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The Liberal Grounding of the Right to Health Care

An Egalitarian Critique

Dani Filc

The language of rights is increasingly used to regulate access to health care and allocation of resources in the health care field. The right to health has been grounded on different theories of justice. Scholars within the liberal tradition have grounded the right to health care on Rawls's two principles of justice. Thus, the right to health care has been justified as being one of the basic liberties, as enabling equality of opportunity, or as being justified by the maximin principle. In this article, Filc analyzes—from a radical egalitarian standpoint—the limitations of the different attempts to ground an equal right to health on Rawls's theory of justice and offers a first approximation to a radical egalitarian formulation of the right to health.

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Immigrant Sanctuary or Danger

Health Care and Hospitals in the United States

Beatrix Hoffman

. In response to this and other cases in which undocumented immigrants were detained while seeking health care, two physicians and an ACLU attorney published a piece in the Journal of the American Medical Association calling for “sanctuary hospitals

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Saudi Patients and Health Care Providers

Divergent Perceptions of Illnesses and Their Symptoms

Mohamed Harakati, Faissal Shaheen, Hani Tamim, Saadi Taher, Adel Al. Qublan, and Abdulla Al Sayyari

This cross-sectional survey study analyses the degree of concordance between Saudi patients and their nurses and physicians in four areas: (1) perceived causation of diseases and drivers of cure, (2) symptom ranking and perception, (3) views on social habits and traditional medicine, and (4) assessment of health care providers' empathy. The doctors and nurses were asked to predict their patients' responses to the survey. Significant divergence was found between the patients' responses and the health care providers' predictions. Cultural and background differences between the two groups, as well as a large educational gap, might account for this disparity. Such discordance could conceivably lead to wrong diagnoses being made, due to the different levels of importance that patients and doctors accord to symptoms.

Open access

Publicly Funded Abortion and Marginalised People's Experiences in Catalunya

A Longitudinal, Comparative Study

Bayla Ostrach

and unique effects in Catalunya, where migrants have greater access to public health care ( Ostrach 2017 ). The 2010 reforms expanded abortion rights for any reason in the first trimester (up to 14 weeks from the last menstrual period, by this law

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Needs, Medical Necessity, and the Problem of Helping the Uninsured

Andrew Ward

The nature of health care, a multifaceted system of reimbursements, subsidies, levels of care, and trade-offs between economics, values and social goods, makes it both a problematic area of policy and critical to the well-being of society. In the United States, provision of health care is not a right as in some countries, but occurs as a function of a complex set of cross-subsidized mechanisms that, according to some analysts, exclude from coverage those who may be in the most need of it. Accordingly, this article examines some of the issues involved in making decisions on how to justly expand health insurance.

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High-tech Romania?

Commoditisation and Informal Relations in the Managerialist Informatisation of the Romanian Health-Care System

Sabina Stan and Valentin-Veron Toma

While informatisation has officially been hailed as a major component of the modernisation of the Romanian health-care system, this paper, based on ethnographic research in Romanian hospitals, shows that it has been mostly geared towards managerialist goals of administrative control and cost containment. Paradoxically, informal relations, which were supposed to be suppressed as a result of both informatisation and managerialist marketisation, continue to thrive in the Romanian health-care system.

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Images of Care, Boundaries of the State

Volunteering and Civil Society in Czech Health Care

Rosie Read

This article examines how boundaries of the state are negotiated and projected in Czech health care volunteering. Hospital regimes and the professional care provided by doctors and nurses are widely imagined as a domain of intensified state authority, a legacy of state socialism. I explore attempts by NGO actors, hospitals, and local government officials involved in three Czech volunteer programs to create alternative, non-medicalized forms of patient care as civil society, thereby reproducing the boundary between state and non-state that characterized civil society discourses of the 1990s in the region. Yet unlike those discourses and the anthropological analyses they have informed, this process of boundary making does not constitute the state and civil society as inevitably antagonistic or competitive entities.

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MOBILE PHYSICIANS MAKING SENSE OF CULTURE(S)

Katarzyna Wolanik Boström and Magnus Öhlander

This article, emerging from a study of mobile Polish physicians currently working in Sweden, explores the doctors’ ethnography-like descriptions applying the categories of knowledge usually employed by the researchers. The primary material consists of 21 interviews. The term mobile everyday ethnography points out the particular epistemological condition induced by occupational mobility: a tendency to explore and describe settings and behaviours in cultural terms, oscillating between an insider’s knowledge and an outsider’s estrangement. Some recurrent themes in the interviews concerning cultural frictions are presented, followed by a discussion of the specificity of mobile everyday ethnography: its basis in the pragmatics of everyday life, the predominant usage of the popular notion of “culture” and the professional self being the focal point.

Open access

‘What Makes It Nice Is Also What Makes It Difficult’

How the Introduction of an Interactive Patient Room Challenges Appropriation of Technology Among Health Care Workers

Birgitte Folmann and Regine Grytnes

challenge, as it necessarily involves comprehensive changes in the clinical practice and ways of working ( Dahler et al. 2018 ; Potthoff et al. 2019 ). In this article, we aim to explore health care workers’ perceptions and reluctance to use a new

Open access

Roma Community and Health Inequalities during the COVID-19 Pandemic in Romania

The Role of Health Mediators

Raluca Cosmina Budian and Oana Maria Blaga

–2020. 1 Similar to the situation of Roma in other Eastern European counties, the situation in Romania shows that there are disparities between the Roma and non-Roma population in multiple areas, including education, housing, employment, access to health-care