The individualization in the right to health care: exploring an analytic insight

Authors

  • Tiago Correia Instituto Superior de Ciências do Trabalho e da Empresa – Instituto Universitário de Lisboa (ISCTE-IUL). Lisboa, Portugal. Centro de Investigação e Estudos de Sociologia – Instituto Universitário de Lisboa (CIES-IUL). Lisboa, Portugal.

DOI:

https://doi.org/10.25758/set.914

Keywords:

Health policies, Rationalization, Liberalism, Co-payments, Individualization

Abstract

This is an essay paper that aims at strengthening arguments presented elsewhere with regard to the ideological reconfiguration of health policies. From an analytical standpoint, it is discussed the extent to which the context of liberalization and growing dependency on for-profit private investments is leading to more individualized health care rights while discussing its implications for the definition of public policies in the context of neoliberalism. Individualized health care rights suggest different ethics and moral principles from those consolidated in the late 20th century among Western countries, as users are increasingly becoming more accountable to finance individually their access to health care besides other financing sources, either taxes or health insurance. Not only unequal conditions to access health care arise from this change, as the rational choice theory underpinning such reconfiguration in health policies remains a managerialist belief yet to be proven regarding its conceptual accuracy. This discussion is illustrated based on some OECD indicators, which highlight divergent patterns among countries with respect to the individualization of health rights.

Downloads

Download data is not yet available.

References

Kuhn TS. The structure of scientific revolutions. Chicago: University of Chicago Press; 1962. ISBN 0226458083

Lepeltier T. A filosofia das ciências? Sciences Humaines. 2006;176:54-7.

Bourdieu P. O poder simbólico. Lisboa: Difel; 1989. ISBN 9789722900140

Machado FL. Meio século de investigação sociológica em Portugal: uma interpretação empiricamente ilustrada. Sociologia. 2009;19:283-343. Portuguese

Correia T. Debating the comprehensive basis of Western healthcare systems in the light of neo-liberalism. CIES e-Working Paper. 2012;(124).

OCDE. 2011 OECD health data. Paris: OCDE; 2011.

Foucault M. La politique de santé au XVIIIe siècle. In Foucault M, editors. Les machines à guérir: aux origines de l'hôpital moderne. Liège: Pierre Mardaga; 1979. p. 7-18.

Carapinheiro G, Serra H, Correia T. Estado, medicina e políticas em Portugal: fluxos e refluxos de poder. In Alves F, Silva LF, Fontes B, Luz M, editors. Saúde e sociedade. Lisboa: Lidel; no prelo.

Porter D. Health, civilization and the state: a history of public health from ancient to modern times. London: Routledge; 1999. ISBN 978-0415200363

van der Zee J, Kroneman MW. Bismarck or Beveridge: a beauty contest between dinosaurs. BMC Health Serv Res. 2007;7:94.

Sefton T. Distributive and redistributive policy. In Goodin RE, Moran M, Rein M, editors. The Oxford handbook of public policy. Oxford: Oxford University Press; 2008. p. 607-23. ISBN 9780199548453

Published

2013-11-30

How to Cite

The individualization in the right to health care: exploring an analytic insight. (2013). Saúde & Tecnologia, Suplemento, e52-e56. https://doi.org/10.25758/set.914