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Social Production of Health and Illness

Social Production of Health and Illness. “…an approach which tipically seeks for etiologic clues through comparing the health status of social groups that differentially benefit or are harmed by the status quo, such as: employers / employees men / women whites / people of color

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Social Production of Health and Illness

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  1. Social Production of Health and Illness • “…an approach which tipically seeks for etiologic clues through comparing the health status of social groups that differentially benefit or are harmed by the status quo, such as: • employers / employees • men / women • whites / people of color • heterosexuals / homosexuals • inhabitants of economic developed / underdeveloped regions ”

  2. Welfare Capitalism

  3. Welfare Capitalism • What is the purpose of a welfare state? • Social amelioration, to diminish inequality. • How is the welfare state historically produced? • The history of political class coalitions (the strength of social groups) is the most decisive factor. • Problems of the welfare state: • It DOES produce stratification. • It MAY produce dualism, individualism, clientelism.

  4. Welfare Systems • U.S. “means-tested” assistance • typically meager benefits • strengthens the market • Germany - Austria - France - Italy • compulsory or state social insurance • strong entitlements • Scandinavian • pursue equality of highest standards - not minimal • universalistic, based on solidarity

  5. The Mexican Revolution • Revolution for what? • To end dictatorship • To end privileges • National sovereignty • Land redistribution • Workers demands

  6. Consequences of the Mexican Revolution • 1910 - 1920 • 1 million killed (most of them dark and poor) • 1 million in exile • wrecked national industry • widespread famine and plague • $750 million in foreign debt

  7. Inheritance of the Mexican Revolution • Progressive Spirit: • agrarian program • restricted right of foreigners to own land • progressive labor codes • questions pre-revolutionary concessions (to U.S.) • political ideals of a welfare state

  8. The “miracle years”: 1940-1970 • Stabilized economic development • Economic development meant economic exclusion • Revolution was co-opted

  9. Repaying the Debt - Mexico’s Open Veins • Under Carlos Salinas Presidency (1989-1994) • Selling off: • national banks • highways • airlines • public utilities • privatizing agriculture • 1994 peso devaluation • Mexico paid $30,000 in debt service every minute of 1994

  10. Mexico today • Total population 95 million • 74% urban, 26% rural • 1995: 40 million poor (24 million in extreme poverty) • Ratio of income 20% richest / 20% poorest = 8 • Malnutrition in children (1-5 years)= 17% • Malnutrition in children under (0-11 years) have not change in the last 20 years

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