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EN
We contrast public debate concentrating on Polish and American insurance industries and their positions in the healthcare and social insurance reforms announced by administrations of Donald Tusk in Poland and Barack Obama in the US. The analysis concentrates on the public debate and explores public appearances, speeches and documents generated by insurance industry associations, trade organizations, major corporations in the sector and public officials and assesses their wider impact. Media strategies and PR methods used by Polish and American businesses and organizations are identified in order to compare public relations industries in both countries, demonstrate common traits and obvious differences, as well as forecast future developments in public relations practices, especially in Poland.
EN
This article is an ethnographic exploration of the responses of doctors to the 1997 healthcare reform in Poland. Based on research carried out among practitioners working in Podstawowa Opieka Zdrowotna (POZ, “Basic Healthcare”), which was established in 1997 and opened up to the market, I demonstrate the newly emerged self-identification of doctors, which can be expressed by the term, “the expanded doctor”. Following Elizabeth Dunn’s and Asta Vonderau’s ethnographies of post-socialist reconstructions, I examine how POZ practitioners became “expanded doctors”, and what particular elements constitute this novel and liberal self-definition. Based on Eliane Riska and Aurelija Novelskaite’s description of practitioners’ experiences of transforming from a planned economy to a world composed of “four logics”, I analyse the entrepreneurial face of the doctors’ self-identification, their attachment to private ownership, and the cult of liberal capitalism.
Human Affairs
|
2012
|
vol. 22
|
issue 4
613-622
EN
In recent years, policy debates in the United States have focused heavily on rising healthcare costs and what measures can be taken to ensure greater provision of healthcare to individuals of limited means. Much of the rhetoric on this subject has taken on an explicitly moral character, and one common sentiment is that healthcare is or should be viewed as a basic human right. However, the notion of a right to healthcare has not been well articulated, and critics have failed to distinguish between legal and moral rights. Additionally, there are numerous problems inherent to viewing healthcare as a basic human right-many of which are in direct conflict with distinctly American conceptualizations of rights. The present paper reviews the debate over “rights”-both legal and natural-to healthcare, and argues that problems associated with natural rights arguments render them severely compromised. Instead, market systems commonly accepted in American society may be better suited to reducing healthcare costs and increasing access to services in the United States.
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