Class Notes (834,634)
Canada (508,661)
HLTHAGE 1AA3 (276)

oct 24 commodification solidarity.docx

2 Pages
Unlock Document

Health, Aging and Society
Geraldine Voros

oct 24 -sicko movie Commodification and Solidarity Hans-Ulrich Deppe Commodification and Solidarity  Healthcare system mirrors society  Distribution of the healthcare resources is the point of interest  A dance between social choice and political power  The myth of cost explosion = implies a change in the concept of health care = traditional thought of collectively dealing with social risks vs. to healthcare as support for private capital accumulation = re-individualization vs. commercialization = solidarity vs. individual interests  Health an existential good, a use value, a collective and public good = a benefit to society  Health largely unpredictable – not a choice as in consuming goods, it is a general life risk and can not be regulated  Demand for medical health is initially non-specific – illness must be defined by the specialist/expert = gives them power and discretion  Patient is vulnerable, dependent, in need, also fearful and perhaps shameful  The most in need are usually the ones with the least financial resources  Public protection necessary  Market is a blind power without social orientation  The state needs to decide how healthcare is delivered and distributed  Research indicates the field of healthcare is person oriented, uncertain, sensitive and complex  Money, competition, legal insecurity, professional career ambitions influence clinical decisions, consciously or unconsciously  There exists a contradiction between market pressure and individual patients’ needs  German law = public health insurance pays for all “medically necessary treatments”  In Germany the medical profession gets to define what “necessary means” = indicators of necessary: age, privately or publically insured, professional education, social status all become criterion  German physicians refuse to ration treatment on financial grounds every day = moral dissonance  Medical necessity recalibrated by evidence based medicine w
More Less

Related notes for HLTHAGE 1AA3

Log In


Join OneClass

Access over 10 million pages of study
documents for 1.3 million courses.

Sign up

Join to view


By registering, I agree to the Terms and Privacy Policies
Already have an account?
Just a few more details

So we can recommend you notes for your school.

Reset Password

Please enter below the email address you registered with and we will send you a link to reset your password.

Add your courses

Get notes from the top students in your class.