This book presents an analysis tracing the operation of biopolitical mode of power in the global field of drug control. Through a series of theoretically framed investigations that relate current drug control policies to the broader frame of ‘vital politics,’ it attends to the relationship of drug control, democracy and authoritarianism and showcases these pressures on the case of the evolution of drug policy in the Czech Republic. Then, it turns attention to the relationship of power and knowledge, with a particular focus on ‘evidence-based’ policy that tends to more often sustain, rather than challenge coercive and punitive drug control policies. Last but not least, it looks at how the global drug control dispositif shapes those lives on one of Europe’s (internal) periphery, the Spanish Southern border. These investigations are intended to illuminate elements of the operation of the drug control dispositif and its far reaching (bio-)political effects in order to maintain and expand the space for thinking political alternatives.
In contemporary discussions of abortion, both sides argue well-worn positions, particularly concerning the question, When does human life begin? Though often invoked by the Catholic Church for support, Thomas Aquinas in fact held that human life begins after conception, not at the moment of union. But his overall thinking on questions of how humans come into being, and cease to be, is more subtle than either side in this polarized debate imagines. Fabrizio Amerini—an internationally-renowned scholar of medieval philosophy—does justice to Aquinas’ views on these controversial issues. Some pro-life proponents hold that Aquinas’ position is simply due to faulty biological knowledge, and if he knew what we know today about embryology, he would agree that human life begins at conception. Others argue that nothing Aquinas could learn from modern biology would have changed his mind. Amerini follows the twists and turns of Aquinas’ thinking to reach a nuanced and detailed solution in the final chapters that will unsettle familiar assumptions and arguments. Systematically examining all the pertinent texts and placing each in historical context, Amerini provides an accurate reconstruction of Aquinas’ account of the beginning and end of human life and assesses its bioethical implications for today. This major contribution is available to an English-speaking audience through translation by Mark Henninger, himself a noted scholar of medieval philosophy.
Genome editing is a powerful new tool for making precise alterations to an organism's genetic material. Recent scientific advances have made genome editing more efficient, precise, and flexible than ever before. These advances have spurred an explosion of interest from around the globe in the possible ways in which genome editing can improve human health. The speed at which these technologies are being developed and applied has led many policymakers and stakeholders to express concern about whether appropriate systems are in place to govern these technologies and how and when the public should be engaged in these decisions. Human Genome Editing considers important questions about the human application of genome editing including: balancing potential benefits with unintended risks, governing the use of genome editing, incorporating societal values into clinical applications and policy decisions, and respecting the inevitable differences across nations and cultures that will shape how and whether to use these new technologies. This report proposes criteria for heritable germline editing, provides conclusions on the crucial need for public education and engagement, and presents 7 general principles for the governance of human genome editing.
Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine
The Arthur M. Sackler Colloquia of the National Academy of Sciences address scientific topics of broad and current interest, cutting across the boundaries of traditional disciplines. Each year, four or five such colloquia are scheduled, typically two days in length and international in scope. Colloquia are organized by a member of the Academy, often with the assistance of an organizing committee, and feature presentations by leading scientists in the field and discussions with a hundred or more researchers with an interest in the topic. Colloquia presentations are recorded and posted on the National Academy of Sciences Sackler colloquia website and published on CD-ROM. These Colloquia are made possible by a generous gift from Mrs. Jill Sackler, in memory of her husband, Arthur M. Sackler.
In a world beset by serious and unconscionable health disparities, by dangerous contagions that can circle our globalized planet in hours, and by a bewildering confusion of health actors and systems, humankind needs a new vision, a new architecture, new coordination among renewed systems to ensure central health capabilities for all. Global Health Justice and Governance lays out the critical problems facing the world today and offers a new theory of justice and governance as a way to resolve these seemingly intractable issues. A fundamental responsibility of society is to ensure human flourishing. The central role that health plays in flourishing places a unique claim on our public institutions and resources, to ensure central health capabilities to reduce premature death and avoid preventable morbidities. Faced with staggering inequalities, imperiling epidemics, and inadequate systems, the world desperately needs a new global health architecture. Global Health Justice and Governance lays out this vision.
Governing Human Lives and Health in Pandemic Times looks into the instruments and the type of reasoning involved when large-scale social control strategies were implemented worldwide in response to the COVID-19 pandemic. The repertoires of institutional and administrative governance tools used during the pandemic are studied in their unique institutional, socio-geographic, and cultural settings, in order to form an understanding of the political climates and the values inscribed in current societal contracts. The book is intended for academic audiences interested in policy research, health governance, and civil societal issues. It will be of great relevance and use for a wide audience of policymakers, public officials, and health care planners as well as students in a broad range of disciplines.
Some aspects of public health vary by locality or jurisdiction. Political challenges are not one of them. As governments on every scale become motivated by short-term economic gains, the essential causes of public health and equity are regularly subject to political questioning and financial shortcutting. Governing for Health is a counterpoint to this myopic approach -- a passionate, rigorous case for why the health of a society is both its greatest measure and its most untapped source of prosperity.
This book provides a comprehensive explanation of human well-being outcomes by analyzing the role of domestic and international political factors. The well-being outcomes under study are the building blocks of development, and play a crucial developmental role in the lives of citizens, states, and the global community. The project introduces cases from Brazil, Japan, China, and Iraq, and proposes to answer some of the pressing questions that scholars and policy-makers alike have pondered over for years. Why are there large disparities between countries in the quality of life people lead? What factors account for the general well-being of mankind? How do we improve human lives?
