Book Review: Iain Hay, The Caring Commodity: The Provision of Health Care in New Zealand, Auckland, Oxford University Press, 1989, pp 207, $34.95 (paper)
Identifieur interne : 000403 ( Istex/Corpus ); précédent : 000402; suivant : 000404Book Review: Iain Hay, The Caring Commodity: The Provision of Health Care in New Zealand, Auckland, Oxford University Press, 1989, pp 207, $34.95 (paper)
Auteurs : Alan SimpsonSource :
- Political Science [ 0032-3187 ] ; 1991-07.
English descriptors
- Teeft :
- Accident compensation commission, Alan simpson university, American contributors, Berlin wall, Bipolar confrontation, Budget debates, Budgetary processes, Chronological account, Commodity arena, Comprehensive reference source, Conference proceedings, Current deficit, Delightful potshots, Different elements, Direct impact, Diverse papers, Economic theory, Empirical reality, European security, Excellent book, Extraordinary knowledge, Friendly societies, Health care, Health care arena, Health care services, Health field, Health relationship, Health services, Influenza pandemic, Insurance schemes, Insurance societies, Interesting reading, Interesting tangents, Introductory chapters, Labour party, Lengthy explanations, Major changes, Major flaw, Many english language compendiums, Many members, Mcmaster university barbara wake carroll iain, Medical insurance, Much information, Nuclear deterrence, Other entities, Overall argument, Oxford university press, Personal development, Personal ownership, Political party, Poorer access, Poorer health, Pragmatic treatment, Pressure groups, Private hospitals, Public health, Public policy, Reagan years, Real merits, Republican party, Rodolfo ragionieri, Ruthless editing, Secondary sources, Simple issues, Social security, Social stratification, Socialist roots, Soviet scholars, Soviet union, Structural insights, Structuralist approach, Substantive sections, Summary chapter, Taylor francis, Theoretical framework, Useful contribution, Various pesonalities, Waikato furio cerutti, Western european, Worth reading.
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DOI: 10.1177/003231879104300110
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Book Review
Iain Hay,
The Caring Commodity: The Provision of Health Care in New Zealand, Auckland,
Oxford University Press, 1989, pp 207, $34.95 (paper)
SAGE Publications, Inc.
1991DOI: 10.1177/003231879104300110
AlanSimpson
University of Waikato
In
his book Hay makes a useful contribution to the literature on health care
in New Zealand. Unfortunately he does not really discuss the major changes
in the philosophy and structure of health care services in the 1980s, although
Hay would presumably simply extend his chronological account, not reshape
argument. Hay is concerned that a new environment of social stratification
is being created in New Zealand, one in which personal development and well-being
are related increasingly to the means of consumption, not just to the means
of production (p.6). At one end of the major social division he sees emerging
are those able to satisfy their consumption needs through personal ownership
(for example, medical insurance), while at the other end of the division are
those who rely on the State for their consumption. The nature of New Zealand
capitalist society is seen as being behind these developments. Such an argument
is hardly new. The inequalities in health have long been established. Socio-economic
factors like income, employment (or lack of it), environment, education, housing,
transport, and life-style have been shown to have a direct impact on health,
individually and collectively. Those to the bottom of the socio-economic pile
generally have poorer health, poorer access to health services, and do not
live as long as those to the top. But Hay is more concerned with tracing the
interactions over time of the different elements in New Zealand, the State,
the insurance societies, the public
85
and
private hospitals and other entities in the health care arena. Although motivated
by day-to-day activities the many different people involved have unwittingly
brought about the movement of capital from one circuit (primary, secondary,
tertiary) to another. Aspects of the caring health relationship were drawn
into the commodity arena and a variety of aspects of health care became socialized
and privatised. (pp. 11-12) As this has taken place the relationship between
the provider and the recipient of health care has altered, to the disadvantage
of those to the bottom of the socio-economic pile. There is much information
and data (based on secondary sources), comment and observation which makes
for interesting reading: the impact of the influenza pandemic during 1918;
the Labour Party with its strongly socialist roots; the emergence of the lodges,
friendly societies and insurance schemes; the importance of legislation on
the provision of health care, especially the Public Health Act 1920, the Social
Security Act 1938, the Hospital Act 1957, and the Accident Compensation Commission
Act 1972; the interplay between the cost to Government and the cost to the
consumer; the role of the unions; the way the cash-for- service exchange has
been adapted and preserved; and the impact of the various pesonalities and
organisations on the debates and policies. Hay is really much more concerned
with issues of public policy and administration, and with pressure groups.
His analysis would have been the sharper had the insights from these fields
been applied and discussed. Structural insights would have lost none of their
significance and the overall argument would have been greatly strengthened.
The argument used here is a conservative one and, it seems, looks back to
the time when women provided much more of the health care. "'Free-for-service'
doctor performed tasks that were once the domain of women at home". (p.4)
Maybe for some people there are real merits in a more capitalist approach.
The health field is an immensely complex one and rather more than a structuralist
approach is needed to make sense of it. The substantive sections of Hay's
book are well worth reading. The theoretical framework and development is
limited.</meta-value></custom-meta></custom-meta-wrap></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Book Review: Iain Hay, The Caring Commodity: The Provision of Health Care in New Zealand, Auckland, Oxford University Press, 1989, pp 207, $34.95 (paper)</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Book Review: Iain Hay, The Caring Commodity: The Provision of Health Care in New Zealand, Auckland, Oxford University Press, 1989, pp 207, $34.95 (paper)</title></titleInfo><name type="personal"><namePart type="given">Alan</namePart><namePart type="family">Simpson</namePart><affiliation>University of Waikato</affiliation></name><typeOfResource>text</typeOfResource><genre type="review-article" displayLabel="review-article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-L5L7X3NF-P">review-article</genre><originInfo><publisher>Sage Publications</publisher><place><placeTerm type="text">Sage CA: Thousand Oaks, CA</placeTerm></place><dateIssued encoding="w3cdtf">1991-07</dateIssued><copyrightDate encoding="w3cdtf">1991</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><relatedItem type="host"><titleInfo><title>Political Science</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0032-3187</identifier><identifier type="eISSN">2041-0611</identifier><identifier type="PublisherID">PNZ</identifier><identifier type="PublisherID-hwp">sppnz</identifier><part><date>1991</date><detail type="volume"><caption>vol.</caption><number>43</number></detail><detail type="issue"><caption>no.</caption><number>1</number></detail><extent unit="pages"><start>84</start><end>85</end></extent></part></relatedItem><identifier type="istex">69B804A17FB6F3B374CE02DF961DA43CAB4CED98</identifier><identifier type="ark">ark:/67375/M70-X6177PCJ-L</identifier><identifier type="DOI">10.1177/003231879104300110</identifier><identifier type="ArticleID">10.1177_003231879104300110</identifier><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-0J1N7DQT-B">sage</recordContentSource></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/ark:/67375/M70-X6177PCJ-L/record.json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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