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The Changing Faces of UNRWA

From the Global to the Local

Elena Fiddian-Qasmiyeh

regional and local level. I also posit that services for Palestinians are increasingly being ‘privatised’ through their redesignation as activities which are to be led by Palestinian refugees themselves within their homes with no externally-provided support, rather than in public health or educational institutions. For instance, on 29 March 2018 UNRWA’s Beirut office issued an internal circular to UNRWA staff in Lebanon entitled ‘Clarification on the Coverage of Specific Health Services’. The national-level circular announced that UNRWA’s limited

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Governing Precarity through Adaptive Design

Mark Duffield

improvement concerns critical infrastructure. In a gesture of transparency, humanitarian innovation accepts that after sixty years of terrestrial development, a billion or more people still lack access to piped water, stable electricity, proper waste disposal, adequate housing, comprehensive schooling, professional health care and regular financial services. Levelling up or reconstructing a fixed grid, however, hasn’t been a serious international objective since the onset of the downturn. The logistical mega-corridors that are being built sidestep

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When the Music Stops

Humanitarianism in a Post-Liberal World Order

Stephen Hopgood

humanitarian system for at least eighty years. Consider, for example, the canonical statement of modern humanitarianism, the seven fundamental principles of the International Red Cross and Red Crescent Movement: humanity, impartiality, neutrality, independence, voluntary service, unity and universality. Under ‘humanity’, the Red Cross talks of ‘assistance without discrimination’ and of its purpose as being ‘to protect life and health and to ensure respect for the human being’. The ‘impartiality’ requirement says: ‘It [the Red Cross] makes no

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Managing diabetes, managing medicine

Chronic disease and clinical bureaucracy in post-war Britain


Martin D. Moore

Through a study of diabetes care in post-war Britain, this book is the first historical monograph to explore the emergence of managed medicine within the National Health Service. Much of the extant literature has cast the development of systems for structuring and reviewing clinical care as either a political imposition in pursuit of cost control or a professional reaction to state pressure. By contrast, Managing Diabetes, Managing Medicine argues that managerial medicine was a co-constructed venture between profession and state. Despite possessing diverse motives – and though clearly influenced by post-war Britain’s rapid political, technological, economic, and cultural changes – general practitioners (GPs), hospital specialists, national professional and patient bodies, a range of British government agencies, and influential international organisations were all integral to the creation of managerial systems in Britain. By focusing on changes within the management of a single disease at the forefront of broader developments, this book ties together innovations across varied sites at different scales of change, from the very local programmes of single towns to the debates of specialists and professional leaders in international fora. Drawing on a broad range of archival materials, published journals, and medical textbooks, as well as newspapers and oral histories, Managing Diabetes, Managing Medicine not only develops fresh insights into the history of managed healthcare, but also contributes to histories of the NHS, medical professionalism, and post-war government more broadly.

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George Campbell Gosling

This book examines the payment systems operating in British hospitals before the National Health Service (NHS). An overview of the British situation is given, locating the hospitals within both the domestic social and political context, before taking a wider international view. The book sets up the city of Bristol as a case study to explore the operation and meaning of hospital payments on the ground. The foundation of Bristol's historic wealth, and consequent philanthropic dynamism, was trade. The historic prominence of philanthropic associations in Bristol was acknowledged in a Ministry of Health report on the city in the 1930s. The distinctions in payment served to reinforce the differential class relations at the core of philanthropy. The act of payment heightens and diminishes the significance of 1948 as a watershed in the history of British healthcare. The book places the hospitals firmly within the local networks of care, charity and public services, shaped by the economics and politics of a wealthy southern city. It reflects the distinction drawn between and separation of working-class and middle-class patients as a defining characteristic of the system that emerged over the early twentieth century. The rhetorical and political strategies adopted by advocates of private provision were based on the premise that middle-class patients needed to be brought in to a revised notion of the sick poor. The book examines why the voluntary sector and wider mixed economies of healthcare, welfare and public services should be so well developed in Bristol.

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Neil McNaughton

Health 3 ➤ The basic principles of the National Health Service ➤ The origins of modern problems in health policy ➤ Review of Conservative policies on health in the 1980s and 1990s ➤ Review of Labour policies after 1997 ➤ Critique of these policies ➤ Analysis of the enduring problems in making health policy The National Health Service came into existence in 1948 after a prolonged period of negotiation between the reforming Labour government of the day and various sections of the medical profession. It was an idea with great popular support, but which also

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What matters is what works

The Third Way and the case of the Private Finance Initiative

Eric Shaw

(PPP) or the Private Finance Initiative (PFI), 2 as applied to health policy. The PFI involves a separation between the role of commissioner of public services, which remains the responsibility of public authorities, and the role of provider of those services, which the private sector is encouraged to undertake. It has been described as the ‘key element in the Government

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The national health

Pat Jackson’s White Corridors

Charles Barr

in this category is the boy whose illness constitutes a central thread in the story; compared with most of the stage-schooly child actors of the time, Brand Inglis is notably fresh and affecting. The instructional mode . Basil Radford plays a confused gentleman who is just back from abroad and doesn’t understand the workings of the new National Health Service. The porter

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Yellow fever vaccine in Brazil

Fighting a tropical scourge, modernising the nation

Jaime Benchimol

, which is still the largest supplier in the country and a key player in the health policies adopted since the creation of Brazil's Unified Health Service (SUS), a sort of national health system, an outcome of the new ‘Citizen's Constitution’ passed in 1988, in which health care was defined as a right of citizens and a duty of the state. The vaccines and therapeutic agents produced by Fiocruz explain to a large extent the

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George Campbell Gosling

hospital in the decades preceding the inception of the NHS. The road to 1948? The establishment of a national health service was a key plank of Labour's postwar social reforms. At the end of the Second World War, business as usual was restored to British politics in a startlingly prompt manner. Only two weeks after the Allied victory in Europe, Churchill's national coalition partners withdrew their support and forced the first