Health and Medicine in Transition « Back
The boundaries of medical knowledge are increasingly being set by politics and capital, and not by inherent logic of the medical profession and science, a process which may ultimately undermine medical knowledge itself … Some experts have observed that the development of the field of medicine is going in the direction of a greater possibility of routinisation and even concluded that medicine is being proletarised. The more technical medical practice becomes, the more its exclusiveness and prestige are reduced.
The key factor in reducing the insecurity of individuals in such an important field as health is equal access to health services. Equality can be achieved by providing more support to the most vulnerable social categories, and not with the simple provision of formal equality and even less so with the liberalisation of the health care system. The liberalisation of social subsystems sees »equality« only in all individuals being equally responsible for shouldering the strain of life and care for their own wellbeing, while overlooking the fact that differences in engagement or readiness and capability to cope with the strain of their life between specific categories of individuals are structurally determined.