Neoliberal Health Organizing

Mohan J Dutta closely interrogates the communicative forms and practices that have been central to the establishment of neoliberal governance. In particular, he examines cultural discourses of health in relationship to the market and the health implications of these cultural discourses. Using examples from around the world, he explores the roles of public-private partnerships, NGOs, militaries, and new technologies in reinforcing the link between market and health. Identifying the taken-for-granted assumptions that constitute the foundations of global neoliberal organizing, he offers an alternative strategy for a grassroots-driven participatory form of global organizing of health. This inventive theoretical volume speaks to those in critical communication, in health research, in social policy, and in contemporary political economy studies.

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 TajikistanÕs remote eastern province of Badakhshan, draws on extensive ethnographic and historical material to examine a Òrevolving drug fundÓ programÑused by numerous nongovernmental organizations globally to address shortages of high-quality pharmaceuticals in poor communities.ÊProvocative, 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 worldÕs most vulnerable populations.

Health and illness in the Neoliberal Era in Europe discusses the impact of neoliberalism on public health and the social construction of health and illness in Europe, analysing case studies at a European and national level.

Provoking urgent questions about the politics of health in the twenty-first century, this collection interrogates how neoliberal approaches to governance frame health and risk in ways that promote individual responsibility and the implications of such framings for the well-being of the collective. The essays examine a range of important issues, including childhood obesity, genetic testing, HPV vaccination, Aboriginal health, pandemic preparedness, environmental health, disability policy, aging, contingent work, and women’s access to social services. With specific attention to the Canadian context, contributors reveal how neoliberal practices and policies shape the health experiences of individuals, disadvantaged groups, and communities by cultivating self-discipline while further exposing to harm the lives and bodies of those already marginalized in consumer society. Building on the theoretical conceptualizations of power and government of French philosopher Michel Foucault, the case studies extend our understanding of the effects of neoliberal practices and policies in relation to social class, gender, racialized identity, colonization, and ability, and provide insight into how health-related discourse creates new requirements for citizenship and forms of social stratification. A timely intervention in the field of health studies, Neoliberal Governance and Health establishes the need for critical interdisciplinary scholarship to counter the individualizing and marginalizing tendencies of health-related policy, practice and research.

Since U.S. President Reagan and U.K. Prime Minister Thatcher, a major ideology (under the name of economic science) has been expanded worldwide that claims that the best policies to stimulate human development are those that reduce the role of the state in economic and social lives: privatizing public services and public enterprises, deregulating the mobility of capital and labor, eliminating protectionism, and reducing public social protection. This ideology, called 'neoliberalism,' has guided the globalization of economic activity and become the conventional wisdom in international agencies and institutions (such as the IMF, World Bank, World Trade Organization, and the technical agencies of the United Nations, including the WHO). Reproduced in the 'Washington consensus' in the United States and the 'Brussels consensus' in the European Union, this ideology has guided policies widely accepted as the only ones possible and advisable.This book assembles a series of articles that challenge that ideology. Written by well-known scholars, these articles question each of the tenets of neoliberal doctrine, showing how the policies guided by this ideology have adversely affected human development in the countries where they have been implemented.

An in-depth review of the challenges of neoliberal models and policies for realizing the right to health.

Global Health Watch, now in its fourth edition, is widely perceived as the definitive voice for an alternative discourse on health and healthcare. It covers a range of issues that currently impact on health, including the present political and economic architecture in a fast-changing and globalized world; a political assessment of the drive towards Universal Health Coverage; broader determinants of health, such as gender-based violence and access to water; stories of struggles, actions and change; and a scrutiny of a range of global institutions and processes. It integrates rigorous analysis, alternative proposals and stories of struggle and change to present a compelling case for a radical transformation of the way we approach actions and policies on health.

Since 1948, the World Health Organization (WHO) has launched numerous programs aimed at improving health conditions around the globe, ranging from efforts to eradicate smallpox to education programs about the health risks of smoking. In setting global health priorities and carrying out initiatives, the WHO bureaucracy has faced the challenge of reconciling the preferences of a small minority of wealthy nations, who fund the organization, with the demands of poorer member countries, who hold the majority of votes. In The World Health Organization between North and South, Nitsan Chorev shows how the WHO bureaucracy has succeeded not only in avoiding having its agenda co-opted by either coalition of member states but also in reaching a consensus that fit the bureaucracy's own principles and interests. Chorev assesses the response of the WHO bureaucracy to member-state pressure in two particularly contentious moments: when during the 1970s and early 1980s developing countries forcefully called for a more equal international economic order, and when in the 1990s the United States and other wealthy countries demanded international organizations adopt neoliberal economic reforms. In analyzing these two periods, Chorev demonstrates how strategic maneuvering made it possible for a vulnerable bureaucracy to preserve a relatively autonomous agenda, promote a consistent set of values, and protect its interests in the face of challenges from developing and developed countries alike.