A shrinking state? Politics,economics and private health care in Thailand

This article explores the political and economic forces involved in the development of privatization policies within the health care sector in Thailand. It is suggested that many of the motivating factors behind private sector growth are outside of the health sector; the general macroeconomic environment and tax incentives have stimulated private sector expansion. Within the Ministry of Public Health a preoccupation with improving care in rural areas and an unclear policy line on the private sector has facilitated this expansion. Only recently has private sector growth come to the policy agenda. During this lag period a number of interest groups have developed. It will be difficult to overcome these entrenched interests in order to change policy direction. Meanwhile, problems of rapid cost inflation and inequity face the Thai health care system. Although this case study focuses upon the health care sector in Thailand it would appear relevant both to other sectors and to other countries. The relationship between development models based upon pro-private, pro-market tenets and the establishment of a satisfactory social policy is questioned.     

A dose of reality: assessing the Federal Trade Commission/Department of Justice report in an uninsured, underserved, and vulnerable population context

Despite the size of their report, the Federal Trade Commission and Department of Justice pay virtually no attention to tens of millions of uninsured and underinsured persons. By focusing on an increasingly rarified group of health care customers--healthy, affluent, and highly insured--the report takes on an untethered quality, with only the slightest tip of the hat to its own limitations. Furthermore, the report overstates the extent of legal constraints on the market, in particular, the degree to which the market is free to select its customers and tailor its goods and services to the best risks. By miscasting the legal context of the American health care system, the report ultimately undermines much of its potential value.     

A Leap of Faith? Sanctioning Xenotransplant Clinical Trials

Introducing a new medical technique, procedure or drug to the public via clinical trials is risky at the best of times. When the trial involves a biotechnology which holds out the promise of prolonging, if not saving, life the push to move from the laboratory to clinical trials may be hard to resist. In this article I explore whether the regulatory scheme for clinical trials in the UK is able to accommodate developing technologies by considering how the current legal and ethical frameworks determine when a procedure such as xenotransplantation should proceed to trials. In particular, I discuss whether basing our regulatory schemes on the principles espoused in the Declaration of Helsinki offer sufficient protection to those who may be affected by xenotransplant trials – the recipient, their health-care workers, close contacts and, unusually, the wider public. I question whether it is possible for a technology to be approved for clinical trials when allowing such trials may benefit the individual but ultimately negatively impact on society as a whole.     

Coping styles of learning disabled adolescents and their parents

The study compares coping styles of 50 learning disabled and nonlearning dis-abled adolescents and their parents. Analyses indicate that learning disabled adolescents show less ability to appraise a source of stress and seek information in the various domains with which they are expected to cope. Also, they reveal a higher level of pessimism about problems in academic-related domains. Coping patterns of parents of learning disabled adolescents do not show clear differences from parents of nonlearning disabled. Yet mothers of learning disabled adolescents tend more to seek and accept help. Learning disabled adolescents' coping is clearly related to coping or more specifically to difficulties in coping of their parents. Results are discussed in the context of the special difficulties of the learning disabled during adolescence and the role their parents play during this developmental stage.Received Ph. D. from Bar Ilan University. Research interests include developmental and family processes in normal and pathological adolescents.Received Ph.D. from University of Minnesota. Main interests are developmental and family processes in adolescence.Received M.A. in counseling from Tel Aviv University.Received M.A. in counseling from Tel Aviv University.     

Determining ‘truth’ at the border: immigration interviews,Chinese marital migrants,and Taiwan's sovereignty dilemmas

As Taiwan transitions from an immigrant-sending to an immigrant-receiving country, it struggles to build an immigration bureaucracy while its status as a sovereign nation-state is not recognized by much of the international community. Taiwan's largest immigrant group, marital migrants from China, are perceived as posing the greatest challenges to border control due to longstanding political tensions between the two countries and governmental and societal suspicions about Chinese spouses' marital motives. Based on research conducted with immigration officials and during immigration interviews at the border, this article interrogates the status of ‘truth’ in official efforts to determine definitively immigrants' marital intentions. It analyzes such truth demands in relation to Taiwan's anxieties about its national standing and the ability of an immigration bureaucracy to generate ‘sovereignty effects’.     

Suicide Risk in Emerging Adulthood: Associations with Screen Time over 10 years

Journal of Youth and Adolescence - Suicide rates have increased over the past decade, and screen media (and social media in particular) are often blamed for this marked increase. However, there is...     

The Threat or Promise of Popular Therapy? A Feminist Reading of Narratives of “the Good Couple”

Popular therapeutic culture—such as self-help books, TV programmes, and Internet resources—is growing rapidly and posing important questions for feminist research and politics. On the one hand, it can be seen as a challenge to the public sphere in terms of what can be shown and said and by whom, with the emancipatory potential of giving political credentials to the personal. On the other, it can be seen as exploiting, and thereby reproducing, stereotypes and inequalities, such as those related to gender. In this article, the discussion is advanced by the use of Swedish popular therapy for couples as a point of departure. It is argued that a cultural narrative of the “good couple” is constructed in self-help books and TV programmes on relationship issues, a narrative that seems to keep the unequal nature of this heterosexual institution from being challenged. However, in the individual narratives of consumers of this culture, apparent on web discussion boards, the cultural narrative of the “good couple” is being challenged, not least with reference to gender and gender inequality.