Paradoxes Of Care

Each year, billions of dollars are spent on global humanitarian health initiatives. These efforts are intended to care for suffering bodies, especially those of distressed children living in poverty. But as global medical aid can often overlook the local economic and political systems that cause bodily suffering, it can also unintentionally prolong the very conditions that hurt children and undermine local aid givers. Investigating medical humanitarian encounters in Egypt, Paradoxes of Care illustrates how child aid recipients and local aid experts grapple with global aid's shortcomings and its paradoxical outcomes. Rania Kassab Sweis examines how some of the world's largest aid organizations care for vulnerable children in Egypt, focusing on medical efforts with street children and out-of-school village girls. Her in-depth ethnographic study reveals how global medical aid fails to "save" these children according to its stated aims, and often maintains—or produces new—social disparities in children's lives. Foregrounding vulnerable children's responses to medical aid, Sweis moves past the unquestioned benevolence of global health to demonstrate how children must manage their own bodies and lives in the absence of adult care. With this book, she challenges readers to engage with the question of what medical caregivers and donors alike gain from such global humanitarian transactions.

Foreword by Harvey V. Fineberg, President of the Institute of Medicine For decades, experts have puzzled over why the US spends more on health care but suffers poorer outcomes than other industrialized nations. Now Elizabeth H. Bradley and Lauren A. Taylor marshal extensive research, including a comparative study of health care data from thirty countries, and get to the root of this paradox: We've left out of our tally the most impactful expenditures countries make to improve the health of their populations-investments in social services. In The American Health Care Paradox, Bradley and Taylor illuminate how narrow definitions of "health care," archaic divisions in the distribution of health and social services, and our allergy to government programs combine to create needless suffering in individual lives, even as health care spending continues to soar. They show us how and why the US health care "system" developed as it did; examine the constraints on, and possibilities for, reform; and profile inspiring new initiatives from around the world. Offering a unique and clarifying perspective on the problems the Affordable Care Act won't solve, this book also points a new way forward.

In the helping professions, codes of ethics and decision-making models have been the primary vehicles for determining what constitutes ethical practice. These strategies are insufficient since they assume that shared meanings exist and that the contradictory universal principles of codes can be reconciled. Also, these tools do not emphasize the significance of context for ethical practice. This book takes a new critical theoretical approach, which involves exploring how social workers construct what is ’ethical’ in their work, especially when they are positioned at the intersection of multiple paradoxes, including that of two opposing responsibilities in society: namely, to care for others but also to prevent others from harm. The book is built on narratives from actual front-line workers and therefore is more applicable and grounded for practitioners and students, offering many suggestions for sound practice. It illustrates that an understanding of ethics differs from worker to worker and is heavily influenced by context, workers’ values, and what they take up as the primary discourses that frame their perceptions of the profession. While recognizing the oppressive potential of social work, the book is rooted in a perspective that ethical practice can contribute to a more socially just society.

"Elana D. Buch's "Inequalities of Aging: Paradoxes of Independence in American Home Care" focuses on the topic of American home care and explores various contradictions and points of tension within the industry. It also raises awareness of the problematic inequality that exists in the American home care industry and argues for the creation of a more sustainable system."--

This book examines some of the more disturbing representations of nurses in popular culture, to understand nursing’s complex identities, challenges and future directions. It critically analyses disquieting representations of nurses who don’t care, who kill, who inspire fear or who do not comply with laws and policies. Also addressed are stories about how power is used, as well as supernatural experiences in nursing. Using a series of examples taken from popular culture ranging from film, television and novels to memoirs and true crime podcasts, it interrogates the meaning of the shadow side of nursing and the underlying paradoxes that influence professional identity. Iconic nursing figures are still powerful today. Decades after they were first created, Ratched and Annie Wilkes continue to make readers and viewers shudder at the prospect of ever being ill. Modern storytelling modes are bringing to audiences the grim reality that some nurses are members of the working poor, like Cath Hardacre in Trust Me, and others can be dangerous con artists, like the nurse in Dirty John. This book is important reading for all those interested in understanding the links between nursing’s image and the profession’s potential as an agent for change.

Why does it matter that our leaders care about us? What might we reasonably expect from a caring leader, and what price are we prepared to pay for it? Is caring leadership something ‘soft’, or can it be linked to strategy and delivery? International scholars from the fields of ancient and modern philosophy, psychology, organization studies and leadership development offer a strikingly original debate on what it means for leaders to care.

Why the news about the global decline of infectious diseases is not all good. Plagues and parasites have played a central role in world affairs, shaping the evolution of the modern state, the growth of cities, and the disparate fortunes of national economies. This book tells that story, but it is not about the resurgence of pestilence. It is the story of its decline. For the first time in recorded history, virus, bacteria, and other infectious diseases are not the leading cause of death or disability in any region of the world. People are living longer, and fewer mothers are giving birth to many children in the hopes that some might survive. And yet, the news is not all good. Recent reductions in infectious disease have not been accompanied by the same improvements in income, job opportunities, and governance that occurred with these changes in wealthier countries decades ago. There have also been unintended consequences. In this book, Thomas Bollyky explores the paradox in our fight against infectious disease: the world is getting healthier in ways that should make us worry. Bollyky interweaves a grand historical narrative about the rise and fall of plagues in human societies with contemporary case studies of the consequences. Bollyky visits Dhaka—one of the most densely populated places on the planet—to show how low-cost health tools helped enable the phenomenon of poor world megacities. He visits China and Kenya to illustrate how dramatic declines in plagues have affected national economies. Bollyky traces the role of infectious disease in the migrations from Ireland before the potato famine and to Europe from Africa and elsewhere today. Historic health achievements are remaking a world that is both worrisome and full of opportunities. Whether the peril or promise of that progress prevails, Bollyky explains, depends on what we do next. A Council on Foreign Relations Book

Grounded in intimate moments of family life in and out of hospitals, this book explores the hope that inspires us to try to create lives worth living, even when no cure is in sight. The Paradox of Hope focuses on a group of African American families in a multicultural urban environment, many of them poor and all of them with children who have been diagnosed with serious chronic medical conditions. Cheryl Mattingly proposes a narrative phenomenology of practice as she explores case stories in this highly readable study. Depicting the multicultural urban hospital as a border zone where race, class, and chronic disease intersect, this theoretically innovative study illuminates communities of care that span both clinic and family and shows how hope is created as an everyday reality amid trying circumstances.