Current issues in health policy making for the Government of British Columbia. A collection of occasional papers--U.B.C. Health Policy Study Group.
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OBJECTIVE: Due to a recent increase in the rates of reportable sexually transmitted infections (STI) across Canada, and the movement of public health nursing initiatives to a health promotion/illness prevention model, this paper proposes alternative strategies to current public health initiatives to encourage individuals who are labelled as at-risk by public health discourses, such as teens and males who have sex with males (MSM), to undertake preventative screening. THEORETICAL DESIGN: To undertake this task, we approached Health Canada's (2002) determinants of health utilizing Lupton's (1995) post-structuralist work on public health to suggest that for some members of these groups, health is not an imperative. CONCLUSIONS: As such, we propose that increasing anonymous testing and its advertisement would provide one means of providing population-sensitive care and could thus increase the screening rates of individuals within groups who reject the public health "healthy" disquisition.
Most important for the events at the turn of 1918/19 was the coincidence of the revolution and the end of the war. This meant that in a very short time the troops had to be withdrawn from the front, the size of the army had to be reduced, and the wartime economy had to be transformed into a peace economy. Apart from the resulting economical and social problems, military demobilisation was closely linked with medical and health political difficulties. The revolutionary government saw itself as a provisional arrangement to ensure the unity of the state and the functioning of the German Reich. The maintenance of medical care and provision of a minimum of foodstuffs made health policy important during the months of revolution. Despite a positive balance of payments and a "health policy of continuity", the revolutionary government was unable to win the medical profession for its aims, because it failed to dispel suspicions that the medical profession was going to be socialised.
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After the fall of the monarchy and the proclamation of the republic on 9 November 1918, the "Rat der Volksbeauftragten" ("Council of People's Representatives") was established as a provisional revolutionary government. It consisted of three members of the Majority Social Democratic Party (MSDP) and three members of the Independent Social Democratic Party (USPD). Because of irreconcilable political-ideological differences, the members of the USPD left government on 28 December, so that from this time until 10 February 1919 the MSPD governed alone. The "Rat der Volksbeauftragten" issued extensive decrees and legislation, including many laws on health policy. The study of these regulations allows a reconstruction of the interplay between the political ideas of the two social democratic parties, the requirements of health policy arising from the war, and the revolutionary events.
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The Ministry of Health and Family Welfare of the Government of India released in September 2001 a draft for the National Health Policy of India. This was followed by several articles which discussed various issues presented in the draft health policy. Subsequently, with some modifications, the National Health Policy of India was released in May 2002. What seemed to be missing in this entire process was a substantial discussion about the conceptual basis of the fundamental elements that need to be taken into account for developing a comprehensive and long term health policy for the nation. This paper outlines an approach to conceptualizing health policy for India. There would, of course, be other approaches for this conceptualization. This paper aims to stimulate further debate on the conceptual basis of health policy in India, which could form a strong foundation for a more informed analysis of and linkage between the specific issues in the health policy of India. This would faclitate a long term view of what the health policy of India could achieve for the benefit of all segments of our society.
Development of health policy goals necessitates a choice among normative premises--an accommodation of conflicting values. Any debate that does not identify underlying assumptions or link policy prescriptions to a theoretical perspective is destined to degenerate into uncommunicative and unproductive rhetorical posturing. A sensible approach toward formulating national health policy requires that competing values be identified and discussed explicitly. This article will examine the effect that selection of different theoretical perspectives can have on the identification of problems and on the formulation of prescriptive policies in the health field. It will also focus on the different values that are promoted by different policy perspectives and consider alternative models for implementing value choices.
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