Social class, political power, and the state: their implications in medicine--parts I and II.

Research output: Contribution to journalArticle

Abstract

This three part article presents an anlysis of the distribution of power and of the nature of the state in Western industrialized societies and details their implications in medicine. Part I presents a critique of contemporary theories of the Western system of power; discusses the countervailing pluralist and power elite theories, as well as those of bureaucratic and professional control; and concludes with an examination of the Marxist theories of economic determinism, structural determinism, and corporate statism. Part II presents a Marxist theory of the role, nature, and characteristics of state intervention. Part III (which will appear in the next issue of this journal) focuses on the mode of that intervention and the reasons for its growth, with an added analysis of the attributes of state intervention in the health sector, and of the dialectical relationship between its growth and the current fiscal crisis of the state. In all three parts, the focus is on Western European countries and on North America, with many examples and categories from the area of medicine.

Original languageEnglish (US)
Pages (from-to)256-284
Number of pages29
JournalJournal of Health Politics, Policy and Law
Volume1
Issue number3
StatePublished - Sep 1976
Externally publishedYes

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political power
Social Class
social class
determinism
Marxism
Medicine
medicine
Growth
North America
power elite
distribution of power
Economics
Health
examination
health
society
economics

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health Policy
  • Nursing(all)
  • Social Sciences (miscellaneous)
  • Health(social science)
  • Law
  • Health Professions(all)

Cite this

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abstract = "This three part article presents an anlysis of the distribution of power and of the nature of the state in Western industrialized societies and details their implications in medicine. Part I presents a critique of contemporary theories of the Western system of power; discusses the countervailing pluralist and power elite theories, as well as those of bureaucratic and professional control; and concludes with an examination of the Marxist theories of economic determinism, structural determinism, and corporate statism. Part II presents a Marxist theory of the role, nature, and characteristics of state intervention. Part III (which will appear in the next issue of this journal) focuses on the mode of that intervention and the reasons for its growth, with an added analysis of the attributes of state intervention in the health sector, and of the dialectical relationship between its growth and the current fiscal crisis of the state. In all three parts, the focus is on Western European countries and on North America, with many examples and categories from the area of medicine.",
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