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91 books match the query 'Citizen participation' and 2 start with h

cover of Health Care at Risk: A Critique of the Consumer-Driven Movement

Health Care at Risk

A Critique of the Consumer-Driven Movement

Timothy Stoltzfus Jost

Duke University Press, 2007

In Health Care at Risk Timothy Stoltzfus Jost, a leading expert in health law, weighs in on consumer-driven health care (CDHC), which many policymakers and analysts are promoting as the answer to the severe access, cost, and quality problems afflicting the American health care system. The idea behind CDHC is simple: consumers should be encouraged to save for medical care with health savings accounts, rely on these accounts to cover routine medical expenses, and turn to insurance only to cover catastrophic medical events. Advocates of consumer-driven health care believe that if consumers are spending their own money on medical care, they will purchase only services with real value to them. Jost contends that supporters of CDHC rely on oversimplified ideas about health care, health care systems, economics, and human nature.

In this concise, straightforward analysis, Jost challenges the historical and theoretical assumptions on which the consumer-driven health care movement is based and reexamines the empirical evidence that it claims as support. He traces the histories of both private health insurance in the United States and the CDHC movement. The idea animating the drive for consumer-driven health care is that the fundamental problem with the American health care system is what economists call “moral hazard,” the risk that consumers overuse services for which they do not bear the cost. Jost reveals moral hazard as an inadequate explanation of the complex problems plaguing the American health care system, and he points to troubling legal and ethical issues raised by CDHC. He describes how other countries have achieved universal access to high-quality health care at lower cost, without relying extensively on cost sharing, and he concludes with a proposal for how the United States might do the same, incorporating aspects of CDHC while recognizing its limitations.

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cover of Hunting the Ethical State: The Benkadi Movement of Côte d'Ivoire

Hunting the Ethical State

The Benkadi Movement of Côte d'Ivoire

Joseph Hellweg

University of Chicago Press, 2011

In the 1990s a nationwide crime wave overtook Côte d’Ivoire. The Ivoirian police failed to control the situation, so a group of poor, politically marginalized, and mostly Muslim men took on the role of the people’s protectors as part of a movement they called Benkadi. These men were dozos—hunters skilled in ritual sacrifice—and they applied their hunting and occult expertise, along with the ethical principles implicit in both forms of knowledge, to the tracking and capturing of thieves. Meanwhile, as Benkadi emerged, so too did the ethnic, regional, and religious divisions that would culminate in Côte d’Ivoire’s 2002–07 rebellion. 

Hunting the Ethical State reveals how dozos worked beyond these divisions to derive their new roles as enforcers of security from their ritual hunting ethos. Much as they used sorcery to shape-shift and outwit game, they now transformed into unofficial police, and their ritual networks became police bureaucracies. Though these Muslim and northern-descended men would later resist the state, Joseph Hellweg demonstrates how they briefly succeeded at making a place for themselves within it. Ultimately, Hellweg interprets Benkadi as a flawed but ingenious and thoroughly modern attempt by non-state actors to reform an African state.

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