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This forum has two parts.
Recall the two presidential speeches that were given by both
President Obama and President Reagan, respectively. Note that
these two presidents used the Rogerian method of argumentation
to not only win over those who agreed with their viewpoints,
but also to win over those who held different views.
Think about a national or international issue that matters to you
and write your own speech for that issue, using the Rogerian
style of argumentation. How would you win over the other
side? You don’t need to use citations, but please do not create
statistics or ‘facts.’ You might also find this video on the
Rogerian form
helpful:https://www.youtube.com/watch?v=Z9knvRXU8zQ&feat
ure=youtu.be.
Please note that you have the option of having the text of the
video appear if you check the CC icon at the bottom of the
screen. Does your speech follow the pattern generally?
Next, consider the following. During week seven, you are
creating an argument using the Rogerian method. Have you used
this style of argumentation before in your studies or career
(either verbally or in past writing assignments/projects)? Will
you use it in the future? Why or why not?
In your response to your classmates, comment on the
persuasiveness of your classmate’s speech – do not comment on
whether or not you agree with the issue. Did this student
follow the Rogerian format? Why or why not?
102Forum Rubric.pdf
Chapter 10
Economy and Politics
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Tracking the Trends: Economy and Politics
In 2013, just 19% of people said they trust the U.S. government
to do what is right most of the time.
Q. How do you feel about the federal government’s
performance? What are some of the consequences of low public
confidence in government?
Survey Question: “How much do you trust the government in
Washington?”
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Column1 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967
1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978
1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
2012 2013 0.7300000000000002 0.65000000000000024
0.53 0.3600000000000001 0.28000000000000008
0.25 0.47000000000000008 0.44000000000000006
0.25 0.47000000000000008 0.23 0.17
0.39000000000000012 0.24000000000000005
0.4200000000000001 0.6000000000000002
0.3600000000000001 0.31000000000000011 0.17
0.22000000000000003 0.19000000000000003
Percentage Responding
“Just about always” or “Most of the time”
Economy and Politics
Politics: The social institution that guides a society’s decision
making about how to live
Economy: The social institution that organizes the production,
distribution, and consumption of goods and services
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The Capitalist Model
Capitalism: Economic system in which natural resources and the
means of producing goods and services are privately owned
Pursuit of self-interest
Market competition; supply and demand
Private property
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The Capitalist Model
Little interference from government, a formal organization that
directs the political life of a society
But…
What is economically efficient for producers is not always good
for workers or community members
High level of economic inequality
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The Socialist Model
Socialism: Economic system in which natural resources and the
means of producing goods and services are collectively owned
Limits to the right to private property
Interest of the people over the individual
Government guides operation of the economy
Relatively low standard of living
Government can limit personal freedom
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Mixed Systems
All countries have elements of both systems.
Majority of countries are mostly capitalist
About 20 countries are mostly socialist
Types of Mixed Systems:
State capitalism: Government works closely with large,
privately owned companies
Welfare capitalism: Government provides extensive welfare
programs, funded by high taxes.
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Mixed Systems
The U.S. is among the most capitalist countries, with 82% of
production in the private sector.
In difficult economic times, government steps in with loans.
Figure 10-1 Percentage of Gross Domestic Product (GDP) in
the Private Sector and the Public Sector
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Bipin (B) - COMP: Please replace image with final art.
Global Map 10-1 Economic Freedom in Global Perspective
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Figure 10-2 Who Should Control Production, the Market or
the Government?
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The Economy and Politics
Political economy: The closely linked economic and political
life of a nation or world region.
Types of political systems:
Democracy - political system in which power is exercised by
people as a whole
Authoritarianism - political system that denies popular
participation in government
Monarchy - political system in which a single family rules from
one generation to the next
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Problems of the U.S. Political Economy: Power of Corporations
Corporations: Businesses with a legal existence, including
rights and liabilities, separate from that of their members
The largest 100 corporations control most U.S. production
Share has been increasing
Often receive taxpayer money, in the form of government
handouts and subsidies
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Monopoly and Oligopoly
Monopoly: the domination of an entire market by a single
producer
Emerged at the end of the nineteenth century
Sherman Anti-Trust Act (1890)
Oligopoly: the domination of a market by a few companies
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Conglomerates and Other Linkages
Conglomerate: Giant corporation composed of many smaller
corporations
PepsiCo Taco Bell, KFC, Frito-Lay, Pizza Hut, Quaker Oats
Interlocking directorates: Social networks made up of people
who serve as directors of several corporations at the same time
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The Power of Money
Corporate wealth influences political process
Special-interest groups: political alliances of people interested
in some economic or social issue
NRA (National Rifle Association )
AARP (American Association of Retired Persons)
ACLU (American Civil Liberties Union )
Money buys political power though lobbying, the efforts of
special-interest groups to influence government officials
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Campaign Financing
Total campaign spending for 2012 elections: $7 billion+
Sources:
Corporations (largest source)
Political Parties
PACs (Political Action Committees)
Unions
Individuals
The social problem: Government for Sale?
Campaign contributions are made in expectation that specific
political objectives will be advanced.
Political decisions are made with fundraising implications in
mind.
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Campaign Financing: PACs
Political Action Committees: Organizations formed by special-
interest groups to raise and spend money in support of political
goals
5,700 PACs in the U.S.
2002: Bipartisan Campaign Reform Act
No more than $5,000 to a single candidate
No more than $15,000 to a single party
PACs started encouraging individuals to give
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Campaign Financing: Super PACs
2010: Citizen’s United vs. Federal Election Commission
No limits to the role that money can play in today’s elections
Super PACs
Raise money on behalf of candidates
Cannot work directly with candidates
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Voter Apathy
In the last five presidential elections, between 52% and
63% of eligible voters voted.
Conservative view: Sign of indifference; people are satisfied
with the way things are
Liberal and Radical view: Sign of widespread alienation from
politics
Other countries have higher participation:
more political choices; laws that require voting
Why so much apathy?
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National Map 10-1 Voter Turnout across the United States
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Figure 10-3 Public Confidence in Selected
Institutions, 2013
Corporate fraud, negative campaign advertising, and ongoing
political gridlock have caused a decline in public confidence.
Confidence in Congress has dropped to 10%.
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Who Votes? Class, Race,
Ethnicity, and Gender
Income:
Most people with high incomes vote
Most people with low incomes do not vote
Why? Affluent people:
More schooling
Older
More at stake
Figure 10-4 Voting by Income Level, 2012
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Who Votes? Class, Race, Ethnicity,
and Gender in 2012
Race and Ethnicity
66% of African Americans voted; 64% of whites
48% of Hispanics voted
Sense of cultural marginality
Lack of fluency in English
Gender
64% of women; 60% of men
Age
72% of those age 65+
41% of college-age
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The Gender Gap
The tendency for women and men to hold different opinions
about certain issues and to support different candidates
More women vote and they tend to support Democratic
candidates
Women favored Obama over Romney, 55% to 44%
Women tend to support issues that protect children, older
people, those with disabilities
Men more likely to support strong military, gun rights, and the
death penalty
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Voting Laws for Persons Convicted of Serious Crimes
6 million people in the U.S. do not have the right to vote:
48 states: no vote for people in prison (exc. VT and ME)
35 states: no vote for those on probation after being convicted
of a felony
11 states: no vote for those who have completed their sentences
Controversial: Politically motivated?
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Social Movements: How Much Change?
Political activism and social change
Civil Rights movement
Women’s movement
Gay Rights movement
Social movements have played important role in shaping the
political landscape but have had little impact on economic
inequality.
Occupy Wall Street
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26
Structural-Functional Analysis:
Rule by the Many
The economic system as complex system to produce and
distribute goods and services
The political system as operating to distribute power and
maintain order
Robert Dahl: The Pluralist Model
power widely distributed, with “veto groups”
Criticism: Does not reflect political reality; what about Wall
St., wealthy individuals, Super PACS?
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Social-Conflict Analysis: Rule by a Few
Economic and political systems operate under control of an elite
to benefit the elite
President Dwight Eisenhower warned of the growing military-
industrial complex.
C. Wright Mills: The Power-Elite Model
Power concentrated among a small elite: top military officials,
heads of major corporations, top political officials
Children of the power elite marry one another, passing along
privileges to another generation
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Social-Conflict Analysis: Rule by a Few
Karl Marx: Capitalist Political Economy
Sees the concentration of wealth and power in a society as the
result of capitalism
Criticism: Ignores U.S. progress in extending economic and
political opportunity (Presidents Clinton and Obama were not
born into political elite class); socialism may concentrate power
even more than capitalism.
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Conservatives: The System
is Working
Free competition in the marketplace
Competition among political candidates
People are free to participate in political economy as much or as
little as they wish
U.S. Constitution is the foundation of these freedoms
Major problem: increase in the size of government
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Liberals: The Need for Reform
Favor a free market but support more government regulation of
the economy
Laissez-faire economy concentrates wealth and power in the
hands of a few
Support a welfare state to reduce inequality, transferring wealth
from rich to poor and providing benefits to the needy
Progressive taxation
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31
The Radical Left: A Call
for Basic Change
Oppose a market system and support government control of the
economy
Capitalism is the source of the problem
Small changes make no difference; only solution is placing
entire economy under government control
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Chapter 9
Physical and
Mental Health
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Tracking the Trends: Mental and Physical Health
People who are obese are at risk for a host of medical problems.
In 1960, about 13% of adults were obese; the obesity rate
soared above 30% by 2000 and has continued to increase.
Q. What do you think are some of the reasons for this trend?
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Health and Illness:
A Global Perspective
Health is the state of complete physical, mental, and social
well-being
Infant mortality rate: Number of babies, of every 1,000 born,
who die in their first year of life
Life expectancy at birth: Number of years people in a society
can expect to live
Chronic disease: An illness that has a long-term development
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Health and Illness:
A Global Perspective
High-Income Nations
Infant mortality is low, about 5 deaths for every 1,000 births
Life expectancy is high
In U.S., 76 years for males; 81 for females
People die in old age of a chronic disease such as heart disease,
cancer, or stroke
In U.S., a high fat diet and little physical work result in 2/3 of
adults who are overweight
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Global Map 9.1 Infant Mortality in Global Perspective
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Health and Illness:
A Global Perspective
Low-Income Nations
1 billion people suffer serious illness due to poverty
malnutrition
lack of safe drinking water and poor sanitation
Infant mortality is higher
Life expectancy is lower
Acute disease: illness that strikes suddenly
Ebola, malaria, cholera, typhoid, measles, diarrhea
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Rich and Poor Compared:
The AIDS Epidemic
Social epidemiology: how health and disease are distributed
throughout a society’s population
Epidemic: disease that spreads rapidly
AIDS
Africa has 15% of the world’s population and 71% of HIV
cases.
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Rich and Poor Compared:
The AIDS Epidemic
Why are the world’s poorest nations so hard hit by AIDS?
Poor have weakened health
Poor countries have fewer resources for education and
prevention programs
Cultural patterns and AIDS
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Rich and Poor Compared:
The AIDS Epidemic
AIDS in the United States
U.S. accounts for just 3% of HIV cases
More than 600,000 have died from AIDS
Obama administration has asked for $30 billion annually to
fight AIDS
Drug treatments delay onset of full-blown AIDS among people
with HIV
Primarily a disease of the poor
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Figure 9-1 Deaths from AIDS in the United States
African Americans and Hispanics, who together represent 30%
of the U.S. population, account for 56% of all AIDS deaths
Non-Hispanic African Americans are 10x more likely than non-
Hispanic whites to become infected; Latinos are 3x times as
likely
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Paying for Health Care
Socialist Systems
The People’s Republic of China
Government administers health care
Barefoot doctors
Blends modern scientific medicine with traditional healing arts
Acupuncture
Medicinal herbs
Cancer and heart disease risks: 53% of men smoke (but only
2% of women)
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Paying for Health Care
Socialist Systems
The Russian Federation
Health care is still mostly under government control
Doctors are paid less
72% of doctors are women
Economic decline led to declining health
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Figure 9-2 Life Expectancy Index for Selected Countries
Life expectancy in the United States is greater than what is
typical of lower-income nations but less than that found in
many other high-income nations.
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Paying for Health Care
Capitalist Systems
Socialized medicine: a medical care system in which the
government owns and operates most medical facilities and
employs most physicians.
Sweden
Health care as a basic right for all citizens
Funded through taxation (= very high taxes)
Physicians are salaried government employees
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Paying for Health Care
Capitalist Systems
Great Britain
Dual system
Socialized system of health care (since 1948)
Market-based system
National Health Service is funded by tax dollars and covers all
British citizens
Private health care for those who can pay
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Paying for Health Care
Capitalist Systems
Canada
Not state-controlled, but a single-payer system
Government sets fees and pays physicians
Japan
Physicians and hospitals operate privately in a market system
Government programs and private insurance pay the majority of
health care costs
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Figure 9-3 Extent of Socialized Medicine in
Selected Countries
Most high-income countries tax the population to distribute the
cost of health care over the entire population, with people who
earn more paying more in taxes.
The U.S. provides government support but treats medical care
mostly as a product to be purchased on the open market.
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Health Care in the United
States: A System in Crisis?
Why the current focus on health care?
U.S. ranks lower than most other high-income countries in
health of the population
U.S. spends more per person for health care than any other
country
Health in the U.S. reflects economic inequality.
Direct-fee system: medical care system in which patients or
their insurers pay directly for the services of physicians and
hospitals
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The Cost Problem
Health care costs were $2.8 trillion in 2012
Six reasons behind the soaring cost:
Spread of private insurance
Specialization of doctors
More high technology
Lack of preventive care
Ageing population
More lawsuits
Controlling Costs
Pre-admission testing
Out-patient treatment
Regulating the length of hospitalization
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Who Pays?
Most people rely on health insurance:
Private Insurance Programs
64% of the population covered by traditional insurance
86% receive insurance through an employer
14% buy it on their own
Health Maintenance Organizations (HMOs)
Private insurance organizations that provide medical care to
subscribers for a fixed fee
Focus on controlling costs by disease prevention
Managed care; use of primary care physician
24% of the population enrolled in HMOs
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Who Pays?
Government Insurance Programs
Medicare, part of social security for those 65+
15.7% of the population in Medicare in 2012
Medicaid, serves poor people with special needs and families
with dependent children
16% of the population enrolled in Medicaid
Veterans receive care in government-operated hospitals
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The Coverage Problem
Medical insurance does not cover all the cost of serious
accident or illness
48 million people lacked any coverage in 2012
Fewer jobs provide health insurance
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The 2010 Health Care Law:
The Affordable Care Act
All families now pay an insurance tax.
Insurance companies can no longer drop existing customers
because they get sick.
Insurance companies cannot set caps.
Parents can include children up to age 26 on insurance.
Insurance companies cannot refuse coverage due to preexisting
health issues.
All families are required to have insurance.
People who do not buy insurance will be subject to penalties.
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Health: Class, Ethnicity, and Race
Poverty harms health
Poor nutrition
Unsafe environment
Higher accident rate
Race and health
Prenatal care
Racial bias and health
Life expectancy
Figure 9-4 Life Expectancy of U.S. Children Born in 2011
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National Map 9.1 Life Expectancy across the United States
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Health: The Importance of Gender
Women have a higher life expectancy than men
Way in which culture defines masculinity
Gender also works against women:
Lower social standing affects health care research
Gender stereotypes distort medical treatment
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Health: The Importance
of Gender
Eating Disorders
90% of those with eating disorders are women
Women’s value in terms of physical attractiveness
Role of the mass media
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People with Disabilities
Disability: a physical or mental condition that limits a person’s
everyday activities
Physical disability may become a master status where others see
only the disability
Technology and changing attitudes improve quality of life
High poverty rate
Legislation: Americans with Disabilities Act
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Nursing Shortage
100,000 nursing positions currently unfilled
Increase in need for nurses going forward:
More illnesses can be treated with new technologies
More outpatient services
Increasing focus on preventive care
More people have health care; Affordable Care Act
Ageing population
Not enough teachers
Women have wider range of job options
High stress
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Mental Health and Illness
Mental disorder: psychological or behavioral condition that
causes distress and reduces a person’s ability to participate in
everyday life
Mental disorders are common
Nearly half of adult Americans suffer from some form of mental
illness during their lifetime; mild to severe
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Mental Health and Illness
Types of Mental Disorders
DSM IV – Diagnostic and Statistical Manual of Mental
Disorders, prepared by American Psychiatric Assn.
Many disorders have biological and social causes
Mental Illness: A Myth?
Thomas Szasz – an illness is real only if it affects the body in a
way we can see.
Responding to “difference” with medical labels that stigmatize
a person can do harm.
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Mental Health and Class
Robert Faris and Warren Dunham study (1939) linked poverty
and mental illness
Cause and Effect? Goes both ways:
Mental illness reduces ability earn a living
Poverty breeds stress and social isolation that increase risk of
mental disorders
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Mental Health, Race and Ethnicity
By themselves, are not determinant
Native Americans have a higher rate
Asian Americans, a slightly lower rate
Link to poverty applies
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Treatment Strategies
Treating mental illness is a recent phenomenon
Dorothea Dix (1840) advocated humane care
rather than “containment.”
Psychotherapy: An approach to mental health in which patients
talk with trained professionals to gain insight into the cause of
their problems
Psychoactive drugs (1950s)
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Treatment Strategies
Deinstitutionalization: the release of people from hospitals into
local communities.
Community Mental Health Centers Construction Act of 1963
From institutions to outpatient centers
Not enough were built
Only 42% of people with mental illness receive regular
treatment (63% with serious disorder)
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Mental Illness on Campus
30% of college students report being so depressed they could
not do their work
84% claim they are overwhelmed at times
Most serious problem is suicide
Psychoactive drugs make it possible to attend college but some
may not take their medications properly or may be overwhelmed
by demands of college work.
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Structural-Functional Analysis: Health and Social Roles
Illness is a social problem because it interferes with the ability
to perform societal roles in families and at work.
Sick role: pattern of behavior expected of people defined as ill
Social institutions are linked
Criticism: Health is more complex than being “sick” or “well.”
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Symbolic-Interaction Analysis:
The Meaning of Health
“Health” and “illness” are partly socially defined; the
definitions
differ among societies
change over time
State of mind can affect health of the body
Criticism: Ignores structural factors that play a part in the
reality of health; tends to assign blame for poor health to people
themselves.
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39
Social-Conflict Analysis:
Health and Inequality
Health is linked to inequality
Access to care is critical
U.S. has no guaranteed access to care for all
1/3 struggle to pay medical costs; 15% lack insurance
Capitalism: profit motive over healthcare needs
Criticism: Overlooks fact that U.S. health has improved
dramatically. Healthcare systems in more equal societies
provide little incentive to develop new treatments.
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Feminist Theory: Health and Gender
Risk of illness is greater for women due to increased risk of
poverty
Only 34% of physicians are women; research geared to men.
Same rates of mental illness as men, but more likely to be
labeled as mentally ill
Cultural definitions of “masculinity” can lead to stress and
social isolation for men.
Criticism: Ignores fact that women’s health has improved
dramatically; longer lives.
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Conservatives: Free-Markets Provide the Best Care
Choice allows people to select doctors and insurance
Do not support the Affordable Care Act
Competition improves quality and value for consumers
Competition leads to innovation and improvements in the health
care industry
Individual responsibility for one’s health
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Liberals: Government Must Ensure Universal Care
Health care is a right
Combination of health care for profit with access for all
Support the Affordable Care Act
Some would support a larger government role, as in Canada or
Great Britain.
Costs would be offset by having a healthier, more productive
population.
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The Radical Left: Capitalism
is Unhealthy
Problem is the inequality of health care.
To improve health, one must:
Remove the profit motive from health care
Replace capitalism with socialism
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  • 1. This forum has two parts. Recall the two presidential speeches that were given by both President Obama and President Reagan, respectively. Note that these two presidents used the Rogerian method of argumentation to not only win over those who agreed with their viewpoints, but also to win over those who held different views. Think about a national or international issue that matters to you and write your own speech for that issue, using the Rogerian style of argumentation. How would you win over the other side? You don’t need to use citations, but please do not create statistics or ‘facts.’ You might also find this video on the Rogerian form helpful:https://www.youtube.com/watch?v=Z9knvRXU8zQ&feat ure=youtu.be. Please note that you have the option of having the text of the video appear if you check the CC icon at the bottom of the screen. Does your speech follow the pattern generally? Next, consider the following. During week seven, you are creating an argument using the Rogerian method. Have you used this style of argumentation before in your studies or career (either verbally or in past writing assignments/projects)? Will you use it in the future? Why or why not? In your response to your classmates, comment on the persuasiveness of your classmate’s speech – do not comment on whether or not you agree with the issue. Did this student follow the Rogerian format? Why or why not? 102Forum Rubric.pdf
  • 2. Chapter 10 Economy and Politics Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Tracking the Trends: Economy and Politics In 2013, just 19% of people said they trust the U.S. government to do what is right most of the time. Q. How do you feel about the federal government’s performance? What are some of the consequences of low public confidence in government? Survey Question: “How much do you trust the government in Washington?” Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Column1 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 0.7300000000000002 0.65000000000000024 0.53 0.3600000000000001 0.28000000000000008 0.25 0.47000000000000008 0.44000000000000006 0.25 0.47000000000000008 0.23 0.17 0.39000000000000012 0.24000000000000005 0.4200000000000001 0.6000000000000002 0.3600000000000001 0.31000000000000011 0.17 0.22000000000000003 0.19000000000000003
  • 3. Percentage Responding “Just about always” or “Most of the time” Economy and Politics Politics: The social institution that guides a society’s decision making about how to live Economy: The social institution that organizes the production, distribution, and consumption of goods and services Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved The Capitalist Model Capitalism: Economic system in which natural resources and the means of producing goods and services are privately owned Pursuit of self-interest Market competition; supply and demand Private property Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved The Capitalist Model Little interference from government, a formal organization that directs the political life of a society But… What is economically efficient for producers is not always good for workers or community members High level of economic inequality
  • 4. Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved The Socialist Model Socialism: Economic system in which natural resources and the means of producing goods and services are collectively owned Limits to the right to private property Interest of the people over the individual Government guides operation of the economy Relatively low standard of living Government can limit personal freedom Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Mixed Systems All countries have elements of both systems. Majority of countries are mostly capitalist About 20 countries are mostly socialist Types of Mixed Systems: State capitalism: Government works closely with large, privately owned companies Welfare capitalism: Government provides extensive welfare programs, funded by high taxes. Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Mixed Systems The U.S. is among the most capitalist countries, with 82% of production in the private sector. In difficult economic times, government steps in with loans. Figure 10-1 Percentage of Gross Domestic Product (GDP) in
  • 5. the Private Sector and the Public Sector Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Bipin (B) - COMP: Please replace image with final art. Global Map 10-1 Economic Freedom in Global Perspective Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Figure 10-2 Who Should Control Production, the Market or the Government? Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved The Economy and Politics Political economy: The closely linked economic and political life of a nation or world region. Types of political systems: Democracy - political system in which power is exercised by people as a whole Authoritarianism - political system that denies popular participation in government Monarchy - political system in which a single family rules from one generation to the next Copyright © 2015, 2013, 2012 Pearson Education, Inc. All
  • 6. Rights Reserved Problems of the U.S. Political Economy: Power of Corporations Corporations: Businesses with a legal existence, including rights and liabilities, separate from that of their members The largest 100 corporations control most U.S. production Share has been increasing Often receive taxpayer money, in the form of government handouts and subsidies Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Monopoly and Oligopoly Monopoly: the domination of an entire market by a single producer Emerged at the end of the nineteenth century Sherman Anti-Trust Act (1890) Oligopoly: the domination of a market by a few companies Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Conglomerates and Other Linkages Conglomerate: Giant corporation composed of many smaller corporations PepsiCo Taco Bell, KFC, Frito-Lay, Pizza Hut, Quaker Oats Interlocking directorates: Social networks made up of people who serve as directors of several corporations at the same time
  • 7. Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved The Power of Money Corporate wealth influences political process Special-interest groups: political alliances of people interested in some economic or social issue NRA (National Rifle Association ) AARP (American Association of Retired Persons) ACLU (American Civil Liberties Union ) Money buys political power though lobbying, the efforts of special-interest groups to influence government officials Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Campaign Financing Total campaign spending for 2012 elections: $7 billion+ Sources: Corporations (largest source) Political Parties PACs (Political Action Committees) Unions Individuals The social problem: Government for Sale? Campaign contributions are made in expectation that specific political objectives will be advanced. Political decisions are made with fundraising implications in mind.
  • 8. Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Campaign Financing: PACs Political Action Committees: Organizations formed by special- interest groups to raise and spend money in support of political goals 5,700 PACs in the U.S. 2002: Bipartisan Campaign Reform Act No more than $5,000 to a single candidate No more than $15,000 to a single party PACs started encouraging individuals to give Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Campaign Financing: Super PACs 2010: Citizen’s United vs. Federal Election Commission No limits to the role that money can play in today’s elections Super PACs Raise money on behalf of candidates Cannot work directly with candidates Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Voter Apathy In the last five presidential elections, between 52% and 63% of eligible voters voted. Conservative view: Sign of indifference; people are satisfied
  • 9. with the way things are Liberal and Radical view: Sign of widespread alienation from politics Other countries have higher participation: more political choices; laws that require voting Why so much apathy? Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved National Map 10-1 Voter Turnout across the United States Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Figure 10-3 Public Confidence in Selected Institutions, 2013 Corporate fraud, negative campaign advertising, and ongoing political gridlock have caused a decline in public confidence. Confidence in Congress has dropped to 10%. Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Who Votes? Class, Race, Ethnicity, and Gender Income: Most people with high incomes vote Most people with low incomes do not vote Why? Affluent people:
  • 10. More schooling Older More at stake Figure 10-4 Voting by Income Level, 2012 Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Who Votes? Class, Race, Ethnicity, and Gender in 2012 Race and Ethnicity 66% of African Americans voted; 64% of whites 48% of Hispanics voted Sense of cultural marginality Lack of fluency in English Gender 64% of women; 60% of men Age 72% of those age 65+ 41% of college-age Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved The Gender Gap The tendency for women and men to hold different opinions about certain issues and to support different candidates More women vote and they tend to support Democratic candidates Women favored Obama over Romney, 55% to 44% Women tend to support issues that protect children, older people, those with disabilities
  • 11. Men more likely to support strong military, gun rights, and the death penalty Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Voting Laws for Persons Convicted of Serious Crimes 6 million people in the U.S. do not have the right to vote: 48 states: no vote for people in prison (exc. VT and ME) 35 states: no vote for those on probation after being convicted of a felony 11 states: no vote for those who have completed their sentences Controversial: Politically motivated? Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Social Movements: How Much Change? Political activism and social change Civil Rights movement Women’s movement Gay Rights movement Social movements have played important role in shaping the political landscape but have had little impact on economic inequality. Occupy Wall Street Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved
  • 12. 26 Structural-Functional Analysis: Rule by the Many The economic system as complex system to produce and distribute goods and services The political system as operating to distribute power and maintain order Robert Dahl: The Pluralist Model power widely distributed, with “veto groups” Criticism: Does not reflect political reality; what about Wall St., wealthy individuals, Super PACS? Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Social-Conflict Analysis: Rule by a Few Economic and political systems operate under control of an elite to benefit the elite President Dwight Eisenhower warned of the growing military- industrial complex. C. Wright Mills: The Power-Elite Model Power concentrated among a small elite: top military officials, heads of major corporations, top political officials Children of the power elite marry one another, passing along privileges to another generation Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Social-Conflict Analysis: Rule by a Few Karl Marx: Capitalist Political Economy Sees the concentration of wealth and power in a society as the result of capitalism
  • 13. Criticism: Ignores U.S. progress in extending economic and political opportunity (Presidents Clinton and Obama were not born into political elite class); socialism may concentrate power even more than capitalism. Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Conservatives: The System is Working Free competition in the marketplace Competition among political candidates People are free to participate in political economy as much or as little as they wish U.S. Constitution is the foundation of these freedoms Major problem: increase in the size of government Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Liberals: The Need for Reform Favor a free market but support more government regulation of the economy Laissez-faire economy concentrates wealth and power in the hands of a few Support a welfare state to reduce inequality, transferring wealth from rich to poor and providing benefits to the needy Progressive taxation Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved
  • 14. 31 The Radical Left: A Call for Basic Change Oppose a market system and support government control of the economy Capitalism is the source of the problem Small changes make no difference; only solution is placing entire economy under government control Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Chapter 9 Physical and Mental Health Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Tracking the Trends: Mental and Physical Health People who are obese are at risk for a host of medical problems. In 1960, about 13% of adults were obese; the obesity rate soared above 30% by 2000 and has continued to increase.
  • 15. Q. What do you think are some of the reasons for this trend? Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Health and Illness: A Global Perspective Health is the state of complete physical, mental, and social well-being Infant mortality rate: Number of babies, of every 1,000 born, who die in their first year of life Life expectancy at birth: Number of years people in a society can expect to live Chronic disease: An illness that has a long-term development Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Health and Illness: A Global Perspective High-Income Nations Infant mortality is low, about 5 deaths for every 1,000 births Life expectancy is high In U.S., 76 years for males; 81 for females People die in old age of a chronic disease such as heart disease, cancer, or stroke In U.S., a high fat diet and little physical work result in 2/3 of adults who are overweight Copyright © 2015, 2013, 2012 Pearson Education, Inc. All
  • 16. Rights Reserved Global Map 9.1 Infant Mortality in Global Perspective Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Health and Illness: A Global Perspective Low-Income Nations 1 billion people suffer serious illness due to poverty malnutrition lack of safe drinking water and poor sanitation Infant mortality is higher Life expectancy is lower Acute disease: illness that strikes suddenly Ebola, malaria, cholera, typhoid, measles, diarrhea Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Rich and Poor Compared: The AIDS Epidemic Social epidemiology: how health and disease are distributed throughout a society’s population Epidemic: disease that spreads rapidly AIDS Africa has 15% of the world’s population and 71% of HIV cases. Copyright © 2015, 2013, 2012 Pearson Education, Inc. All
  • 17. Rights Reserved Rich and Poor Compared: The AIDS Epidemic Why are the world’s poorest nations so hard hit by AIDS? Poor have weakened health Poor countries have fewer resources for education and prevention programs Cultural patterns and AIDS Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Rich and Poor Compared: The AIDS Epidemic AIDS in the United States U.S. accounts for just 3% of HIV cases More than 600,000 have died from AIDS Obama administration has asked for $30 billion annually to fight AIDS Drug treatments delay onset of full-blown AIDS among people with HIV Primarily a disease of the poor Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Figure 9-1 Deaths from AIDS in the United States African Americans and Hispanics, who together represent 30% of the U.S. population, account for 56% of all AIDS deaths Non-Hispanic African Americans are 10x more likely than non-
  • 18. Hispanic whites to become infected; Latinos are 3x times as likely Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Paying for Health Care Socialist Systems The People’s Republic of China Government administers health care Barefoot doctors Blends modern scientific medicine with traditional healing arts Acupuncture Medicinal herbs Cancer and heart disease risks: 53% of men smoke (but only 2% of women) Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Paying for Health Care Socialist Systems The Russian Federation Health care is still mostly under government control Doctors are paid less 72% of doctors are women Economic decline led to declining health Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved
  • 19. Figure 9-2 Life Expectancy Index for Selected Countries Life expectancy in the United States is greater than what is typical of lower-income nations but less than that found in many other high-income nations. Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Paying for Health Care Capitalist Systems Socialized medicine: a medical care system in which the government owns and operates most medical facilities and employs most physicians. Sweden Health care as a basic right for all citizens Funded through taxation (= very high taxes) Physicians are salaried government employees Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Paying for Health Care Capitalist Systems Great Britain Dual system Socialized system of health care (since 1948) Market-based system National Health Service is funded by tax dollars and covers all British citizens Private health care for those who can pay Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved
  • 20. Paying for Health Care Capitalist Systems Canada Not state-controlled, but a single-payer system Government sets fees and pays physicians Japan Physicians and hospitals operate privately in a market system Government programs and private insurance pay the majority of health care costs Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Figure 9-3 Extent of Socialized Medicine in Selected Countries Most high-income countries tax the population to distribute the cost of health care over the entire population, with people who earn more paying more in taxes. The U.S. provides government support but treats medical care mostly as a product to be purchased on the open market. Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Health Care in the United States: A System in Crisis? Why the current focus on health care? U.S. ranks lower than most other high-income countries in health of the population U.S. spends more per person for health care than any other country Health in the U.S. reflects economic inequality.
  • 21. Direct-fee system: medical care system in which patients or their insurers pay directly for the services of physicians and hospitals Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved The Cost Problem Health care costs were $2.8 trillion in 2012 Six reasons behind the soaring cost: Spread of private insurance Specialization of doctors More high technology Lack of preventive care Ageing population More lawsuits Controlling Costs Pre-admission testing Out-patient treatment Regulating the length of hospitalization Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Who Pays? Most people rely on health insurance: Private Insurance Programs 64% of the population covered by traditional insurance 86% receive insurance through an employer 14% buy it on their own Health Maintenance Organizations (HMOs) Private insurance organizations that provide medical care to
  • 22. subscribers for a fixed fee Focus on controlling costs by disease prevention Managed care; use of primary care physician 24% of the population enrolled in HMOs Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Who Pays? Government Insurance Programs Medicare, part of social security for those 65+ 15.7% of the population in Medicare in 2012 Medicaid, serves poor people with special needs and families with dependent children 16% of the population enrolled in Medicaid Veterans receive care in government-operated hospitals Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved The Coverage Problem Medical insurance does not cover all the cost of serious accident or illness 48 million people lacked any coverage in 2012 Fewer jobs provide health insurance Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved The 2010 Health Care Law:
  • 23. The Affordable Care Act All families now pay an insurance tax. Insurance companies can no longer drop existing customers because they get sick. Insurance companies cannot set caps. Parents can include children up to age 26 on insurance. Insurance companies cannot refuse coverage due to preexisting health issues. All families are required to have insurance. People who do not buy insurance will be subject to penalties. Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Health: Class, Ethnicity, and Race Poverty harms health Poor nutrition Unsafe environment Higher accident rate Race and health Prenatal care Racial bias and health Life expectancy Figure 9-4 Life Expectancy of U.S. Children Born in 2011 Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved National Map 9.1 Life Expectancy across the United States Copyright © 2015, 2013, 2012 Pearson Education, Inc. All
  • 24. Rights Reserved Health: The Importance of Gender Women have a higher life expectancy than men Way in which culture defines masculinity Gender also works against women: Lower social standing affects health care research Gender stereotypes distort medical treatment Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Health: The Importance of Gender Eating Disorders 90% of those with eating disorders are women Women’s value in terms of physical attractiveness Role of the mass media Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved People with Disabilities Disability: a physical or mental condition that limits a person’s everyday activities Physical disability may become a master status where others see only the disability Technology and changing attitudes improve quality of life High poverty rate Legislation: Americans with Disabilities Act Copyright © 2015, 2013, 2012 Pearson Education, Inc. All
  • 25. Rights Reserved Nursing Shortage 100,000 nursing positions currently unfilled Increase in need for nurses going forward: More illnesses can be treated with new technologies More outpatient services Increasing focus on preventive care More people have health care; Affordable Care Act Ageing population Not enough teachers Women have wider range of job options High stress Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Mental Health and Illness Mental disorder: psychological or behavioral condition that causes distress and reduces a person’s ability to participate in everyday life Mental disorders are common Nearly half of adult Americans suffer from some form of mental illness during their lifetime; mild to severe Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Mental Health and Illness Types of Mental Disorders DSM IV – Diagnostic and Statistical Manual of Mental Disorders, prepared by American Psychiatric Assn. Many disorders have biological and social causes
  • 26. Mental Illness: A Myth? Thomas Szasz – an illness is real only if it affects the body in a way we can see. Responding to “difference” with medical labels that stigmatize a person can do harm. Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Mental Health and Class Robert Faris and Warren Dunham study (1939) linked poverty and mental illness Cause and Effect? Goes both ways: Mental illness reduces ability earn a living Poverty breeds stress and social isolation that increase risk of mental disorders Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Mental Health, Race and Ethnicity By themselves, are not determinant Native Americans have a higher rate Asian Americans, a slightly lower rate Link to poverty applies
  • 27. Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Treatment Strategies Treating mental illness is a recent phenomenon Dorothea Dix (1840) advocated humane care rather than “containment.” Psychotherapy: An approach to mental health in which patients talk with trained professionals to gain insight into the cause of their problems Psychoactive drugs (1950s) Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Treatment Strategies Deinstitutionalization: the release of people from hospitals into local communities. Community Mental Health Centers Construction Act of 1963 From institutions to outpatient centers Not enough were built Only 42% of people with mental illness receive regular treatment (63% with serious disorder) Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Mental Illness on Campus 30% of college students report being so depressed they could
  • 28. not do their work 84% claim they are overwhelmed at times Most serious problem is suicide Psychoactive drugs make it possible to attend college but some may not take their medications properly or may be overwhelmed by demands of college work. Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Structural-Functional Analysis: Health and Social Roles Illness is a social problem because it interferes with the ability to perform societal roles in families and at work. Sick role: pattern of behavior expected of people defined as ill Social institutions are linked Criticism: Health is more complex than being “sick” or “well.” Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Symbolic-Interaction Analysis: The Meaning of Health “Health” and “illness” are partly socially defined; the definitions differ among societies change over time State of mind can affect health of the body Criticism: Ignores structural factors that play a part in the reality of health; tends to assign blame for poor health to people themselves.
  • 29. Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved 39 Social-Conflict Analysis: Health and Inequality Health is linked to inequality Access to care is critical U.S. has no guaranteed access to care for all 1/3 struggle to pay medical costs; 15% lack insurance Capitalism: profit motive over healthcare needs Criticism: Overlooks fact that U.S. health has improved dramatically. Healthcare systems in more equal societies provide little incentive to develop new treatments. Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Feminist Theory: Health and Gender Risk of illness is greater for women due to increased risk of poverty Only 34% of physicians are women; research geared to men. Same rates of mental illness as men, but more likely to be labeled as mentally ill Cultural definitions of “masculinity” can lead to stress and social isolation for men. Criticism: Ignores fact that women’s health has improved dramatically; longer lives. Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved
  • 30. Conservatives: Free-Markets Provide the Best Care Choice allows people to select doctors and insurance Do not support the Affordable Care Act Competition improves quality and value for consumers Competition leads to innovation and improvements in the health care industry Individual responsibility for one’s health Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved Liberals: Government Must Ensure Universal Care Health care is a right Combination of health care for profit with access for all Support the Affordable Care Act Some would support a larger government role, as in Canada or Great Britain. Costs would be offset by having a healthier, more productive population. Copyright © 2015, 2013, 2012 Pearson Education, Inc. All Rights Reserved The Radical Left: Capitalism is Unhealthy Problem is the inequality of health care. To improve health, one must: Remove the profit motive from health care Replace capitalism with socialism Copyright © 2015, 2013, 2012 Pearson Education, Inc. All