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Why, despite vast resources being expended on health and health care, is there still so much ill health and premature death? Why do massive inequalities in health, both within and between countries, remain? In this devastating critique, internationally renowned health economist Gavin Mooney places the responsibility for these problems firmly at the door of neoliberalism. Mooney analyses how power is exercised both in health-care systems and in society more generally. In doing so, it reveals how too many vested interests hinder efficient and equitable policies to promote healthy populations,…mehr
Why, despite vast resources being expended on health and health care, is there still so much ill health and premature death? Why do massive inequalities in health, both within and between countries, remain? In this devastating critique, internationally renowned health economist Gavin Mooney places the responsibility for these problems firmly at the door of neoliberalism. Mooney analyses how power is exercised both in health-care systems and in society more generally. In doing so, it reveals how too many vested interests hinder efficient and equitable policies to promote healthy populations, while too little is done to address the social determinants of health. Instead, Mooney argues, health services and health policy more generally should be returned to the communities they serve. Taking in a broad range of international case studies - from the UK to the US, South Africa to Cuba - this provocative book places issues of power and politics in health care systems centre stage, making a compelling case for the need to re-evaluate how we approach health care globally.
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Autorenporträt
Gavin Mooney is based in Tasmania, Australia. He has worked as a health economist for 40 years and held academic positions in Scotland, Scandinavia, South Africa and Australia. In 2009 he was given an honorary doctorate by the University of Cape Town as 'one of the founding fathers of health economics'. He has published widely with over 20 books to his name. Gavin has also acted as a consultant to the WHO and the OECD. Equity is a key research focus. In recent years he has become particularly interested in the impact of poverty and inequality on health and of neoliberalism on society's power structures and health-care systems. These concerns inform his Challenging Health Economics, published in 2009. He is also an advocate for using community values through citizens' juries in health care (see www.gavinmooney.com).
Inhaltsangabe
PART I - Introduction Introduction: neoliberalism kills PARTII - Why are things so bad? 1. Why has the economics of health care policy gone wrong? 2. Why have broader policies affecting health been inadequate ? 3. The malaise of neoliberalism in health, health care and health economics 4. Neoliberalism, the global institutions and health PART III - Case studies 5. The US: the fear of 'socialised' health care 6. The UK National Health Service and the market 7. South Africa, neoliberalism and HIV/AIDS 8. Australia and victim blaming 9. Local community versus corporation 10. The pharmaceutical industry 11. Neoliberalism and global warming PART IV - Solutions 12. The solutions in theory: communitarian claims 13. The solutions in health care 14. The solutions in society more generally PART V - How things might get better 15. Kerala: community participation 16. Cuban health care and social determinants of health: just too good for the US? 17. Venezuela: power to the community PART VI - Conclusion Conclusion: can we change?
PART I - Introduction Introduction: neoliberalism kills PARTII - Why are things so bad? 1. Why has the economics of health care policy gone wrong? 2. Why have broader policies affecting health been inadequate ? 3. The malaise of neoliberalism in health, health care and health economics 4. Neoliberalism, the global institutions and health PART III - Case studies 5. The US: the fear of 'socialised' health care 6. The UK National Health Service and the market 7. South Africa, neoliberalism and HIV/AIDS 8. Australia and victim blaming 9. Local community versus corporation 10. The pharmaceutical industry 11. Neoliberalism and global warming PART IV - Solutions 12. The solutions in theory: communitarian claims 13. The solutions in health care 14. The solutions in society more generally PART V - How things might get better 15. Kerala: community participation 16. Cuban health care and social determinants of health: just too good for the US? 17. Venezuela: power to the community PART VI - Conclusion Conclusion: can we change?
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