NHS Activism: The Limits and Potentialities of a New Solidarity

Pushkar, Piyush

doi:10.1080/01459740.2018.1532421

Cited by 12 publications

(10 citation statements)

References 19 publications

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“…Thus, the BPJS's institutionalization faces a range of challenges, including the low-premium climate, a rise in deficits, an opposition from medical practitioners and the political practice of blaming the insurance industry which has initiated the government for failing to pay hospital and prescription expenses. Our results reinforce the past experiments that have had unforeseen consequences on the institutionalization of NPM, including increasing unfair access to people with low and high incomes [1] and the resistance from doctors and city rivals [3]. Also understandable are the challenges inherent from Jakarta's dense population to Papua's limited population in institutionalizing the Universal Healthcare Insurance Scheme for too big (over a quarter of a billion) and diverse (17,000 islands).…”

Section: Discussionsupporting

confidence: 82%

“…The institutionalization of the New Public Management (NPM) of the healthcare system has provided unintended gains to individuals with higher wages and better differential coverage for healthcare [1], and failure to increase care efficiency, equity and efficacy [2]. The implementation of NPM in this sector has raised healthcare practitioners' anxiety, led clinical and non-clinical workers to discord, and helped physicians and social activists to resist [3]. NPM reforms were enforced in many fields in the healthsector [4].…”

Section: Introductionmentioning

confidence: 99%

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The Institutionalization of New Public Management (NPM) on Indonesia Healthcare and Social Security Agency

Kristanto¹,

Soniawati²,

Hambali³

et al. 2021

Proceedings of the Ninth International Conference on Entrepreneurship and Business Management (ICEBM 2020)

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This research offers an insight into the main challenges and adverse effects of the restructuring of the primary health-sector in Indonesia. The Authors also set-up a universal-term of Healthcare and Social Security Agency called "Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan" in Indonesian. This "BPJS Kesehatan" (or BPJS) expands the scope of healthcare, confronts crucial challenges and unexpected implications, including budgetary deficits, resistance from medical professionals, and the propensity of decision-makers. In the New Public Management (NPM) process, we found that the introduction of the insurance program was primarily motivated by the interests of decision-makers and international bodies to the detriment of a sustainable national healthcare system. This report contributes to the health-policy change literature and contradicts the basic values of healthcare programs. The survival of the medical profession in Indonesia is also under attack. The Authors provides a variety of recommendations for the adoption of better policies in this area in developed countries.

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Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

The Institutionalization of New Public Management (NPM) on Indonesia Healthcare and Social Security Agency

Kristanto¹,

Soniawati²,

Hambali³

et al. 2021

Proceedings of the Ninth International Conference on Entrepreneurship and Business Management (ICEBM 2020)

View full text Add to dashboard Cite

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“…NHS staff are not immune to the increasingly unstable political and economic climate. As NHS services are broken down and over-regulated within the auspices of increasing privatisation, staff are mobilised on concerns of budget cuts and job insecurity (Pushkar 2018). However, as our participants reveal, it's impossible to mobilise on all concerns plaguing the NHS.…”

Section: Dynamics Of Silencing: the Settingmentioning

confidence: 96%

Keeping Our Mouths Shut: The Fear and Racialized Self-Censorship of British Healthcare Professionals in PREVENT Training

Younis

Jadhav

2019

Cult Med Psychiatry

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The PREVENT policy introduced a duty for British health professionals to identify and report patients they suspect may be vulnerable towards radicalisation. Research on PREVENT's impact in healthcare is scant, especially on the lived experiences of staff. This study examined individual interviews with 16 critical National Health Service (NHS) professionals who participated in mandatory PREVENT counter-radicalisation training, half of whom are Muslims. Results reveal two themes underlying the self-censorship healthcare staff. The first theme is fear, which critical NHS staff experienced as a result of the political and moral subscript underlying PREVENT training: the 'good' position is to accept the PREVENT duty, and the 'bad' position is to reject it. This fear is experienced more acutely by British Muslim healthcare staff. The second theme relates to the structures which extend beyond PREVENT but nonetheless contribute to self-censorship: distrustful settings in which the gaze of unknown colleagues stifles personal expression; reluctant trainers who admit PREVENT may be unethical but nonetheless relinquish responsibility from the act of training; and socio-political conditions affecting the NHS which overwhelm staff with other concerns. This paper argues that counterterrorism within healthcare settings may reveal racist structures which disproportionality impact British Muslims, and raises questions regarding freedom of conscience.

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“…Indeed, when speaking to Cathy, she was bitter that only (and typically larger, well-resourced and established) groups with independent funding were able to not 'sell out' or even keep going: 'activism is now a privilege of the middle classes' . Recent history seems to back her up, middle class activism is alive and well, with prominent strikes by doctors and academics alongside huge anti-Brexit protests (Pushkar, 2019). There has been far less collective resistance to welfare reform.…”

Section: U : Uc'mentioning

confidence: 99%

From social security to state-sanctioned insecurity: How welfare reform mimics the commodification of labour through greater state intervention

Koch

Reeves

2021

Economy and Society

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Policy makers seeking to reform social security systems have frequently confronted a central tension: how to reconcile welfare retrenchment with the political challenges of implementing unpopular reforms. One way in which policy makers have responded to this tension is by repurposing existing institutions to serve new ends. We investigate the system of Universal Credit (UC) in the UK as an example of such a 'conversion' . UC expands the reach of 'active citizenship' policies to a much larger population than ever before. However, far from producing uniform outcomes, UC's implementation has been marked by chaos and ultimately failure for individuals and communities. We argue that UC exemplifies a broader shift from social security to state-sanctioned social insecurity as policy reforms come to mimic the insecurities and risks commonly associated with the market.

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NHS Activism: The Limits and Potentialities of a New Solidarity

Cited by 12 publications

References 19 publications

The Institutionalization of New Public Management (NPM) on Indonesia Healthcare and Social Security Agency

The Institutionalization of New Public Management (NPM) on Indonesia Healthcare and Social Security Agency

Keeping Our Mouths Shut: The Fear and Racialized Self-Censorship of British Healthcare Professionals in PREVENT Training

From social security to state-sanctioned insecurity: How welfare reform mimics the commodification of labour through greater state intervention

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