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The medicalisation of health inequalities and the English NHS: the role of resource allocation

Published online by Cambridge University Press:  04 September 2012

Sheena Asthana ,
Alex Gibson  and
Joyce Halliday
Sheena Asthana*
Affiliation:
Faculty of Health, Education and Society, University of Plymouth, Plymouth, UK
Alex Gibson
Affiliation:
Faculty of Health, Education and Society, University of Plymouth, Plymouth, UK
Joyce Halliday
Affiliation:
Faculty of Health, Education and Society, University of Plymouth, Plymouth, UK
*
*Correspondence to: Professor Sheena Asthana, Faculty of Health, University of Plymouth, Drake Circus, Plymouth PL4 8AA, UK. Email: [email protected]
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Abstract

Tackling health inequalities (HI) has become a key policy objective in England in recent years. Yet, despite the wide-ranging policy response of the 1997–2010 Labour Government, socio-economic variations in health continued to widen. In this paper, we seek to explore why. We propose that a meta-narrative has emerged in which the health problems facing England's most deprived areas, and the solution to those problems, have increasingly come to be linked to levels of National Health Service (NHS) funding. This has been, in part, a response to key shortcomings in previous rounds of resource allocation. The very significant sums of money allocated with respect to ‘health inequalities’ reflects and reinforces the belief that the NHS can and should play a central role in promoting health equity. This medicalisation of HI focuses attention on the role of individual risk factors that lend themselves to medical management, but effectively sidelines the macroprocesses of social inequality, legitimising the kind of society that neo-liberal government has produced in the United Kingdom – one in which health (like other assets) has become a matter of individual and not collective responsibility.

Type
Articles
Information
Health Economics, Policy and Law , Volume 8 , Issue 2 , April 2013 , pp. 167 - 183
Copyright
Copyright © Cambridge University Press 2012

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