From Public Issue to Personal Trouble: Well-Being and the Fiscal Crisis of the State

1985 ◽  
Vol 2 (1) ◽  
pp. 43-55 ◽  
Author(s):  
Alan G. Ingham

What follows here is an essay—a rather one-sided viewpoint that is both tentative and, within the limits of a journal article, incomplete. I attempt to understand how our recent preoccupation with our bodies is being mobilized as one solution to the fiscal crisis of the welfare state. The deep-rooted assumptions of voluntarism that characterize liberal ideology, I claim, are surfacing again in the debate over lifestyle. And lifestyle, it appears, has become an ideological construction which diverts attention from the structural impediments to well-being by framing health issues in terms of personal, moral responsibilities—a “pull yourself up by the bootstraps” alternative to state intervention in health care. Some implications of the lifestyle ideology for physical educationists are presented.

Bioderecho.es ◽  
2019 ◽  
Author(s):  
Diego José García Capilla ◽  
María José Torralba Madrid

La aparición del Estado del bienestar a mitad del siglo XX tuvo consecuencias sanitarias que culminan con el reconocimiento del derecho a la protección de la salud y el deber de asistencia sanitaria del Estado, con una extensión de la medicina a campos desconocidos, medicalizando la vida de las personas. El TDAH es un caso paradigmático, convirtiéndose en una patología psiquiátrica a partir de su inclusión en el DSM-III 1980, con inconsistencias y subjetividad en las clasificaciones. La etiología del trastorno es desconocida, su diagnóstico es subjetivo y dudoso, su tratamiento poco efectivo y con riesgos, incrementando el número de casos diagnosticados y los beneficios de la industria farmacéutica. Desde la Bioética se impone una reflexión sobre los posible daños derivados de la medicalización (no-maleficencia), una prudente actuación de los profesional (beneficencia), respeto al criterio de niños y adolescentes (autonomía) y una perspectiva crítica en relación con el gasto derivado de su diagnóstico (justicia). The emergence of the welfare state in the mid-twentieth century had health consequences that culminated in the recognition of the right to health protection and the duty of health care of the State, with an extension of medicine to unknown fields, medicalizing the life of people. ADHD is a paradigmatic case, becoming a psychiatric pathology due to its inclusion in the DSM-III 1980, with inconsistencies and subjectivity in the classifications. The etiology of the disorder is unknown, its diagnosis is subjective and doubtful, its treatment ineffective and with risks, increasing the number of cases diagnosed and the benefits of the pharmaceutical industry. From the Bioethics a reflection on the possible damages derived from the medicalization (nonmaleficence), a prudent action of the professional (beneficence), respect to the criterion of children and adolescents (autonomy) and a critical perspective in relation to the expense is imposed derived from his diagnosis (justice).


2020 ◽  
Author(s):  
Jiancheng Ye

BACKGROUND The COVID-19 pandemic is a global public health crisis that has not only endangered the lives of patients but also resulted in increased psychological issues among medical professionals, especially frontline health care workers. As the crisis caused by the pandemic shifts from acute to protracted, attention should be paid to the devastating impacts on health care workers’ mental health and social well-being. Digital technologies are being harnessed to support the responses to the pandemic, which provide opportunities to advance mental health and psychological support for health care workers. OBJECTIVE The aim of this study is to develop a framework to describe and organize the psychological and mental health issues that health care workers are facing during the COVID-19 pandemic. Based on the framework, this study also proposes interventions from digital health perspectives that health care workers can leverage during and after the pandemic. METHODS The psychological problems and mental health issues that health care workers have encountered during the COVID-19 pandemic were reviewed and analyzed based on the proposed MEET (Mental Health, Environment, Event, and Technology) framework, which also demonstrated the interactions among mental health, digital interventions, and social support. RESULTS Health care workers are facing increased risk of experiencing mental health issues due to the COVID-19 pandemic, including burnout, fear, worry, distress, pressure, anxiety, and depression. These negative emotional stressors may cause psychological problems for health care workers and affect their physical and mental health. Digital technologies and platforms are playing pivotal roles in mitigating psychological issues and providing effective support. The proposed framework enabled a better understanding of how to mitigate the psychological effects during the pandemic, recover from associated experiences, and provide comprehensive institutional and societal infrastructures for the well-being of health care workers. CONCLUSIONS The COVID-19 pandemic presents unprecedented challenges due to its prolonged uncertainty, immediate threat to patient safety, and evolving professional demands. It is urgent to protect the mental health and strengthen the psychological resilience of health care workers. Given that the pandemic is expected to exist for a long time, caring for mental health has become a “new normal” that needs a strengthened multisector collaboration to facilitate support and reduce health disparities. The proposed MEET framework could provide structured guidelines for further studies on how technology interacts with mental and psychological health for different populations.


2016 ◽  
Vol 7 ◽  
Author(s):  
Troels Fage Hedegaard

This article explores whether and how the neo-liberal ideology has adapted to the Nordic welfare model by studying the attitudes of voters and grass-roots members of the Danish party Liberal Alliance towards the welfare state. This inquiry into one of the key issues for the neo-liberal ideology is inspired by theory on how an ideology will adapt to its context. The expectation outlined in the article is for the neo-liberals of this party to favour features that make the Nordic welfare model distinctive – extensive governmental responsibility, especially for children and the elderly, and a universalistic approach to providing welfare. I have explored this question using a mixed-methods approach, where I analyse a survey of voters and interviews with grass-roots members of the party. Combined this shows that the neo-liberals in Liberal Alliance do support a role for the welfare state that extends beyond a minimum welfare state, especially for the care of children, but they view old age and retirement mostly as a problem each individual must deal with. Regarding the universalistic approach to providing welfare, the neo-liberals seem torn between two different tendencies, one being a perception of a fair way to provide welfare and the other the idea of a selective welfare state as a neo-liberal core idea, which leads to ambivalent attitudes. I argue that this results in a form of the neo-liberal ideology that has adapted to the Nordic welfare model.


2000 ◽  
Vol 2 (2) ◽  
pp. 135-160 ◽  
Author(s):  
Michael Moran

This article redresses an imbalance in the study of the welfare state: the comparative neglect of health-care programmes as sources of evidence about the changing politics of the welfare state. It explains why health care should be central to our understanding of the welfare state; summarises the present debates about the pressures on welfare states; explains how to think about health-care governance in this connection; develops a typology of ‘health-care states'; and shows how the experience of health care reflects, and how it departs from, the wider experience of welfare states.


Sign in / Sign up

Export Citation Format

Share Document