Misreading Mao: On Class and Class Struggle

It has been argued frequently that Mao Zedong's thought is a significant departure from classical Marxism. This break, usually dated from the mid-1950s, supposedly occurred in two areas. First, the primacy of the economic characteristic of orthodox Marxism was replaced by a “voluntarism,” which emphasised politics and consciousness. Secondly, whereas classes are defined in economic terms in the classical Marxist tradition, Mao defined them by reference to political behaviour and ideological viewpoint. This definition derives from the primacy Mao is said to have accorded to the superstructure. This article rejects the second of these interpretations and argues that a fundamental continuity exists between Mao's post-1955 propositions on classes and class struggle and those advanced by orthodox Marxism. In conformity with classical Marxism, Mao conceived of classes as economic categories. Further, both Mao and classical Marxism saw classes as active participants in class struggle in the superstructure called into being by the contradiction between the forces and relations of production. Finally, Mao shared with orthodox Marxism the idea that economic classes are represented in the superstructure by a range of political agencies and ideological forms.     

Health Ombudsmen in Polycentric Regulatory Fields: England,New Zealand,and Australia

Health ombudsmen (health complaints commissioners), an unusual entity internationally, exist only in England, New Zealand, and the Australian states and territories. Established to respond to complaints from patients, the intention is to make health services and professionals more accountable to the public. Most cases are handled around the softer base of a regulatory pyramid, such as advice to complainants and requests to providers for an explanation and/or apology. Few cases escalate to investigations and prosecutions. Although the legal powers of some health ombudsmen to redress individual grievances have been strengthened, most lack the independent power to initiate an inquiry into systemic problems. To produce quality improvements, health ombudsmen need powers to require compliance from providers and to initiate inquiries. With the advent of new health sector regulators, health ombudsmen must negotiate their role and function within expanding networks of governance.