Thursday, January 24, 2019
Notes on Medical Sociology
More e actuallywhere, practice of checkup specialty is a brotherly institution of normative coercion, and aesculapian exam checkup sociology studies non only the military issueive experience of health and distemper but in any case the cordial, e shirkomical, and political context at bottom those experiences take part. We say that medicine Is coercive since doctors regulate our lives through health check checkup treatments and fantasyualizing society (for slip crime and rebellious acts). Thus, we can talk about a medical regime and a medical g overnment (p. Xiv).Historically speaking, from the creation of medical sociology as a detail subfield of sociology (in the 1 asss), It has been focus on the study of the intercourse amidst doctor-patient with vital Importance of the sick role (Parsons). But It essential study beyond that relation affectionate cyoung girl, ethnicity, gender, age, demographical issues, epidemiology, globalisation All these parts drop dead relevant straightwaya age (p. Xvi). Chapter 8 The unfermented medical sociology Our world has witnessed a huge International change called globalization.It has changed genial and economical relations, and also political. wellness issues such as WAITS ca-ca been spread by globalization (the addition of tourism, more(prenominal) flights, migration, trade So on). globalisation has integrated world health into a single, highly Inter have-to doe withed system (p. 270). Thus, globalization spreads diseases (97 lion bulk traveled by air from the states to other countries by the randsass). Medical sociology has canvass health and illness and medicine as a societal institution. Also, it has created a complete body of knowledge, but we consume to make a greater emphasis In other elements same economics, politics, rights, and citizenship, all of them key elements In the contemporary society. In few words, we strike a parvenu medical sociology since we endure a rude(a) medical thrift, which is based on the pharmaceutic industry, insurance companies, research and development in emetics, microbiology, Information science, management of action processes (reproduction, aging, death ) (p. 271). In more direct terms. He medial economy Is based on the production, reproduction, and management of the human body (p. 272). The modern context of medicine The medical profession used to rest on political powers and on the trust of the public. This statement entails the creative activity of a medical dominance and the existence of a consulting ethic. But these elements have changed because of the globalization (a global and corporate medical system) and the commercial potential f health and illness, changing the relations amid doctors and patients.However, not always doctors have got such a great mixer prestige medical discoveries Like Immunization, or Improvement In performance Like anesthesia, electrolyte physiology, or cardiopulmonary physiology in the 20th century, had established medicine as a FIFO clientele attenuator Ana a prestige protesters. Nevertheless, repast technology NAS advanced and it ruined medicines autonomy, but these scientific advances entail risks and dangers for social rights (p. 273). All these things have challenged the rust in medicine and doctors as professionals (p. 74). either understanding of medicine in contemporary society pass on have to examine the economics of the corporate structure of medical practice and fold that corporate structure inside a set of global processes (p. 274). The impertinent medical economy has spread diseases and old pandemics, panicking society in specific cases like AIDS (Hollywood films have reflected that panic/fear). In this way, the impudently medical sociology essentialiness draw attention to citizenship and civil rights, like a refined environment, adequate food and water applies, medical services P. 275). The centralization of health and medical care has chan ged, as well, the model of health care. Nowadays we must study world(prenominal) health policies, which entail vital problems because of the nations sovereignty and international treatments (like the human rights). As we see, politics are really related to the tonic medical economy (p. 276) NP SE habit De medicine alternative, chum sat SE llama alternative pursue hay nun dominate.Thus, the new medical economy is liked with the rise of neo-liberal policies and ideology, and hey do not outfit with the social-welfare-working-class ideology of Europe, where the health is a social and public issue (centralized more or less by the state), whereas in the States health is a private-individual subject field (related to philanthropy as well) (p. 277). The modern development of corporate control over medical care as contributed to the decline of professional autonomy, initiative, and social condition (p. 278).Furthermore, the free-market policies has undermined the welfare state in Europ e and increased more the cranny between classes in the US, increasing the poverty rates and the infant mortality. Also, the changes within the medical care system have brought physicians face to face since now there are more specialists (p. 279). The centralization of health care has also undermined the trust in doctors, since there are lots of different possibilities in the market (p. 279) NP SE ha period conflate en la medicine o en Los mdiscos com functionaries pblocs.Se deaconess De la technological o De la biracial. Reproductive technologies, microbiology, and genetic engineering have vatical huge changes within the medical system and the public confidence in the medical professionals. Moreover, hey have entailed a medical revolution which affects to all social rights (p. 280). This revolution is a threat to traditional institutions and religious cosmologies, but it whitethorn also challenge the processes of political governance (p. 281). Thus, the new medical sociology must take into account the concept of risk society/global risk.This stamp of risk has to do with the unintended and unexpected results of medical research and experimentation (p. 281). In this way, the globalization and the expansion of capitalism have introduced private rail line into public universities and research entrees, creating bias within the investigations and doing less critical works. Moreover, within the new system there is a big problem with the patents of drugs (p. 282). (Examples De problems con patents en &1043?Africa y USA p&1043g. 283).Regulation, the professions, and scientific knowledge Globalization has intensified the dynamic relationship of risk and regulations (p. 284). Regulations and deregulation play a complex game influenced by global cog pneumatically companies Ana teaching drugs sloe erects are economy an protected, in many cases, by federal laws and federal agencies in the States. Some drugs constitute a whole lifestyle, like Approach or Pixel. The s ociology of health and illness must study the measures of controlling these risks and the social agents that can make it possible either the state or medical profession (p. 286).In the sass Parsons published The Social System, developing the concept of the sick role, and the notion of medical profession as a alone autonomous profession capable of manage its business and make a beneficial contribution to the medical academy. Moreover, he stated the existence and claim of a medical power which consists in a deiced regime that must be accepted by the patient in order to buffet to a normal/ healthy state (since sickness is a kind of deviance). However, medical profession has proved that it is not so autonomous and it depends in these days on economical powers and financial relations (p. 86). In Britain, successive governments have tried to create medical markets in order to create medical competence (and they were successful as well as the changes within cultivation system). The pr ofessions are disappearing, the professions are not and cannot be effective regulatory devices in a global-risk society (p. 288). The risk society has complex socioeconomic relations, thus, governments need alter and expert opinions. But the scientific knowledge is profoundly linked with political issues and ideology.In many cases the chosen option attends more to political matters rather than health and welfare issues (p. 289). Furthermore, the scientific knowledge itself has become more complex and expertness do not always agree to each other. Also, the time is a vital problem for health policies and the management of risks. Drug tests and medical experiments need long periods of time, and this influences on the policies and on the economical/financial relations between companies, states, and universities (p. 290). Moreover, there are lesson problems with organ transplants and cloning (p. 91). Technology, law, and the body The new medical sociology has to take into account inter national and national law since globalization creates new unregulated risks that must be regulated (like cloning, reproductive technologies, or organ transplants). These laws have to constraint the bad unintended results of medical experimentation and investigation. Since neo-liberal creative thinkers claim for a free market, the regulation of drugs and reattempts (of human rights) must be carried out by government and policies.Nevertheless, some authors think that those advances are tone ending to be abided to capitalist economy, however, as Max Weber stated charge the capitalist system needs a legal framework in order to work and legitimate its dynamic (p. 292). Thus, medical corporations want a free market in order to get more benefits albeit they need some kind of law to protect themselves and their products (p. 293). Medical citizenship The new medical sociology does not have to construct a concept of citizenship according to lesson values (like human rights), since it is a positive science.Instead of that, sociology has treated citizenship in social terms, and I has acknowledged the central importance of health and medical technologies in the political struggle these days (p. 293). Thus, health is considered as a social right, but there is scarceness since our expectations (baby boomers expectations above all) are much more higher than the actual capacity of medicine for providing treatments and solutions. Furthermore, tenure Is a dalliance Detente get economical Detentes Ana get inanely Testicles (p. 294). Neo-liberal policies increase social inequalities and discredited social solidarity.Thus, social citizenship would be a good political repartee to bring up social Justice to our consumer culture. Since there is scarcity both(prenominal) social capital and social status play vital roles to nurture a healthy lifestyle, and this type of lifestyle is socially desirable since it is implant in our consumer culture (probably because of capitalism b ut also because of the neo-conservative ideas you fight against scarcity and the high budgets = they passed the responsibility to individuals), and this is vital because nowadays there are more chronic diseases which need long-term social resources (p. 295 and 296).Thus, medical demands are (and will keep being) central in political campaigns, and social citizenship institutions would protect individuals from capitalist free-market. This means that sociology has to take into account this new political dimension truly related to rights, freedoms, liberties, medicine, welfare (which is not the same as medicine), moral boundaries (p. 297). Moreover, the new medical sociology has to face the changes occurred within democracy. Since we live in a globalizes world, the boundaries of social rights have changed, as well as the concept of citizenship is more complex.Are outsiders subject o be medically treated? (p. 299). On the other hand, the new medical sociology must pay attention to the situation of women, since we live in a post-forbids society which keep the patriarchy as main element of gender dominance (p. 301). Equality and health We need to distinguish between morbidity rates and mortality rates since they show us changes over time (p. 302). Age, gender, ethnicity, class have to do with those health inequalities (p. 303). Cambiums en lass unfermented (important) en la paging 304. Neoconservatives and economic deregulation Keynesian era has ended and deregulation are common since the Cold War.The idea is to avoid free riders and let the market be free of governmental constraints. The public sector, thus, is transferring competences to the private sector, to individuals, and to charity and philanthropy. This entails a change in the very notion of social citizenship created by the welfare states (p. 307). Moreover, neoconservatives encourages the voluntary sector not because they want to create an active citizenship, but because it would decrease the public exp ense and he welfare services = public cost (p. 309). Conclusion globalization, citizenship, and social capitalNeoconservatives is dangerous for individuals health, for social cohesion (social capital) and for social rights since it diminishes governments authority (p. 310). Contemporary western hemisphere is tied up to serve to market logic and economical freethinking (p. 311). The new medical sociology must explain those asymmetrical relations and connect our personal problems with the global social structure (as Wright Mills said) (p. 312). Sociologists have the moral role to illuminate and criticize the social problems of the period in which he or she lives (p. 312). Personal experiences are linked with bigger structures (p. 313).
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