Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-12T21:04:44.782Z Has data issue: false hasContentIssue false
This chapter is part of a book that is no longer available to purchase from Cambridge Core

8 - Pharmacotherapy as social policy, or, the public and private worlds of welfare capitalism

from Part 2 - Drugs, health and the medicalisation of addiction

Suzanne Fraser
Affiliation:
Monash University, Victoria
David Moore
Affiliation:
Curtin University of Technology, Perth
Get access

Summary

We begin with the apparent paradox of Sweden and Australia. Australian social policy researchers, especially those who are concerned with poverty, equality and population well-being, are used to hearing (and telling) a familiar story about the difference between Australia and Sweden. The story goes like this: Australia and Sweden are at two ends of the welfare state spectrum. Sweden provides a universal system of cash and non-cash benefits, a system of contributory finance and extensive state intervention to maintain full employment. The most effective test of a commitment to equality and protection against poverty is a country's treatment of those without paid work – typically children, the elderly, people with illness and disability, and their carers. In Sweden, substantial resources are dedicated to these groups. Only 4 per cent of Swedish children live in poverty (3 per cent of households with children), compared to 12 per cent of Australian children (10 per cent of households with children). Adult joblessness is a much greater risk for child poverty in Australia than in Sweden: 13 per cent of Swedish households with children and no working adult are poor, compared to 43 per cent of Australian households. Parental leave after the birth of a baby is offered to Swedish workers for 480 days, the first 390 at 80 per cent of income. Assistance for the elderly is based on an assessment of needs and ranges from home-based care to residential and institutional care, for which recipients pay according to their income and needs.

In contrast, Australia is characterised by a tightly targeted and incomes-tested system of benefits. Universal paid parental leave will be introduced in Australia for the first time in 2011, at a far lower rate than in Sweden. Australia is a low social spender on family benefits and old-age pensions, and poverty rates for older people are among the highest in the OECD (only Korea, Mexico and Ireland have higher rates).

Type
Chapter
Information
The Drug Effect
Health, Crime and Society
, pp. 137 - 152
Publisher: Cambridge University Press
Print publication year: 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Australian Injecting and Illicit Drug Users League 2010 Submission to the Ministerial Council on Drug Strategy: Australia's National Drug Strategy beyond 2009CanberraAIVLGoogle Scholar
Banwell, C.Denton, B.Bammer, G. 2002 Programmes for the children of illicit drug-using parents: Issues and dilemmasDrug and Alcohol Review 2 381CrossRefGoogle Scholar
Barrett, D. 2010 Security, development and human rights: Normative, legal and policy challenges for the international drug control systemInternational Journal of Drug Policy 21 140CrossRefGoogle ScholarPubMed
Benoit, E.Young, R.Magura, S.Staines, G. 2004 The impact of welfare reform on methadone treatment: Policy lessons from service providers in New York CitySubstance Use and Misuse 39 2355CrossRefGoogle ScholarPubMed
Blaxland, M. 2008 Early childhood education and care policy audits: AustraliaBrennan, D.Building an International Research Collaboration in Early Childhood Education and Care: Background Materials for a Workshop funded by the Australian Research Alliance for Children and Youth (ARACY)SydneySocial Policy Research Centre, University of New South WalesGoogle Scholar
Bourgois, P. 2000 Disciplining addictions: The bio-politics of methadone and heroin in the United StatesCulture, Medicine and Psychiatry 24 165CrossRefGoogle ScholarPubMed
Brush, L. 2002 Changing the subject: Gender and welfare regime studiesSocial Politics: International Studies in Gender, State and Society 9 161CrossRefGoogle Scholar
Byrne, J.Albert, E. 2009 Coexisting or conjoined: The growth of the international drug users’ movement through participation with International Harm Reduction Association ConferencesInternational Journal on Drug Policy 21 110CrossRefGoogle ScholarPubMed
Caplehorn, J.Drummer, O. 2002 Fatal methadone toxicity: Signs and circumstances, and the role of benzodiazepinesAustralian and New Zealand Journal of Public Health 26 358CrossRefGoogle ScholarPubMed
Craig, L. 2007 Contemporary Motherhood: The Impact of Children on Adult TimeAldershot, UK, & Burlington, VTAshgateGoogle Scholar
Esping-Andersen, G. 1990 The Three Worlds of Welfare CapitalismCambridgePolity PressGoogle Scholar
Fraser, N.Gordon, L. 1997 A genealogy of ‘dependency’: Tracing a keyword of the US welfare stateFraser, N.Justice Interruptus: Critical Reflections on the ‘Postsocialist’ ConditionNew York & LondonRoutledgeGoogle Scholar
Fraser, S. 2004 ‘It's your life!’ Injecting drug users, individual responsibility and hepatitis C preventionHealth: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine 8 199CrossRefGoogle ScholarPubMed
Fraser, S. 2006 The chronotope of the queue: Methadone maintenance treatment and the production of time, space and subjectsInternational Journal of Drug Policy 17 192CrossRefGoogle Scholar
Fraser, S.valentine, k. 2008 Substance and Substitution: Methadone Subjects in Liberal SocietiesBasingstoke, UKPalgrave MacmillanCrossRefGoogle Scholar
Hunt, N. 2004 Public health or human rights: What comes firstInternational Journal of Drug Policy 15 231CrossRefGoogle Scholar
Islam, M.Day, C.Conigrave, K. 2010 Harm reduction healthcare: From an alternative to the mainstream platformInternational Journal of Drug Policy 21 131CrossRefGoogle ScholarPubMed
Kennedy, D. 2002 The critique of rights in critical legal studiesBrown, W.Halley, J.Left Legalism/Left Critique178Durham, NCDuke University PressCrossRefGoogle Scholar
Larsson, K.Thorslund, M. 2002 Does gender matter? Differences in patterns of informal support and formal services in a Swedish urban elderly populationResearch on Aging 24 308CrossRefGoogle Scholar
Mattick, R.P.Breen, C.Kimber, J. 2009 Methadone maintenance therapy versus no opioid replacement therapy for opioid dependenceCochrane Database of Systematic Reviews 3Google Scholar
Moore, D.Fraser, S. 2006 Putting at risk what we know: Reflecting on the drug-using subject in harm reduction and its political implicationsSocial Science and Medicine 62 3035CrossRefGoogle Scholar
National Drug Strategy 2009 Australia's National Drug Strategy beyond 2009: Consultation PaperCanberraNDS, Australian GovernmentGoogle Scholar
O'Connor, J.Orloff, A.S.Shaver, S. 1999 State, Markets, Families: Gender, Liberalism and Social Policy in Australia, Canada, Great Britain and the United StatesCambridge & New YorkCambridge University PressCrossRefGoogle Scholar
Orloff, A.S. 2009 Gendering the comparative analysis of welfare states: An unfinished agendaSociological Theory 27 317CrossRefGoogle Scholar
Rose, N. 1989 Governing the Soul: The Shaping of the Private SelfLondonRoutledgeGoogle Scholar
Saunders, P.Abe, A. 2010 Poverty and deprivation in young and old: A comparative study of Australia and JapanPoverty and Public Policy 2 www.psocommons.org/ppp/vol2/iss1/art5CrossRefGoogle Scholar
Saunders, P.Hallerod, B.Matheson, G. 1994 Making ends meet in Australia and Sweden: A comparative analysis using the subjective poverty line methodologyActa Sociologica 37 3CrossRefGoogle Scholar
Scott, E.London, A.Myers, N. 2002 Dangerous dependencies: The intersection of welfare reform and domestic violenceGender and Society 16 878CrossRefGoogle Scholar
Stimson, G.O'Hare, P. 2010 Harm reduction: Moving through the third decadeInternational Journal of Drug Policy 21 91CrossRefGoogle ScholarPubMed
Tham, H. 1998 Swedish drug policy: A successful modelEuropean Journal on Criminal Policy and Research 6 395CrossRefGoogle Scholar
valentine, k.Fraser, S. 2008 Trauma, damage and pleasure: Rethinking problematic drug useInternational Journal of Drug Policy 19 410CrossRefGoogle ScholarPubMed
Whiteford, P.Adema, W. 2007 What works best in reducing child poverty: A benefit or work strategyOECD Social, Employment and Migration Working Papers 51ParisOECD Directorate for Employment, Labour and Social AffairsGoogle Scholar
Wodak, A. 2005 Australia's response to HIV among injecting drug users: The band is still playingHIV and Hepatitis C: Policy, Discrimination, Legal and Ethical Issues33SydneyAustralasian Society for HIV MedicineGoogle Scholar
World Health Organization & United Nations Office on Drugs and Crime 2004 Substitution maintenance therapy in the management of opioid dependence and HIV/AIDS prevention: Position paperGenevaWorld Health OrganisationGoogle Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×