Health care and neoliberalism in Ireland: withholding the gift and corrupting the social contract

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dc.contributor.advisor O'Connell, Cathal en
dc.contributor.advisor Keohane, Kieran en Flynn, Angela V. 2015-09-29T09:28:38Z 2014 2014
dc.identifier.citation Flynn, A. V. 2014. Health care and neoliberalism in Ireland: withholding the gift and corrupting the social contract. PhD Thesis, University College Cork. en
dc.identifier.endpage 265
dc.description.abstract The health of a nation tells much about the nature of a social contract between citizen and state. The way that health care is organised, and the degree to which it is equitably accessible, constitutes a manifestation of the effects of moments and events in that country's history. Using four case studies, this thesis uses a historical genealogical approach to explain the evolution of Ireland's particular version of health care provision. The total social fact of the gift relationship, central to all human relations, will be used to form a theoretical and conceptual framework on which to build an analysis of Ireland's health and welfare conditions. Additionally, social contract theory will enable an examination of the role of solidarity in relation to social expectations around health care provision. Through the analysis of these cases, the complex matrix of the influential forces that have shaped current conditions are exposed and revealed, enabling a critical understanding of the extent of acquiescence to the inequitable system that arguably exists. The vulnerability of citizens in need of care to the external and global effects of market forces and neoliberalism, therefore, becomes central to any argument for state-provided health and welfare. The hegemony of such forces can be seen to influence the manner in which the idea of individual self-reliance, in place of collective solidarity, is conceptualised and subsequently infiltrated into a range of aspects of the social world. For example, the particular discourse of the market and of economic concerns succeeds in shaping understandings of responsibilities around central areas of health and welfare. Similarly the 'possessor principle' can be seen to be misplaced within the context of health and social care, but yet has become normalised within this discourse. Within this matrix of complex influencing factors, the welfare state struggles to impose a balance between market values and social values. Responsibilities of the state to support and compensate its citizens for the ills of the market have become devalued, as the core values of classical liberalism have become distorted beyond recognition, leaving instead bare neoliberal concerns. This thesis traces the genealogical origins of this transition within the recent history of Irish health care and thereby reveals the embedding of individualism in place of solidarity, the on going reneging of the social contract and the corruption of the gift relationship. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher University College Cork en
dc.rights © 2014, Angela V. Flynn. en
dc.rights.uri en
dc.subject Healthcare en
dc.subject Ireland en
dc.subject Neoliberalism en
dc.subject Solidarity en
dc.subject Social contract en
dc.subject Gift relationship en
dc.title Health care and neoliberalism in Ireland: withholding the gift and corrupting the social contract en
dc.type Doctoral thesis en
dc.type.qualificationlevel Doctoral en
dc.type.qualificationname PhD (Social Science) en
dc.internal.availability Full text not available en 2028-09-27T09:28:38Z
dc.description.version Accepted Version
dc.description.status Not peer reviewed en Applied Social Studies en Sociology en
dc.check.reason This thesis is due for publication or the author is actively seeking to publish this material en
dc.check.opt-out No en
dc.thesis.opt-out false
dc.check.entireThesis Entire Thesis Restricted
dc.check.embargoformat Both hard copy thesis and e-thesis en
dc.internal.conferring Spring Conferring 2015
dc.internal.IRISemailaddress en

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© 2014, Angela V. Flynn. Except where otherwise noted, this item's license is described as © 2014, Angela V. Flynn.
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