Conclusion

Author(s):  
Joseph Harris

This chapter summarizes the overall argument and points to the influential role that elites from esteemed professions played in the institutionalization of policy in the three cases. While in all cases democratization provided new opportunities for professional movements in medicine to use the organizational vehicle of the state to advance universal health coverage and the power of the law to deepen commitments to essential medicine, The chapters relate how the differences in outcomes between Thailand and Brazil, on one hand, and South Africa, on the other, hinged on dramatically different political dynamics. I consider the contemporary state of professional movements and health reforms in the three countries; why health has remained a minor concern to mass movements; the durability of professional movements; the influence of professional movements in other policy domains and cases; and their relevance to the United States and other countries in the industrializing world.

1987 ◽  
Vol 33 ◽  
pp. 235-259 ◽  

Honor Bridget Fell was born on 22 May 1900, the ninth and last child of Colonel William Edwin Fell and Alice Fell ( née Pickersgill-Cunliffe). She had six sisters and two brothers; one brother, the younger of the two, being a Down’s syndrome child who died aged eight. She was therefore very much the ‘baby’ of the family, the other brother being eight years older than her. She was born at Fowthorpe near Filey in Yorkshire. The family had moved there from Sussex where they owned a farm, Springhead, near Steyning. Her father was a minor landowner but cannot be said to have been a successful farmer. It was his misfortune that he was farming during the worst of the agricultural depression. His main interests were the army and horses, both of which he managed to combine. During the Boer War he spent much of his time in the United States procuring horses for dispatch to the British Army in South Africa. He was keenly interested in nature and animals, and her family think Honor inherited her deep attachment to biology from him. Her mother was a very different type of person. She was extremely practical, a very capable carpenter and no mean architect. She designed the house at Fowthorpe and supervised its construction. She was in every sense the matriarch of the family and carried the burden of bringing up a large family in circumstances that could never have been very easy. She lived to a ripe old age dying in 1951. The families of Fells and Pickersgill-Cunliffe were large and widespread. There was a family journal printed and published quarterly for the sum of 7 shillings per annum. Honor is mentioned on several occasions, notably in the report of her sister Barbara’s wedding where, as a schoolgirl of 13, she appeared carrying her pet ferret, Janie, to the consternation of the rest of the family. In many ways they were a gifted and remarkable family— all had great artistic ability, the brother was a gifted engineer, they all lived into their 80s, and one managed to pass 90.


Author(s):  
Mark Britnell

In this chapter, Mark Britnell takes a close look at the American healthcare system. He analyses the openly polarized American society, and how this is reflected in its health systems. American healthcare can deliver the finest service to some, and yet leave millions without insurance. It is the only OECD country without universal health coverage but leads the world in research. He looks at the United States’s slightly low density of physicians with 2.6 per 1,000 population compared with the OECD average of 3.0, and how this aggregate figure hides shortfalls and surpluses across the country spanning specialties, regions, and income brackets.


2018 ◽  
Vol 48 (3) ◽  
pp. 568-585 ◽  
Author(s):  
Ashley Fox ◽  
Roland Poirier

Described as “universal prepayment,” the national health insurance (or single-payer) model of universal health coverage is increasingly promoted by international actors as a means of raising revenue for health care and improving social risk protection in low- and middle-income countries. Likewise, in the United States, the recent failed efforts to repeal and replace the Affordable Care Act have renewed debate about where to go next with health reform and arguably opened the door for a single-payer, Medicare-for-All plan, an alternative once considered politically infeasible. Policy debates about single-payer or national health insurance in the United States and abroad have relied heavily on Canada’s system as an ideal-typical single-payer system but have not systematically examined health system performance indicators across different universal coverage models. Using available cross-national data, we categorize countries with universal coverage into those best exemplifying national health insurance (single-payer), national health service, and social health insurance models and compare them to the United States in terms of cost, access, and quality. Through this comparison, we find that many critiques of single-payer are based on misconceptions or are factually incorrect, but also that single-payer is not the only option for achieving universal coverage in the United States and internationally.


2018 ◽  
Vol 6 (11) ◽  
pp. e1153-e1154 ◽  
Author(s):  
Malebona Precious Matsoso ◽  
Jeanette Rebecca Hunter ◽  
Vishal Brijlal

Author(s):  
Francis Omaswa ◽  
Nigel Crisp

Chapter 16 addresses the way in which universal health coverage has become one of the most important concepts in global health. It sets the scene for the following chapters in which leaders discuss the implementation of universal health coverage in Rwanda, South Africa, and Ghana.


2015 ◽  
Vol 40 (1) ◽  
pp. 47-86 ◽  
Author(s):  
Or Rabinowitz ◽  
Nicholas L. Miller

How has the United States behaved historically toward friendly states with nuclear weapons ambitions? Recent scholarship has demonstrated the great lengths to which the United States went to prevent Taiwan, South Korea, and West Germany from acquiring nuclear weapons. Yet seemingly on the other side of the ledger are cases such as Israel, South Africa, and Pakistan, where the United States failed to prevent proliferation, and where many have argued that the United States made exceptions to its nonproliferation objectives given conflicting geopolitical goals. A reexamination of the history of U.S. nonproliferation policy toward Israel, South Africa, and Pakistan, based on declassified documents and interviews, finds that these cases are not as exceptional as is commonly understood. In each case, the United States sought to prevent these states from acquiring nuclear weapons, despite geopolitical constraints. Moreover, once U.S. policymakers realized that prior efforts had failed, they continued to pursue nonproliferation objectives, brokering deals to prevent nuclear tests, public declaration of capabilities, weaponization, or transfer of nuclear materials to other states.


2016 ◽  
Vol 106 (6) ◽  
pp. 533 ◽  
Author(s):  
Mark Blecher ◽  
Anban Pillay ◽  
Walaiporn Patcharanarumol ◽  
Warisa Panichkriangkrai ◽  
Viroj Tangcharoensathien ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document