Thailand: Chasing the Dream of Free Medical Care for the Sick

Author(s):  
Joseph Harris

Set against existing explanations for Thailand’s landmark universal coverage policy, this chapter traces the historical rise of a movement of progressive physicians in Thailand (the Rural Doctors’ Movement). After establishing their origins, it explores the critical role they played in institutionalizing universal healthcare over powerful opposition forces. In the absence of the strategic actions of this professional movement, the evidence presented here suggests that there is little reason to believe that Thailand’s universal coverage policy would ever have become a major issue in the 2001 election, much less a policy that would have been implemented and gone on to receive international acclaim. It points to the knowledge, social networks, and privileged positions in the state that allowed the movement to have an outsized role in the policy process following democratic transition in 1992.

Author(s):  
Nicolás Alberto Simón

En el presente trabajo se comenta un fallo judicial en el cual se analiza la procedencia de una acción constitucional de amparo iniciada por el progenitor de un niño de tres años de edad -enfermo de cáncer- a fin de que la obra social de la provincia de Entre Ríos y/o el propio estado provincial proveyese al menor el medicamento necesario para la continuación de su tratamiento, fármaco este que sólo se expende en Alemania.   The present paper comments on a judicial ruling that analyzes the requirements of a constitutional action initiated by the father of a three-year-old child with cancer in order to receive, from the medical care system of Entre Ríos Province and/or the state itself, the necessary medication for the continuation of the child’s treatment, a drug that is only sold in Germany.


2020 ◽  
Vol 75 (3) ◽  
pp. 256-263
Author(s):  
Maria Y. Egorova ◽  
Irina A. Shuvalova ◽  
Olga I. Zvonareva ◽  
Igor D. Pimenov ◽  
Olga S. Kobyakova ◽  
...  

Background. The organization of clinical trials (CTs) requires the participation and coordination of healthcare providers, patients, public and private parties. Obstacles to the participation of any of these groups pose a risk of lowering the potential for the implementation of CTs. Researchers are a key human resource in conducting of CT. Their motivation for participation can have a significant impact on the recruitment and retention of patients, on the quality of the data collected, which determines the overall outcome of the study. Aims to assess the factors affecting the inclusion of Russian physicians-researchers in CT, and to determine their role in relations with patients-participants. Materials and methods. The study was organized as a part of the Russian multicenter face-to-face study. A survey was conducted of researchers from 10 cities of Russia (20172018). The participation in the survey for doctors was anonymous and voluntary. Results. The study involved 78 respondents. Most research doctors highly value the importance of research for science (4,84 0,39), society (4,67 0,46) and slightly lower for participating patients (4,44 0,61). The expectations of medical researchers are related to improving their financial situation and attaining new experience (n = 14; 18,18%). However, the opportunity to work with new technologies of treatment and diagnosis (n = 41; 52,56%) acted as a motivating factor. According to the questionnaire, the vast majority of research doctors (n = 29; 37,18%) believe that the main reason for patients to participate in CT is to receive quality and free medical care. The most significant obstacle to the inclusion of participants in CT was the side effects of the study drug (n = 38; 48,71%). Conclusions. The potential of clinical researchers in Russia is very high. The patient-participant acts for the research doctor as the subject of the study, and not the object, so the well-being of the patient is not indifferent to the doctor. However, the features of the functioning of our health care system form the motivation of doctors-researchers (additional earnings, professional self-development) and the way they perceive the motivation of patients (CT as an opportunity to receive quality medical care).


2018 ◽  
Vol 7 (2) ◽  
pp. 213
Author(s):  
Budi Suhariyanto

Diskresi sebagai wewenang bebas, keberadaannya rentan akan disalahgunakan. Penyalahgunaan diskresi yang berimplikasi merugikan keuangan negara dapat dituntutkan pertanggungjawabannya secara hukum administrasi maupun hukum pidana. Mengingat selama ini peraturan perundang-undangan tentang pemberantasan tindak pidana korupsi tidak merumuskan secara rinci yang dimaksudkan unsur menyalahgunakan kewenangan maka para hakim menggunakan konsep penyalahgunaan wewenang dari hukum administrasi. Problema muncul saat diberlakukannya Undang-Undang Nomor 30 Tahun 2014 dimana telah memicu persinggungan dalam hal kewenangan mengadili penyalahgunaan wewenang (termasuk diskresi) antara Pengadilan Tata Usaha Negara dengan Pengadilan Tindak Pidana Korupsi. Pada perkembangannya, persinggungan kewenangan mengadili tersebut ditegaskan oleh Peraturan Mahkamah Agung Nomor 4 Tahun 2015 bahwa PTUN berwenang menerima, memeriksa, dan memutus permohonan penilaian ada atau tidak ada penyalahgunaan wewenang (termasuk diskresi) dalam Keputusan dan/atau Tindakan Pejabat Pemerintahan sebelum adanya proses pidana. Sehubungan tidak dijelaskan tentang definisi dan batasan proses pidana yang dimaksud, maka timbul penafsiran yang berbeda. Perlu diadakan kesepakatan bersama dan dituangkan dalam regulasi tentang tapal batas persinggungan yang jelas tanpa meniadakan kewenangan pengujian penyalahgunaan wewenang diskresi pada Pengadilan TUN.Discretion as free authority is vulnerable to being misused. The abuse of discretion implicating the state finance may be prosecuted by both administrative and criminal law. In view of the fact that the law on corruption eradication does not formulate in detail the intended element of authority abuse, the judges use the concept of authority abuse from administrative law. Problems arise when the enactment of Law No. 30 of 2014 triggered an interception in terms of justice/ adjudicate authority on authority abuse (including discretion) between the Administrative Court and Corruption Court. In its development, the interception of justice authority is affirmed by Regulation of the Supreme Court Number 4 of 2015 that the Administrative Court has the authority to receive, examine and decide upon the appeal there is or there is no misuse of authority in the Decision and / or Action of Government Officials prior to the criminal process. That is, shortly before the commencement of the criminal process then that's when the authority of PTUN decides to judge the misuse of authority over the case. In this context, Perma No. 4 of 2015 has imposed restrictions on the authority of the TUN Court in prosecuting the abuse of discretionary authority.


2021 ◽  
Vol 50 (1) ◽  
pp. 63-85
Author(s):  
Marina Svensson

This article analyses the visions, careers, and companies of Jack Ma of Alibaba and Geng Le of Blue City. Jack Ma is a well-known business leader and visionary, whereas the less well-known Geng Le only began to receive more attention since launching a successful gay dating app in 2012. The article focuses on the personal narratives and visions of these two IT entrepreneurs. It provides new perspectives on the role of individual entrepreneurs in relation to the Chinese state’s global ambitions and vision of creating a “strong internet country.” It argues that the commercialisation and platformisation of the Chinese internet, and the growing transnational nature of Chinese IT companies, serve to make them more, not less, co-dependent of the state and its visions. The internet’s emancipatory potential is today increasingly conflated with consumption, and online spaces and social relations are subject to both commodification and datafication.


2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Ji Chol ◽  
Ri Jun Il

Abstract The modeling of counter-current leaching plant (CCLP) in Koryo Extract Production is presented in this paper. Koryo medicine is a natural physic to be used for a diet and the medical care. The counter-current leaching method is mainly used for producing Koryo medicine. The purpose of the modeling in the previous works is to indicate the concentration distributions, and not to describe the model for the process control. In literature, there are no nearly the papers for modeling CCLP and especially not the presence of papers that have described the issue for extracting the effective components from the Koryo medicinal materials. First, this paper presents that CCLP can be shown like the equivalent process consisting of two tanks, where there is a shaking apparatus, respectively. It allows leachate to flow between two tanks. Then, this paper presents the principle model for CCLP and the state space model on based it. The accuracy of the model has been verified from experiments made at CCLP in the Koryo Extract Production at the Gang Gyi Koryo Manufacture Factory.


2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Timothy Clark

Abstract In 66 CE, the emperor Nero crowned the Parthian prince Tiridates I king of Armenia before the Roman people in the Forum Romanum. Much scholarship on Roman interactions with Parthia or Armenia focuses on histories of military conflict or diplomatic negotiation. Ritual and ceremonial evidence, however, is often taken for granted. This article uses the coronation to highlight a different way in which Rome articulated its relations with Parthia and Armenia to domestic and foreign audiences. It will show how Nero and his regime used the art of public spectacle to project an image of Roman superiority over Parthia and Armenia in spite of Roman military losses in the recent Armenian war. Tiridates, a Parthian prince and a brother of the Parthian king of kings, traveled to Rome to be crowned the first king of Armenia from the Parthian royal family. To receive this title, Tiridates passed by several monuments to Augustan triumphs over Parthia and Armenia in the Forum. He was also surrounded by a group of Roman citizens, who watched him as they would have watched a defeated foreign leader in a triumph. At the culmination of the ceremony, Tiridates performed proskynesis before Nero at the rostra Augusti and was granted his crown. Through Augustus’ monuments, the collective viewing of Tiridates, and his acts of public submission and deference to Nero, the crowning intimated a new narrative about the state of Roman-Parthian/Armenian relations. While Augustus had represented Parthian and Armenian defeat in art, Nero had compelled a representative of both Parthia and Armenia to come to Rome and kneel before the emperor. Both states were now subservient to Rome, which remained the dominant power in the East.


2020 ◽  
Vol 144 ◽  
pp. 26-35
Author(s):  
Rem V. Ryzhov ◽  
◽  
Vladimir A. Ryzhov ◽  

Society is historically associated with the state, which plays the role of an institution of power and government. The main task of the state is life support, survival, development of society and the sovereignty of the country. The main mechanism that the state uses to implement these functions is natural social networks. They permeate every cell of society, all elements of the country and its territory. However, they can have a control center, or act on the principle of self-organization (network centrism). The web is a universal natural technology with a category status in science. The work describes five basic factors of any social network, in particular the state, as well as what distinguishes the social network from other organizational models of society. Social networks of the state rely on communication, transport and other networks of the country, being a mechanism for the implementation of a single strategy and plan. However, the emergence of other strong network centers of competition for state power inevitably leads to problems — social conflicts and even catastrophes in society due to the destruction of existing social institutions. The paper identifies the main pitfalls using alternative social networks that destroy the foundations of the state and other social institutions, which leads to the loss of sovereignty, and even to the complete collapse of the country.


2013 ◽  
pp. 75-105
Author(s):  
Vida Cesnuityte

The aim of the research presented in the paper is to explore the inter-relations between care processes and personal social networks as social capital in the light of the changing family models. Research of interdependence of care, social capital and family models is based on the idea of family practices suggested by Morgan. The main research question is what family practices of various family models create such social capital that ensure caring for its' members? The research hypothesis is that participation in various activities together with family members and persons beyond nuclear and extended family create dense social networks of caregivers. The analysis is based on data of representative quantitative survey carried out in Lithuania between 2011 November-2012 May within the ESF supported research project "Trajectories of family models and social networks: intergenerational perspective". Research results only partly support this hypothesis: particular family practices create networks of caregivers, but in order to involve particular persons into network of caregivers, different family practices in various family models are needed. Usually, inhabitants of Lithuania primarily expect to receive care from persons who depend to nuclear family created through marriage and extended family arisen from this relation. But persons from whom it is expected to receive care and care received differ in Lithuania. In reality, caregivers usually are children in families with children and parents in families without children. Family practices that create social networks of caregivers, and are common for all family models include annual feasts like Christmas Eve, Christmas, Easter, All Soul's Day, New Year party, Mother's Day. Various family practices differently impacting creation social networks of caregivers for different family models but usually its include joint dinner daily, Sunday lunch together, vacations with family, communication face-toface, by the telephone or Internet, consultations on important decision-making, All Soul's Day feast, Christmas celebration, Mother's Day, Gatherings of relatives, Birthday, Name-day feast, visiting cultural event together.


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