Provides an international, unifying perspective, based on the 'public choice' tradition, to explain how patient-citizens interact with their country's political institutions to determine health policies and outcomes. This volume will appeal to undergraduate and graduate students studying health economics, health policy and public policy.

Originally published in 1984, this book attempted to fill a gap by providing a broad-ranging structural analysis of the health care sector and the political and economic forces which influence its shape and contents, both in the western world and developing countries. The contributors examine the relationships of capitalism to health care, in terms of its influence on the physical environment, the incidence of social diseases and the prevailing (20th Century) view of what constitutes health itself; and in terms of the consequences of the new medical industrial complex it has created, such as the declining provision of health care for the poor and disadvantaged and the growing power of the pharmaceutical industry.

a Should be of interest to everyone working for a just and caring health system anywhere.a Barbara Ehrenreich"

Why can't politicians seem to make policies that will reduce social inequality, even when they acknowledge that inequality is harmful?

The global rise in pandemics, most recently COVID-19, and other health challenges, some of which are due to climate change, have imposed significant challenges on the healthcare systems in economies around the world. Thus, this book deals with an issue that is very timely and relevant, not just in Africa but globally. It critically assesses healthcare reforms in Ghana under the Fourth Republic, since 1993. Although it focuses on Ghana’s National Health Insurance Scheme of 2003, the book instructively goes beyond this program. The book argues that, although Ghana is a bellwether of healthcare reforms in Africa, its healthcare initiatives are still far from the service haven of healthcare as a human right. Themes that animate the book’s argument include the need to translate human rights law, such as the right to health, into practical policies that work for ordinary citizens. Key highlights of the book include an increased accent on health as a human right, emphasis on comparative analysis in healthcare studies, and the formulation of a four-hallmark framework, embedded in economics, law, politics, and human rights, to act as a guide for assessment of healthcare reforms in Africa in particular, and Ghana more specifically. Using Ghana as a case study and analytical window into the world, the book offers a valuable and timely resource for academics, students and policymakers across the disciplines of development and healthcare economics, law, public policy, political science, sociology, and African and Caribbean studies, as well as in various fields in health science.

This is a passionate analysis of the historical development, current state and potential future shape of the National Health Service by distinguished doctor and author, Julian Tudor Hart.Drawing on many years of clinical experience, Tudor Hart sets out to explore how the NHS might be reconstituted as a humane service for all (rather than a profitable one for the few) and a civilising influence on society as a whole.His starting point is an attack on the creeping commercialisation of the health service - the privatisation of a growing number of spheres and the application of market economics to procurement, delivery and management. Combining clinical, political and economic arguments, he then proposes his own economic analysis of the NHS, 'derived not from classical theory but from experience of the real health care economy'. The author's aim is to provide 'a big picture' for students, academics, health professionals and NHS users that will inspire them to challenge received wisdoms about how the NHS should develop in the 21st century.

What makes women sick? To an Ecuadorean woman, it's nervios from constant worry about her children's illnesses. To a woman working in a New Mexico electronics factory, it's the solvents that leave her with a form of dementia. To a Ugandan woman, it's HIV from her husband's sleeping with the widow of an AIDS patient. To a Bangladeshi woman, it's a fatal infection following an IUD insertion. What they all share is a recognition that their sickness is somehow caused by situations they face every day at home and at work. In this clearly written and compelling book, Lesley Doyal investigates the effects of social, economic, and cultural conditions on women's health. The "fault line" of gender that continues to divide all societies has, Doyal demonstrates, profound and pervasive consequences for the health of women throughout the world. Her broad synthesis highlights variations between men and women in patterns of health and illness, and it identifies inequalities in medical care that separate groups of women from each other. Doyal's wide-ranging arguments, her wealth of data, her use of women's voices from many cultures--and her examples of women mobilizing to find their own solutions--make this book required reading for everyone concerned with women's health.

"A study for reading and interpreting disability and illness narrative and stigma within a neoliberal context. Uses HIV memoirs and interviews with women living with HIV to forward a new model or reading called differential reading"--

In the last two decades of the 20th century, we witnessed a dramatic growth in social inequalities within and among countries. This has had a most negative impact on the health and quality of life of large sectors of the populations in the developed and underdeveloped world. This volume analyzes the reasons for this increase in inequalities and its consequences for the well-being of populations. Scholars from a variety of disciplines and countries analyze the different dimensions of this topic.

This new edition of this bestselling book argues that patients need to develop as active citizens and co-producers of health. This second edition has been entirely rewritten with two new chapters, and includes new material on resistance to that world-wide process.