scholarly journals Il liberalismo degli indifferenti La biopolitica nell’epoca degli stranieri morali

2014 ◽  
Vol 63 (1) ◽  
Author(s):  
Alessio Musio
Keyword(s):  
Health Care ◽  
Free Market ◽  
The Body ◽  
Universal Health Care ◽  
Human Beings ◽  
Double Movement ◽  
The One ◽  
Open Question ◽  
The Relationship ◽  
Universal Health

Il saggio intende offrire una valutazione del rapporto che lega il pensiero liberale alle forme della biopolitica e presenta a tal fine un doppio movimento che va dal liberalismo del libero mercato al pensiero di T. H. Engelhardt, per poi ritornare da questo al primo. Si comprenderà, così, per quale motivo anche in Engelhardt sia così essenziale quella discutibile e fenomenologicamente scorretta concezione proprietaria del corpo che segna il nesso tra liberalismo e la dottrina economica del libero mercato e che, appunto, sostanzia le tesi del filosofo texano sulla “persona”. Inoltre, diventerà possibile individuare per quale ragione nel suo pensiero compaiano contestualmente due tesi differenti: quella che attesta l’impossibilità di un’assistenza sanitaria universale per tutti gli “stranieri morali” e quella che sancisce la legittimità della non-curanza pubblica verso gli “esseri umani non-persone”. A fare da sfondo resta la domanda se sia questo tipo di liberalismo a divenire una fonte di indifferenza o non sia proprio una strana forma di ethos dell’indifferenza ad alimentarlo. ---------- This paper aims to provide an assessment of the relationship between the liberal thinking and the forms of biopolitics. For this purpose, the paper presents a double movement, which goes from the liberalism of the free market to the thought of T.H. Engelhardt, to then return from the latter to the first. Hence, it will be understood why even in Engelhardt it is so essential that questionable and phenomenologically incorrect conception–owner of the body–which marks the link between liberalism and the economic doctrine of the free market and that, in fact, substantiates the thesis of the Texan philosopher about the “person”. Further, it will be discussed why in his thought two different theses simultaneously emerge: the one claiming the inability of universal health care for all “moral foreigners” and the one stating the nonpublic disregard towards “non-person human beings”. In the background the open question is whether it is this type of liberalism to become a source of indifference or it is just a strange form of ethos of indifference to feed into it.

scholarly journals The “We” in the “Me”

2017 ◽  
Vol 43 (1) ◽  
pp. 21-44 ◽  
Author(s):  
Barbara Prainsack
Keyword(s):  
Health Care ◽  
Organ Donation ◽  
Social Practices ◽  
Health Data ◽  
Universal Health Care ◽  
Individual Rights ◽  
Human Beings ◽  
Relational Approach ◽  
Critical Scholarship ◽  
Universal Health

This article challenges a key tacit assumption underpinning legal and ethical instruments in health care, namely, that people are ideally bounded, independent, and often also strategically rational individuals. Such an understanding of personhood has been criticized within feminist and other critical scholarship as being unfit to capture the deeply relational nature of human beings. In the field of medicine, however, it also causes tangible problems. I propose that a solidarity-based perspective entails a relational approach and as such helps to formulate new solutions to complex ethical and regulatory questions, ranging from caring for people at the end of their lives to improving policies for organ donation and better governance of health data. It also underscores the importance of universal health care. Although a solidarity-based perspective does not require health to be seen as an individually enforceable right, it does influence our understanding of individual rights: it draws attention to how their meaning is shaped by shared social practices. I conclude by arguing that, in light of current pressures for medicine to become more personalized, using a relational understanding of personhood to shape policies and practices is a much needed endeavor.

Embodying social class

2009 ◽  
Vol 52 (4) ◽  
pp. 459-471 ◽  
Author(s):  
Stephen M. Rose ◽  
Stephanie Hatzenbuehler
Keyword(s):  
Health Care ◽  
Work Practice ◽  
Social Work Practice ◽  
Prise En Charge ◽  
Universal Health Care ◽  
Revisión Sistemática ◽  
Travail Social ◽  
Revue Systématique ◽  
The Relationship ◽  
Universal Health

English Poverty, income inequality and the inequitable distribution of health invariably co-occur. The strength of the relationship between wealth and health holds even in countries with universal health care. A systematic literature review describes pathways from inequality of wealth to embodied diseases. The significance for social policy and social work practice is developed. French La pauvreté, l’inégalité de revenus et la distribution inégalitaire de la santé se co-produisent invariablement. Le pouvoir de la relation entre richesse et santé s’exerce même dans des pays pourvus d’une couverture santé universelle. Une revue systématique de la littérature décrit les chemins de l’inégalité de la répartition des richesses dans la prise en charge des maladies. La signification pour la politique sociale et la pratique du travail social sera développée. Spanish Hay una concurrencia invariable entre la pobreza, desigualdad de ingresos, y la distribución desigual de la salud. El fuerte vínculo entre riqueza y salud se mantiene incluso en países donde el cuidado de la salud es universal. Una revisión sistemática de la literatura indica las conexiones entre la desigualdad de riqueza y las enfermedades corporales. Se desarrolla lo significativo de la política social y el trabajo social.

scholarly journals Creating universal health care in Ireland: A legal context

Health Policy ◽  
2021 ◽  
Author(s):  
Manfred Lau ◽  
Charles Larkin ◽  
Michael Harty ◽  
Shaen Corbet
Keyword(s):  
Health Care ◽  
Universal Health Care ◽  
Legal Context ◽  
Universal Health

scholarly journals P1490MONTHLY TREND AND SEASONALITY IN ACUTE AND CHRONIC HEMODIALYSIS; RESULT FROM NATIONWIDE DATABASE OF MEDICAL BILLS OF UNIVERSAL HEALTH CARE INSURANCE SYSTEM IN JAPAN

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Ryoya Tsunoda ◽  
Hirayasu Kai ◽  
Masahide Kondo ◽  
Naohiro Mitsutake ◽  
Kunihiro Yamagata
Keyword(s):  
Health Care ◽  
Seasonal Variation ◽  
Chronic Hemodialysis ◽  
Universal Health Care ◽  
Health Care Insurance ◽  
Individual Data ◽  
Insurance System ◽  
Number Of Patients ◽  
Medical Bills ◽  
Universal Health

Abstract Background and Aims Although knowing the accurate number of patients of hemodialysis important, data collection is a hard task. Establishing a simplified and prompt method of data collection for perspective hemodialysis is strongly needed. In Japan, there is a universal health care insurance system that covers almost all population. This study aimed to know a seasonal variation of hemodialysis patients using the big database of medical bills in Japan. Method Japanese Ministry of Health, Labour and Welfare established a big database named National Database (NDB), that consists of medical bills data in Japan. All bills data were sent to the data server from The Examination and Payment Agency, the organization that receives all medical bills from each medical institution and judge validity for payment. Each record of the database consists of bill data of one patient of a month for each medical institution. All data were anonymized before saved in the server and gave virtual patient identification number (VPID) that is unique for each patient. VPID is a hash value calculated by patient’s individual data such as name, date of birth, so that the value cannot be duplicate. Calculation of VPID is executed by an irreversible way to make it difficult to decrypt VPID into patient’s individual data. This database includes all information about medical care of whole population in Japan except for patients not under the insurance system (patients under public assistance system, victims of the war, or any other specified people under the public medical expense). Using this database, we investigated monthly number of patients who were recorded to be undergone hemodialysis (HD, includes hemodiafiltration). We searched chronic HD patients who have undergone HD on the month and continued it for 3 months, and acute HD patients who have discontinued HD within 3 months. Results In NDB, the number of chronic HD patients under public insurance system who confirmed to have undergone HD in December 2014 was 284 433. In contrast, the number of HD patients identified from the year-end survey by Japanese Society of Dialysis Therapy in the same year was of 311 193, but this number includes patients not under insurance system. Incidence rate of acute HD in Japan was persisted at 30-39 per million per month. There is a reproducible seasonal variation in number of acute HD patients, that increases in every winter and decreasing in every summer. The significantly highest frequency was observed in February(38.5/million/month) compared with September(30.6/million/month), the lowest month of the year (p<0.01). Conclusion We could show the trend in number of HD patients using nationwide bills data. Seasonality in some clinical factors in patients under chronic hemodialysis such as blood pressure, intradialytic body weight gain, morbidity of congestive heart failure, and, mortality, has been reported in many observational studies. Also, there are a few former reports about seasonality in AKI. However, a report about acute RRT is few. From our knowledge, this is the first report that revealed monthly dynamics of HD in a whole nation and rising risk of acute HD in winter. The true mechanism of this seasonality remains unclear. We have to establish a method to collect clinical data such as prevalence of CKD, causative diseases of AKI, kinds of precedent operations, and medications in connection with billing data.

scholarly journals Geographical Variation and Factors Associated with Colorectal Cancer Mortality in a Universal Health Care System

2014 ◽  
Vol 28 (4) ◽  
pp. 191-197 ◽  
Author(s):  
Mahmoud Torabi ◽  
Christopher Green ◽  
Zoann Nugent ◽  
Salaheddin M Mahmud ◽  
Alain A Demers ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Geographical Variation ◽  
Geographical Area ◽  
Capital City ◽  
Universal Health Care ◽  
Screening Programs ◽  
Crc Screening ◽  
Factors Associated ◽  
Universal Health

OBJECTIVE: To investigate the geographical variation and small geographical area level factors associated with colorectal cancer (CRC) mortality.METHODS: Information regarding CRC mortality was obtained from the population-based Manitoba Cancer Registry, population counts were obtained from Manitoba’s universal health care plan Registry and characteristics of the area of residence were obtained from the 2001 Canadian census. Bayesian spatial Poisson mixed models were used to evaluate the geographical variation of CRC mortality and Poisson regression models for determining associations with CRC mortality. Time trends of CRC mortality according to income group were plotted using joinpoint regression.RESULTS: The southeast (mortality rate ratio [MRR] 1.31 [95% CI 1.12 to 1.54) and southcentral (MRR 1.62 [95% CI 1.35 to 1.92]) regions of Manitoba had higher CRC mortality rates than suburban Winnipeg (Manitoba’s capital city). Between 1985 and 1996, CRC mortality did not vary according to household income; however, between 1997 and 2009, individuals residing in the highest-income areas were less likely to die from CRC (MRR 0.77 [95% CI 0.65 to 0.89]). Divergence in CRC mortality among individuals residing in different income areas increased over time, with rising CRC mortality observed in the lowest income areas and declining CRC mortality observed in the higher income areas.CONCLUSIONS: Individuals residing in lower income neighbourhoods experienced rising CRC mortality despite residing in a jurisdiction with universal health care and should receive increased efforts to reduce CRC mortality. These findings should be of particular interest to the provincial CRC screening programs, which may be able to reduce the disparities in CRC mortality by reducing the disparities in CRC screening participation.

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