Pub Date : 2013-09-18DOI: 10.25071/2564-4033.37272
Kelly Holloway, J. Haw
Healthcare has changed significantly over the past few decades with the emergence of neoliberalism as a dominant ideology informing policy. This paper examines the Canadian Pain Coalition’s (CPC) conceptualization of chronic pain and its treatment in the context of neoliberalism. Through content analysis of the CPC’s online materials, we show how the advocacy group constructs pain as an individual’s responsibility and a physical disease that can be managed primarily with pharmaceutical medication. Drawing on insights from the social determinants of health and feminist literatures, we suggest that the CPC’s construction of pain as a physical disease, an individual responsibility, and its emphasis on pharmaceutical treatment is inadequate in addressing the complex social, economic, and physical needs of people living with chronic pain. Taking up Susan Markens’ concept of the “feminist paradox,” we suggest that there is a necessary tension in the construction of pain as disease. On the one hand, it is constructed in terms of providing access to treatments, while on the other, it potentially medicalizes people living with chronic pain. Finally, we discuss how the CPC does not adequately address the side of the tension concerning medicalization, given the strong association between the CPC and the pharmaceutical companies.
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Pub Date : 2013-09-18DOI: 10.25071/2564-4033.37274
J. Rinaldi
This article will examine the implications of taking an autonomy approach to reproductive health policy and practice, and the value of shifting to an equality approach. In legal terms, the acknowledgement that reproductive control is often a s. 15 equality matter, not simply a s. 7 concern, could lead to drastically different health care services. The author will begin by explaining R. v. Morgentaler (1988), the case which set the precedent that reproductive health is a s. 7 concern—that is, an autonomy matter. The author will identify some current conditions in the context of reproductive health in order to illustrate the shortcomings to s. 7. Specifically, she will demonstrate the importance that government take positive action rather than uphold a position of non-interference. The subsequent section will make a case for redressing present conditions via the invocation of s. 15 equality rights. The author will conclude with an evaluation of s. 15, considering the objection that not even this section can guarantee positive action.
本文将探讨对生殖健康政策和实践采取自主做法的影响，以及转向平等做法的价值。在法律方面，承认生殖控制往往是第15条平等问题，而不仅仅是第7条关切问题，可能导致截然不同的保健服务。提交人将首先解释R. v. Morgentaler(1988年)一案，该案开创了先例，认为生殖健康是一个问题，即自主问题。提交人将指出生殖健康方面的一些现状，以说明第7条的不足之处。具体来说，她将展示政府采取积极行动而不是坚持不干涉立场的重要性。下一节将通过援引第15条平等权利来纠正目前的状况。考虑到即使这一节也不能保证采取积极行动的反对意见，作者将以对第15条的评价结束。
{"title":"Reproductive Inequality in Canada","authors":"J. Rinaldi","doi":"10.25071/2564-4033.37274","DOIUrl":"https://doi.org/10.25071/2564-4033.37274","url":null,"abstract":"This article will examine the implications of taking an autonomy approach to reproductive health policy and practice, and the value of shifting to an equality approach. In legal terms, the acknowledgement that reproductive control is often a s. 15 equality matter, not simply a s. 7 concern, could lead to drastically different health care services. The author will begin by explaining R. v. Morgentaler (1988), the case which set the precedent that reproductive health is a s. 7 concern—that is, an autonomy matter. The author will identify some current conditions in the context of reproductive health in order to illustrate the shortcomings to s. 7. Specifically, she will demonstrate the importance that government take positive action rather than uphold a position of non-interference. The subsequent section will make a case for redressing present conditions via the invocation of s. 15 equality rights. The author will conclude with an evaluation of s. 15, considering the objection that not even this section can guarantee positive action.","PeriodicalId":338098,"journal":{"name":"Health Tomorrow: Interdisciplinarity and Internationality","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125115057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-09-18DOI: 10.25071/2564-4033.37273
Chavon A Niles
This paper will provide a brief history of the institutionalization movement during the nineteenth century in North America, followed by an examination of the reasons behind the deinstitutionalization movement, with the intent of understanding the repercussions of both movements. Suggestions will be presented to assist mental health professionals and the community at large in implementing programs to assists former patients integrate positively into the community.
{"title":"Examining the Deinstitutionalization Movement in North America","authors":"Chavon A Niles","doi":"10.25071/2564-4033.37273","DOIUrl":"https://doi.org/10.25071/2564-4033.37273","url":null,"abstract":"This paper will provide a brief history of the institutionalization movement during the nineteenth century in North America, followed by an examination of the reasons behind the deinstitutionalization movement, with the intent of understanding the repercussions of both movements. Suggestions will be presented to assist mental health professionals and the community at large in implementing programs to assists former patients integrate positively into the community.","PeriodicalId":338098,"journal":{"name":"Health Tomorrow: Interdisciplinarity and Internationality","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128798477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-09-18DOI: 10.25071/2564-4033.37275
Ciann L. Wilson
The criminalization of HIV non-disclosure has become a hot topic for discussion and debate amongst human rights advocates, HIV/AIDS service providers, and people infected and affected by HIV/AIDS. This paper explores the inherent problems with HIV non-disclosure laws. These laws are ambiguous and pose a serious threat to public health policy and programming by obstructing the fundamental human rights of people infected and affected by HIV/AIDS. Using a human rights framework, this paper explores the impact of non-disclosure laws on the health and rights of African, Caribbean, and Black-Canadian communities and proposes ways to address the shortcomings of HIV non-disclosure laws and inadequate social policies.
{"title":"The Impact of the Criminalization of HIV Non-Disclosure on the Health and Human Rights of “Black” Communities","authors":"Ciann L. Wilson","doi":"10.25071/2564-4033.37275","DOIUrl":"https://doi.org/10.25071/2564-4033.37275","url":null,"abstract":"The criminalization of HIV non-disclosure has become a hot topic for discussion and debate amongst human rights advocates, HIV/AIDS service providers, and people infected and affected by HIV/AIDS. This paper explores the inherent problems with HIV non-disclosure laws. These laws are ambiguous and pose a serious threat to public health policy and programming by obstructing the fundamental human rights of people infected and affected by HIV/AIDS. Using a human rights framework, this paper explores the impact of non-disclosure laws on the health and rights of African, Caribbean, and Black-Canadian communities and proposes ways to address the shortcomings of HIV non-disclosure laws and inadequate social policies.","PeriodicalId":338098,"journal":{"name":"Health Tomorrow: Interdisciplinarity and Internationality","volume":"1 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125039006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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