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In the early 1990s, Russia experienced one of the most extreme increases in mortality in modern history. Men's life expectancy dropped by six years; women's life expectancy dropped by three. Middle-aged men living in Moscow were particularly at risk of dying early deaths. While the early 1990s represent the apex of mortality, the crisis continues. Drawing on fieldwork in the capital city during 2006 and 2007, this account brings ethnography to bear on a topic that has until recently been the province of epidemiology and demography. Middle-aged Muscovites talk about being unneeded (ne nuzhny), or having little to give others. Considering this concept of "being unneeded" reveals how political economic transformation undermined the logic of social relations whereby individuals used their position within the Soviet state to give things to other people. Being unneeded is also gendered--while women are still needed by their families, men are often unneeded by state or family. Western literature on the mortality crisis focuses on a lack of social capital, often assuming that what individuals receive is most important, but being needed is more about what individuals give. Social connections--and their influence on health--are culturally specific. In Soviet times, needed people helped friends and acquaintances push against the limits of the state, crafting a sense of space and freedom. When the state collapsed, this sense of bounded freedom was compromised, and another freedom became deadly. This book is a recipient of the annual Norman L. and Roselea J. Goldberg Prize for the best project in the area of medicine.
In the early 1990s, Russia experienced one of the most extreme increases in mortality in modern history. Men's life expectancy dropped by six years; women's life expectancy dropped by three. Middle-aged men living in Moscow were particularly at risk of dying early deaths. While the early 1990s represent the apex of mortality, the crisis continues. Drawing on fieldwork in the capital city during 2006 and 2007, this account brings ethnography to bear on a topic that has until recently been the province of epidemiology and demography. Middle-aged Muscovites talk about being unneeded (ne nuzhny), or having little to give others. Considering this concept of "being unneeded" reveals how political economic transformation undermined the logic of social relations whereby individuals used their position within the Soviet state to give things to other people. Being unneeded is also gendered--while women are still needed by their families, men are often unneeded by state or family. Western literature on the mortality crisis focuses on a lack of social capital, often assuming that what individuals receive is most important, but being needed is more about what individuals give. Social connections--and their influence on health--are culturally specific. In Soviet times, needed people helped friends and acquaintances push against the limits of the state, crafting a sense of space and freedom. When the state collapsed, this sense of bounded freedom was compromised, and another freedom became deadly. This book is a recipient of the annual Norman L. and Roselea J. Goldberg Prize for the best project in the area of medicine.
Before the COVID-19 pandemic, the mortality crisis which affected Eastern Europe and the republics of the former USSR at the time of the transition to a market economy was arguably the major peacetime health crisis of recent decades. Chernobyl and the Mortality Crisis in Eastern Europe and the Old USSR discusses the importance of that crisis, surprisingly underplayed in the scientific literature, and presents evidence suggesting a potential role of the Chernobyl disaster among the causes contributing to it.
This handbook provides a comprehensive and critical overview of the gamut of contemporary issues around health and healthcare from a political economy perspective. Its contributions present a unique challenge to prevailing economic accounts of health and healthcare, which narrowly focus on individual behaviour and market processes. Instead, the capacity of the human body to reach its full potential and the ability of society to prevent disease and cure illness are demonstrated to be shaped by a broader array of political economic processes. The material conditions in which societies produce, distribute, exchange, consume, and reproduce – and the operation of power relations therein – influence all elements of human health: from food consumption and workplace safety, to inequality, healthcare and housing, and even the biophysical conditions in which humans live. This volume explores these concerns across five sections. First, it introduces and critically engages with a variety of established and cutting-edge theoretical perspectives in political economy to conceptualise health and healthcare – from neoclassical and behavioural economics, to Marxist and feminist approaches. The next two sections extend these insights to evaluate the neoliberalisation of health and healthcare over the past 40 years, highlighting their individualisation and commodification by the capitalist state and powerful corporations. The fourth section examines the diverse manifestation of these dynamics across a range of geographical contexts. The volume concludes with a section devoted to outlining more progressive health and healthcare arrangements, which transcend the limitations of both neoliberalism and capitalism. This volume will be an indispensable reference work for students and scholars of political economy, health policy and politics, health economics, health geography, the sociology of health, and other health-related disciplines. Chapters 1 & 8 of this book is freely available as a downloadable Open Access PDF at http://www.taylorfrancis.com under a Creative Commons [CC BY NC ND] 4.0 license.
Contemporary forms of living and dying in Swaziland cannot be understood apart from the global HIV/AIDS pandemic, according to anthropologist Casey Golomski. In Africa's last absolute monarchy, the story of 15 years of global collaboration in treatment and intervention is also one of ordinary people facing the work of caring for the sick and dying and burying the dead. Golomski's ethnography shows how AIDS posed challenging questions about the value of life, culture, and materiality to drive new forms and practices for funerals. Many of these forms and practicesnewly catered funeral feasts, an expanded market for life insurance, and the kingdom's first crematoriumare now conspicuous across the landscape and culturally disruptive in a highly traditionalist setting. This powerful and original account details how these new matters of death, dying, and funerals have become entrenched in peoples' everyday lives and become part of a quest to create dignity in the wake of a devastating epidemic.
How do we understand health in relation to society? What role do social processes, structures and culture play in shaping our experiences of health and illness? How do we understand medicine and healthcare within a sociological framework? Drawing on international literature and examples, this new edition of Key Concepts in Medical Sociology: · Systematically explains the concepts that have preoccupied medical sociology from its inception, and which have shaped the field as it exists today. · Includes new entries, such as pandemics and epidemics, the environment, intersectionality, pharmaceuticalization, medical tourism and sexuality. · Begins each entry with a definition of the concept then examines its origins, development, strengths and weaknesses, and concludes with suggested further reading for independent learning. Key Concepts in Medical Sociology is essential reading for students in medical sociology as well as those undertaking professional training in health-related disciplines.
Physicians, philosophers, and theologians consider how to address death and dying for a diverse population in a secularized century. Most of us are generally ill-equipped for dying. Today, we neither see death nor prepare for it. But this has not always been the case. In the early fifteenth century, the Roman Catholic Church published the Ars moriendi texts, which established prayers and practices for an art of dying. In the twenty-first century, physicians rely on procedures and protocols for the efficient management of hospitalized patients. How can we recapture an art of dying that can facilitate our dying well? In this book, physicians, philosophers, and theologians attempt to articulate a bioethical framework for dying well in a secularized, diverse society. Contributors discuss such topics as the acceptance of human finitude; the role of hospice and palliative medicine; spiritual preparation for death; and the relationship between community, and individual autonomy. They also consider special cases, including children, elderly patients with dementia, and death in the early years of the AIDS epidemic, when doctors could do little more than accompany their patients in humble solidarity. These chapters make the case for a robust bioethics—one that could foster both the contemplation of finitude and the cultivation of community that would be necessary for a contemporary art of dying well. Contributors Jeffrey P. Bishop, Lisa Sowle Cahill, Daniel Callahan, Farr A. Curlin, Lydia S. Dugdale, Michelle Harrington, John Lantos, Stephen R. Latham, M. Therese Lysaught, Autumn Alcott Ridenour, Peter A. Selwyn, Daniel Sulmasy
This book presents a detailed and critical discussion about how human wellbeing can be maintained and improved in a postgrowth era. It highlights the close links between economic growth, market capitalism, and the welfare state demonstrating that, in many ways, wellbeing outcomes currently depend on the growth paradigm. Here the authors argue that notions of basic human needs deserve greater emphasis in debates on postgrowth because they are more compatible with limits to growth. Drawing on theories of social practices, the book explores structural barriers to transitions to a postgrowth society, and ends with suggestions for policies and institutions that could support wellbeing in the context of postgrowth. This thought-provoking work makes a valuable contribution to debates surrounding climate change, sustainability, welfare states and inequality and will appeal to students and scholars of social policy, sociology, political science, economics, political ecology and human geography.
This new edition of Staying Alive provides readers with a fresh perspective on health, health care, and illness in Canada and abroad. Grounded in a human rights approach to health, this edited collection includes chapters on the social construction of illness and disability, social determinants of health, and current critical issues in the field. The third edition has been thoroughly updated and includes recent national and international developments in health care, with current world statistics and an emphasis on austerity-related changes and their effects on health and health care systems. It includes chapters on pharmaceutical policy, social class, women’s health, and the impact of economic forces such as globalization and privatization in health care.
This stimulating book has become a go-to text for understanding the role that social factors play in the experience of health and many diseases. This extensively revised and updated third edition offers the most compelling case yet that stress, poverty, unhealthy lifestyles, and unpleasant living and working conditions can all be directly associated with illness. The book continues to build on the paradigm shift that has been emerging in twenty-first-century medical sociology, which looks beyond individual explanations for health and disease. As the field has headed toward a fundamentally different orientation, William Cockerham’s work has been at the forefront of these changes, and he here marshals evidence and theory for those seeking a clear and authoritative guide to the realities of the social determinants of health. Of particular note in the latest edition is new material on the relationship between gender and health, implications of the life course for health behavior, the health effects of social capital, and the emergence of COVID-19. This engaging introduction to social epidemiology will be indispensable reading for all students and scholars of medical sociology, especially those with the courage to confront the possibility that society really does make people sick.