Download Configuring Health Consumers: Health Work and the Imperative by Roma Harris, Nadine Wathen, Sally Wyatt PDF

By Roma Harris, Nadine Wathen, Sally Wyatt

This e-book discover assumptions underpinning modern wellbeing and fitness coverage discourses that emphasize own accountability for future health, reflect on how they connect to altering info applied sciences, and talk about their impression on rising different types of healthiness ‘work’.

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The emphasis within this policy discourse on individual responsibility for health may therefore increase the amount of ‘healthwork’ (Mykhalovskiy and McCoy, 2004) that is a civic duty of Ontario citizens. Being healthy is something we all need to ‘do a better job at’ (Chowdhury, 2004). It involves making a life-long commitment to ‘continuous improvement’ (Ontario Ministry of Health and Long-Term Care, 2004a). Again, being healthier means engaging in behaviours to reduce risk for illness. However, Ontarians are also implored to seek regular check-ups, model healthy living for children and create a healthier culture.

In recent decades, however, health care has become increasingly marketised and ‘health’ is again being reconfigured as a personal rather than a collective responsibility. This chapter traces the history of public health care from its origins to these twenty-first century (re)configurations. Public health care originated in Germany in 1883 when Chancellor Otto von Bismarck responded to working class activism by requiring illness insurance for workers (Therborn, 1984). His programme became a prototype for most other Western countries, including the UK and Canada, and also influenced progressive politics in the US.

Further, MCOs can (and do) deny coverage to those who are a poor risk because of an existing health condition. com - licensed to Universitetsbiblioteket i Tromso - PalgraveConnect - 2011-03-19 Leslie Bella 17 In Sickness and in Health The American Association for Labor Legislation (AALL) was the first US group to take up Bismarck’s ideas. In 1912, AALL drafted a proposal for the Progressive Party, but physicians were suspicious and insurance companies were opposed. Once war was declared against Germany, support for a Bismarck-style health insurance bill was further eroded by anti-German sentiment.

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