Blind spot how neoliberalism infiltrated global health
Neoliberalism has been the defining paradigm in global health since the latter part of the twentieth century. What started as an untested and unproven theory that the creation of unfettered markets would give rise to political democracy led to policies that promoted the belief that private markets w...
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| Format: | E-Book Buch |
| Sprache: | Englisch |
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Oakland, Calif
University of California Press
2014
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| Ausgabe: | 1 |
| Schriftenreihe: | California series in public anthropology |
| Schlagworte: | |
| ISBN: | 9780520282834, 0520282841, 0520282833, 9780520282841, 052095873X, 9780520958739 |
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| Abstract | Neoliberalism has been the defining paradigm in global health since the latter part of the twentieth century. What started as an untested and unproven theory that the creation of unfettered markets would give rise to political democracy led to policies that promoted the belief that private markets were the optimal agents for the distribution of social goods, including health care. A vivid illustration of the infiltration of neoliberal ideology into the design and implementation of development programs, this case study, set in post-Soviet Tajikistan's remote eastern province of Badakhshan, draws on extensive ethnographic and historical material to examine a "revolving drug fund" program—used by numerous nongovernmental organizations globally to address shortages of high-quality pharmaceuticals in poor communities. Provocative, rigorous, and accessible, Blind Spot offers a cautionary tale about the forces driving decision making in health and development policy today, illustrating how the privatization of health care can have catastrophic outcomes for some of the world's most vulnerable populations. |
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| AbstractList | Neoliberalism has been the defining paradigm in global health since the latter part of the twentieth century. What started as an untested and unproven theory that the creation of unfettered markets would give rise to political democracy led to policies that promoted the belief that private markets were the optimal agents for the distribution of social goods, including health care.A vivid illustration of the infiltration of neoliberal ideology into the design and implementation of development programs, this case study, set in post-Soviet Tajikistan's remote eastern province of Badakhshan, draws on extensive ethnographic and historical material to examine a "revolving drug fund" program-used by numerous nongovernmental organizations globally to address shortages of high-quality pharmaceuticals in poor communities. Provocative, rigorous, and accessible,Blind Spotoffers a cautionary tale about the forces driving decision making in health and development policy today, illustrating how the privatization of health care can have catastrophic outcomes for some of the world's most vulnerable populations. Neoliberalism has been the defining paradigm in global health since the latter part of the twentieth century. What started as an untested and unproven theory that the creation of unfettered markets would give rise to political democracy led to policies that promoted the belief that private markets were the optimal agents for the distribution of social goods, including health care. A vivid illustration of the infiltration of neoliberal ideology into the design and implementation of development programs, this case study, set in post-Soviet Tajikistan's remote eastern province of Badakhshan, draws on extensive ethnographic and historical material to examine a "revolving drug fund" program—used by numerous nongovernmental organizations globally to address shortages of high-quality pharmaceuticals in poor communities. Provocative, rigorous, and accessible, Blind Spot offers a cautionary tale about the forces driving decision making in health and development policy today, illustrating how the privatization of health care can have catastrophic outcomes for some of the world's most vulnerable populations. Neoliberalism has been the defining paradigm in global health since the latter part of the 20th century. What started as an untested and unproven theory that the creation of unfettered markets would give rise to political democracy led to policies that promoted the belief that private markets were the optimal agents for the distribution of social goods, including health care. A vivid illustration of the infiltration of neoliberal ideology into the design and implementation of development programs, this case study, set in post-Soviet Tajikistan's remote eastern province of Badakhshan, draws on extensive ethnographic and historical material to examine a revolving drug fund program used by numerous nongovernmental organizations globally to address shortages of high-quality pharmaceuticals in poor communities. Neoliberalism has been the defining paradigm in global health since the latter part of the twentieth century. What started as an untested and unproven theory that the creation of unfettered markets would give rise to political democracy led to policies that promoted the belief that private markets were the optimal agents for the distribution of social goods, including health care. A vivid illustration of the infiltration of neoliberal ideology into the design and implementation of development programs, this case study, set in post-Soviet Tajikistan’s remote eastern province of Badakhshan, draws on extensive ethnographic and historical material to examine a "revolving drug fund" program—used by numerous nongovernmental organizations globally to address shortages of high-quality pharmaceuticals in poor communities. Provocative, rigorous, and accessible, Blind Spot offers a cautionary tale about the forces driving decision making in health and development policy today, illustrating how the privatization of health care can have catastrophic outcomes for some of the world’s most vulnerable populations. Neoliberalism has been the defining paradigm in global health since the latter part of the twentieth century. What started as an untested and unproven theory that the creation of unfettered markets would give rise to political democracy led to policies that promoted the belief that private markets were the optimal agents for the distribution of social goods, including health care. A vivid illustration of the infiltration of neoliberal ideology into the design and implementation of development programs, this case study, set in post-Soviet Tajikistan's remote eastern province of Badakhshan, draws on extensive ethnographic and historical material to examine a "revolving drug fund" program—used by numerous nongovernmental organizations globally to address shortages of high-quality pharmaceuticals in poor communities. Provocative, rigorous, and accessible, Blind Spot offers a cautionary tale about the forces driving decision making in health and development policy today, illustrating how the privatization of health care can have catastrophic outcomes for some of the world's most vulnerable populations. |
| Author | Keshavjee, Salmaan |
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| Copyright | 2014 The Regents of the University of California |
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| Keywords | reductions in government spending nongovernmental organizations economic liberalization civic healthcare privatization of health care deregulation private sectors austerity badakhshan capitalism political democracy global health post soviet union globalization economic liberalism health neoliberalism free trade revolving drug fund tajikistan pharmaceuticals poor communities privatization free market capitalism neoliberal ideology neo-liberalism social goods |
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| Notes | Includes bibliographical references (p. 185-230) and index |
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| Snippet | Neoliberalism has been the defining paradigm in global health since the latter part of the twentieth century. What started as an untested and unproven theory... Neoliberalism has been the defining paradigm in global health since the latter part of the 20th century. What started as an untested and unproven theory that... |
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| SubjectTerms | Anthropology Associations, institutions, etc austerity badakhshan capitalism civic deregulation economic liberalism economic liberalization economics free market capitalism free trade global health globalization health Health Policy Health Services Health Services Administration healthcare Medical policy neo-liberalism neoliberal ideology Neoliberalism nongovernmental organizations Organizations pharmaceuticals political democracy poor communities post soviet union private sectors privatization privatization of health care reductions in government spending revolving drug fund social goods SOCIAL SCIENCE SOCIAL SCIENCE / Anthropology / General SOCIAL SCIENCE / Sociology / General Socioeconomic Factors Tajikistan World Health World Health - Tajikistan |
| SubjectTermsDisplay | Health Policy Health Services Health Services Administration Medical policy Organizations Socioeconomic Factors World Health |
| Subtitle | how neoliberalism infiltrated global health |
| TableOfContents | Blind spot : how neoliberalism infiltrated global health -- Contents -- Illustrations -- Foreword -- Preface -- Acknowledgments -- 1. Introduction: A World Transformed -- Part I: The Beginning of the Encounter: The Soviet World Meets its Global Counterparts -- 2. Health in the Time of the USSR: A Window into the Communist Moral World -- 3. Seeking Help at the End of Empire: A Transnational Lifeline for Badakhshan -- Part II: Life at the End of Empire: The Crisis and the Response -- 4. The Health Crisis in Badakhshan: Sickness and Misery at the End of Empire -- 5. Minding the Gap? The Revolving Drug Fund -- Part III: Transplanting Ideology: Village Health Meets the Global Economy -- 6. Bretton Woods to Bamako: How Free-Market Orthodoxy Infiltrated the International Aid Movement -- 7. From Bamako to Badakhshan: Neoliberalism's Transplanting Mechanism -- Part IV: The Aftermath: Neoliberal Success, Global Health Failure -- 8. Privatizing Health Services: Reforming the Old World -- 9. Revealing the Blind Spot: Outcomes That Matter -- 10. Epilogue: Reframing the Moral Dimensions of Engagement -- Notes -- Bibliography -- Index. Front Matter Table of Contents List of Illustrations Foreword Preface Acknowledgments MAP 1: Introduction: 2: Health in the Time of the USSR: 3: Seeking Help at the End of Empire: 4: The Health Crisis in Badakhshan: FIGURES 5: Minding the Gap? 6: Bretton Woods to Bamako: 7: From Bamako to Badakhshan: 8: Privatizing Health Services: 9: Revealing the Blind Spot: 10: Epilogue: Notes Bibliography Index Intro -- Imprint -- Title -- Copyright -- Dedication -- Epigraph -- Contents -- List of Illustrations -- Foreword -- Preface -- Acknowledgment -- 1. Introduction: A World Transformed -- Part I. The Beginning of the Encounter: The Soviet World Meets its Global Counterparts -- 2. Health in the Time of the USSR: A Window into the Communist Moral World -- 3. Seeking Help at the End of Empire: A Transnational Lifeline for Badakhshan -- Part II. Life at the End of Empire: The Crisis and the Response -- 4. The Health Crisis in Badakhshan: Sickness and Misery at the End of Empire -- 5. Minding the Gap? The Revolving Drug Fund -- Part III. Transplanting Ideology: Village Health Meets the Global Economy -- 6. Bretton Woods to Bamako: How Free-Market Orthodoxy Infiltrated the International Aid Movement -- 7. From Bamako to Badakhshan: Neoliberalism's Transplanting Mechanism -- Part IV. The Aftermath: Neoliberal Success, Global Health Failure -- 8. Privatizing Health Services: Reforming the Old World -- 9. Revealing the Blind Spot: Outcomes That Matter -- 10. Epilogue: Reframing the Moral Dimensions of Engagement -- Notes -- Bibliography -- Index Acknowledgments -- Contents -- 6. Bretton Woods to Bamako -- 3 Seeking Help at the End of Empire -- 4. The Health Crisis in Badakhshan -- 7. From Bamako to Badakhshan -- 9 Revealing the Blind Spot -- Preface -- 8 Privatizing Health Services -- 1. Introduction -- Index 10 Epilogue -- Illustrations -- Part IV. The Aftermath -- Foreword -- Map of Tajikistan -- 2. Health in the Time of the USSR -- Part III. Transplanting Ideology -- Part II. Life at the End of Empire -- Part I. The Beginning of the Encounter -- Frontmatter -- Notes -- Bibliography -- 5. Minding the Gap? -- |
| Title | Blind spot |
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