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The political economy of health careWhere the NHS came from and where it could lead$
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Julian Tudor Hart

Print publication date: 2010

Print ISBN-13: 9781847427830

Published to Policy Press Scholarship Online: March 2012

DOI: 10.1332/policypress/9781847427830.001.0001

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Justice and solidarity

Justice and solidarity

Chapter:
(p.148) (p.149) Six Justice and solidarity
Source:
The political economy of health care
Author(s):

Julian Tudor Hart

Publisher:
Policy Press
DOI:10.1332/policypress/9781847427830.003.0006

The internal equivalence of humans provides the foundation for medical science, and social inclusiveness is the foundation for effective care systems. Solidarity created state care systems, and their shortcomings are largely attributable to a lack of it. Consumerism stands opposed to this, with every man for each other as its philosophy. Public belief in solidarity, at least for health care in the UK, has so far generally withstood almost three decades of sustained assault from those with the power to form public opinion. Assumptions that solidarity is natural to the declining industrial working class but not to the rising middle class are illusory. Neither justice nor solidarity were ever natural, they had to be built through experience and struggle by those with most to gain from them and least to lose. Most of the so-called middle class appeared to be the working class in new conditions.

Keywords:   social inclusiveness, medical science, state care systems, consumerism, health care, UK, middle class

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