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Moments in Transatlantic Political Development: Health Care as State and Party-builder |
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Abstract:
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In the British case, health care was employed as a party-building mechanism, and a means of ensuring continued loyalty and association with the State. The modern health care system began to develop shortly after the final round of (male) franchise expansion.. British political elites used health benefits as one way of building party loyalty; and Britons came to associate the provision of health care with the state. This quality of the British citizen-patient identity, in turn, would serve as a bulwark against sustained efforts on the part of successive (post-1989) governments to transform its citizens into health care consumers. Both institutional formation (in the period between 1911 and 1948) and the culture it engendered had established the very different identity of citizen patient. Market penetration of the British health care system has therefore been incomplete at best. In contrast, Americans established universal white male suffrage in the mid nineteenth century. This was long before the bases of modern health care had been established. Female suffrage also failed to provide an opening for health care to enter the political arena as institution-builder. |
Most Common Document Word Stems:
health (180), nhs (171), care (123), govern (102), patient (85), would (81), reform (80), hospit (80), thatcher (62), plan (58), within (53), draft (52), c (52), market (52), daniel (51), polici (51), ehlk (51), 2/28/2009 (51), polit (50), public (48), servic (46), |
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Association:
Name: Midwest Political Science Association 67th Annual National Conference URL: http://www.indiana.edu/~mpsa/
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Citation:
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MLA Citation:
| Ehlke, Daniel. "Moments in Transatlantic Political Development: Health Care as State and Party-builder" Paper presented at the annual meeting of the Midwest Political Science Association 67th Annual National Conference, The Palmer House Hilton, Chicago, IL, Apr 02, 2009 <Not Available>. 2009-11-10 <http://www.allacademic.com/meta/p360291_index.html> |
APA Citation:
| Ehlke, D. C. , 2009-04-02 "Moments in Transatlantic Political Development: Health Care as State and Party-builder" Paper presented at the annual meeting of the Midwest Political Science Association 67th Annual National Conference, The Palmer House Hilton, Chicago, IL Online <PDF>. 2009-11-10 from http://www.allacademic.com/meta/p360291_index.html |
Publication Type: Conference Paper/Unpublished Manuscript Review Method: Peer Reviewed Abstract: In the British case, health care was employed as a party-building mechanism, and a means of ensuring continued loyalty and association with the State. The modern health care system began to develop shortly after the final round of (male) franchise expansion.. British political elites used health benefits as one way of building party loyalty; and Britons came to associate the provision of health care with the state. This quality of the British citizen-patient identity, in turn, would serve as a bulwark against sustained efforts on the part of successive (post-1989) governments to transform its citizens into health care consumers. Both institutional formation (in the period between 1911 and 1948) and the culture it engendered had established the very different identity of citizen patient. Market penetration of the British health care system has therefore been incomplete at best. In contrast, Americans established universal white male suffrage in the mid nineteenth century. This was long before the bases of modern health care had been established. Female suffrage also failed to provide an opening for health care to enter the political arena as institution-builder. |
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| Document Type: |
PDF |
| Page count: |
51 |
| Word count: |
14876 |
| Text sample: |
| Daniel C. Ehlke—Draft 2/28/2009 1 CHAPTER 5 – MARKET REFORM AND A MATURING NHS “Though the market model may give patients a louder voice this will be the shrill cry of consumer choice not the skeptical thought and responsible voice of the citizen.” --Welsh Health and Social Services Minister Jane Hutt (Labour) 2004 “By giving frontline professionals and the public more say and control over the services they provide and receive I am confident that we will continue building |
| care (commonly known by its acronym CDHC).128 While attempts are being made within the context of the ‘new NHS’ to further empower patients there have thus far been limits placed on the extent to which citizen-patients can become true consumers. The next chapter will bring the NHS reform story up to the present. It will moreover present closing thoughts on the evolution of health care reform on both sides of the Atlantic viewed particularly through the lens of the |
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