Disorder and Civilization: The Future(s) of Ukrainian Medicine

Abstract

Post-socialist societies are full of uncertainty, fragmentation, and competing discourses on social justice [Steinberg and Wanner 2008;Zigon 2011]. This article focuses on how Ukrainian physicians envision the future, present, and past of the health-care system and make sense of social change in their professional lives and society more broadly. The Ukrainian healthcare system has remained largely untouched by post-socialist reforms, but it is nevertheless undergoing profound changes. These changes are occurring on the level of everyday practice and are shifting responsibility away from the state and onto the individual. The author traces how physicians navigate the persisting structures of the old system, and what hopes they carry for the present and the future. Post-socialist health care is bursting with competing interests, commitments, and notions of how health-care providers should relate to each other, their patients, administrations, and the state in general. This article therefore draws on physicians' narratives of the disorder in health care through the interpretive prism of 'ruination … as a process that weighs on the future and shapes the present' and that represents a 'vital reconfi guration' [Stoler 2008: 194]

Managing Opioid Agonist Therapy in the Post-Soviet Limbo

“…It produces the space for informality at the level of state-funded programs, where informal prohibitions and rules are also practiced. The multiplying effects of rigid state regulations on the field of their enforcement are well documented in the studies of post-Soviet space including in Ukraine (Aliyev, 2015(Aliyev, , 2016Bazylevych, 2014;Carroll, 2015Carroll, , 2016Koch, 2015Koch, , 2016Stepurko & Belli, 2018).…”

“…It could be expected that all post-Soviet countries are affected by the similar problems emerging as part of transition from the Soviet past (Aliyev, 2015; Balabanova et al, 2012; Bazylevych, 2014). However, it is difficult to determine exactly if the transition is happening in the direction of a concrete future.…”

“…However, it is difficult to determine exactly if the transition is happening in the direction of a concrete future. Dzenovska suggests understanding “a transitional state between a world that was coming to an end and a world yet to come” (Dzenovska, 2020b, p. 2) as a state of “emptiness.” Other scholars argue that the constant condition of incompleteness and uncertainty is key to the post-Soviet state’s understanding (Bazylevych, 2014; Carroll, 2015; Ghedrovici & Ostapenko, 2013; Gurova, 2018). Conversely, the Soviet era was often characterized as a period of great stability, which appeared because of overregulation and extensive control or, in Hofstede’s words, that stability was a result of the high level of “uncertainty avoidance”—a pattern which formed specific managerial approaches, organizational and individual behavior (Hofstede, 2011).…”

Current State and Problem Aspects of Sustainable Development in Insurance Market in Globalization Conditions

“…A significant contribution to the study of theoretical, methodological and methodological foundations of the domestic insurance market was made by well-known domestic scientists, namely: V. Alyoshin [1], V.D. Bazilevich [2], N.M. Formation of the purposes of the article.…”

The hepatoprotective role of the Zakarpattia herbal preparations in experimental atherosclerosis and diabetes mellitus type 2

“…Невпинне поширення захворювань серцево-судинної сис теми в Україні та світі створює умови, в яких виникає необхідність пошуку та впровадження нових методів лікування та профілактики цих захворювань [6]. ночас відзначено, що в останнє десятиріччя не з'явилося жодної синтезованої речовини, а найменш шкідливими і терапевтично ефективними є препарати природного походження, які не такі токсичні і мають більш м'яку дію, що зумовлено спорідненістю ме та болізму рослинної та тваринної клітини.…”