This book argues that neoliberal changes in health and social care go beyond resource allocations, priority setting and privatisation, and manifest in an invidious erosion of the quality of our social relationships, including relationships between care provider and care recipient. Critically examining the concept of culture and why shifts in what is considered "acceptable practice" happen, the book explores the conduct of conduct. It draws together what we know about neoliberalism’s impact on the economy and public services with research around governmentality and social change. Looking at breakdowns in the quality of care in the NHS and social care across a range of settings it holds that macro influences, such as austerity and marketisation, cannot explain everything and many of the damaging things that go on in care breakdowns occur in micro-interactions between care provider and care recipient. Analysing the interactions between the calculations of political centres, the strength of professional identities, the effectiveness of oversight and supervision and the biographies of protagonists, Neil Small problematises the focus on culture, and culture change, in our response to care failures and examines what a different approach to care might involve. Exploring the interaction of politics, economics and social change and their impact on health care and the wider welfare state, this is an important contribution for students and researchers in health and social care, sociology, political science and management studies.

Health and illness in the Neoliberal Era in Europe discusses the impact of neoliberalism on public health and the social construction of health and illness in Europe, analysing case studies at a European and national level.

Disobedience : doctor workers unite! / Howard Waitzkin -- Becoming employees : the deprofessionalization and emerging social class position of health professionals / Matt Anderson -- The degradation of medical labor and the meaning of quality in health care / Gordon Schiff and Sarah Winch -- The political economy of health reform / David Himmelstein and Steffie Woolhandler -- The transformation of the medical industrial complex : financialization, the corporate sector, and monopoly capital / Matt Anderson and Robb Burlage -- The pharmaceutical industry in the context of contemporary capitalism / Joel Lexchin -- Obamacare : the neoliberal model comes home to roost in the United States, if we let it / Howard Waitzkin and Ida Hellander -- Austerity and health / Adam Gaffney and Carles Muntaner -- Imperialism's health component / Howard Waitzkin and Rebeca Jasso-Aguilar -- U.S. philanthrocapitalism and the global health agenda : the Rockefeller and Gates foundations, past and present / Anne-Emanuelle Birn and Judith Richter -- Resisting the imperial order and building an alternative future in medicine and public health / Rebeca Jasso-Aguilar and Howard Waitzkin -- The failure of Obamacare and a revision of the single payer proposal after a quarter century of struggle / Adam Gaffney, David Himmelstein, and Steffie Woolhandler -- Overcoming pathological normalcy : mental health challenges in the coming transformation / Carl Ratner -- Confronting the social and environmental determinants of health / Carles Muntaner and Rob Wallace -- Conclusion : moving beyond capitalism for our health / Adam Gaffney and Howard Waitzkin

Neoliberalism has been the defining paradigm in global health since the latter part of the twentieth century. What started as an untested and unproven theory that the creation of unfettered markets would give rise to political democracy led to policies that promoted the belief that private markets were the optimal agents for the distribution of social goods, including health care. A vivid illustration of the infiltration of neoliberal ideology into the design and implementation of development programs, this case study, set in post-Soviet Tajikistan’s remote eastern province of Badakhshan, draws on extensive ethnographic and historical material to examine a “revolving drug fund” program—used by numerous nongovernmental organizations globally to address shortages of high-quality pharmaceuticals in poor communities. Provocative, rigorous, and accessible, Blind Spot offers a cautionary tale about the forces driving decision making in health and development policy today, illustrating how the privatization of health care can have catastrophic outcomes for some of the world’s most vulnerable populations.

Chile is widely known as the first experiment in neoliberalism in Latin America, carried out and made possible through state violence. Since the beginning of the transition in 1990, the state has pursued a national project of reconciliation construed as debts owed to the population. The state owed a "social debt" to the poor accrued through inequalities generated by economic liberalization, while society owed a "moral debt" to the victims of human rights violations. Life in Debt invites us into lives and world of a poor urban neighborhood in Santiago. Tracing relations and lives between 1999 and 2010, Clara Han explores how the moral and political subjects imagined and asserted by poverty and mental health policies and reparations for human rights violations are refracted through relational modes and their boundaries. Attending to intimate scenes and neighborhood life, Han reveals the force of relations in the making of selves in a world in which unstable work patterns, illness, and pervasive economic indebtedness are aspects of everyday life. Lucidly written, Life in Debt provides a unique meditation on both the past inhabiting actual life conditions but also on the difficulties of obligation and achievements of responsiveness.

An in-depth review of the challenges of neoliberal models and policies for realizing the right to health.

We are in the midst of a global crisis of care. How do we get out of it? The Care Manifesto puts care at the heart of the debates of our current crisis: from intimate care--childcare, healthcare, elder care--to care for the natural world. We live in a world where carelessness reigns, but it does not have to be this way. The Care Manifesto puts forth a vision for a truly caring world. The authors want to reimagine the role of care in our everyday lives, making it the organising principle in every dimension and at every scale of life. We are all dependent on each other, and only by nurturing these interdependencies can we cultivate a world in which each and every one of us can not only live but thrive. The Care Manifesto demands that we must put care at the heart of the state and the economy. A caring government must promote collective joy, not the satisfaction of individual desire. This means the transformation of how we organise work through co-operatives, localism and nationalisation. It proposes the expansion of our understanding of kinship for a more 'promiscuous care'. It calls for caring places through the reclamation of public space, to make a more convivial city. It sets out an agenda for the environment, most urgent of all, putting care at the centre of our relationship to the natural world.

Neoliberal policies and austerity measures have unequivocally altered the landscape of women’s lives globally. The most detrimental effect has been on mothers as they are faced with increasing responsibility and decreasing resources. Despite mothers being the primary producers, consumers, and repro- ducers of the neoliberal world, their centrality has been largely silenced within economic discourse. Thus, Mothering in the Age of Neoliberalism calls for a new economic framework to counter the individualized neoliberal model, one in which the needs of mothers and children are prioritized. This volume provides a crucial starting point. By identifying the sources of neoliberal failure toward mothers, we can begin to collectively formulate an alternative paradigm in which mothers’ voices are no longer rendered invisible, but rather predominate in the global landscape.

"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.

The logics and ethics of neoliberal capitalism dominate public discourses and politics in the early twenty-first century. They morally endorse and institutionalize forms of competitive self-interest that jettison social justice values, and are deeply antithetical to love, care and solidarity. But capitalism is neither invincible nor inevitable. While people are self-interested, they are not purely self-interested: they are bound affectively and morally to others, even to unknown others. The cares, loves and solidarity relationships within which people are engaged give them direction and purpose in their daily lives. They constitute cultural residuals of hope that stand ready to move humanity beyond a narrow capitalism-centric set of values. In this instructive and inspiring book, Kathleen Lynch sets out to reclaim the language of love, care and solidarity both intellectually and politically and to place it at the heart of contemporary discourse. Her goal is to help unseat capital at the gravitational centre of meaning-making and value, thereby helping to create logics and ethical priorities for politics that are led by care, love and solidarity.