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

By Roma Harris, Nadine Wathen, Sally Wyatt

This publication discover assumptions underpinning modern well-being coverage discourses that emphasize own accountability for well-being, think about how they connect to altering info applied sciences, and talk about their impact on rising types of overall healthiness ‘work’.

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Extra resources for Configuring Health Consumers: Health Work and the Imperative of Personal Responsibility (Health Technology and Society)

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2001) argue that the effect of this process has been to drain already inadequate NHS resources away from patient care in order to increase shareholders’ dividends and to support the growing bureaucracies needed to manage the complex web of public and private contracts. com - licensed to Universitetsbiblioteket i Tromso - PalgraveConnect - 2011-03-19 22 in the women’s health movement, which evolved from within second wave feminism. A catalyst was the Boston Women’s Health Book Collective (BWHBC) who published Women and our Bodies, a Course in 1970 (a precursor to the well-known, Our Bodies, Ourselves, published in 1973).

Canadian Medicare allows physicians to retain their ‘private’ practices but with public payment of fees-for-service; hospitals and doctors cannot charge patients for services covered by government programmes. Unlike the NHS, the Canadian plan excludes drugs, dental care and eyeglasses, and most working Canadians purchase additional private coverage, often through employer-sponsored group plans. Most lowincome recipients of government assistance receive some support for these additional costs. Health care in the United States Policy making in the US requires the support of the President and both legislative houses.

This empowerment-based policy discourse speaks to patients/consumers as citizens of Ontario, but it constitutes a new identity for them as ‘healthy Ontarians’ (Legislative Assembly of Ontario, 2006a), a social identity that is something to strive for, something that can be won through hard work. Ontarians are exhorted to ‘take charge’ (Legislative Assembly of Ontario, 2005b) or ‘take back control of’ their health (Ontario Ministry of Health and Long-Term Care, 2004a). This reflects the wider health promotion discourse that positions individual rationality and self-control as prerequisites for health (Lupton, 1995), while presenting health solely as an individual issue.

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