is this current approach an appropriate response by reparations programmes to violations of the right to health during conflict or repression? Given the nature of right to health violations in conflict or repression, we suggest that reparations programmes should broaden their focus to also address not only the health consequences of civil and political rights violations, but also the destruction or neglect of the health system, and policies which harm health. We consider whether rehabilitation is the only suitable form of reparation for such abuses. We also consider the relationship between the fields of transitional justice and public health in periods of transition, including whether some conflict-related right to health violations should be addressed in the health sector rather than reparations programmes and, if so, how this can be done successfully.


2021 ◽  
Vol 14 (2) ◽  
Author(s):  
Nina Mišić Radanović

The battle against the COVID-19 pandemic is still the most important problem and a great challenge for the overburdened health system in the Republic of Croatia. This paper examines the research into how violations of humans’ right to health occurred due to the inaccessibility to health protection for uninfected persons during the COVID-19 pandemic. The research implemented showed that a system of anti-epidemic measures which completely suspended or significantly reduced the possibility to access primary and hospital health care, stopped preventive programs of cancer detection. Much medical research has already revealed the possible harmful effects to people's health in the increase in cases of the contraction of and death from cancer and other serious illnesses, particularly in relation to certain vulnerable groups for example, women and oncology patients. The author concludes that the right to access protection of health during the COVID-19 pandemic in the Republic of Croatia was significantly limited and analyzes possible legal consequences which could occur due to the suspension or limitation to the right to access health care as a violation of the right to health.


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