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Individual Responsiblity or Citizenship Rights?

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Abstract

There is an enduring tension between individualist and collectivist conceptions in British health and health care policy. The individualist view fosters notions of individual responsibility for health and (individual) personal choice regarding health care; it is most obviously compatible with the minimal state model of health care and the New Right perspective. In contrast, collectivism embodies ideas of social responsibility and emphasises the importance of social structures and processes in determining and defining health care needs. It is compatible with the universalist/citizenship model of health care and the social democratic perspective. However we should note that other welfare perspectives — feminism, Marxism and welfare pluralism — can also be linked with collectivism since they all include approaches that endorse collective responses, collectivised solutions and state action.

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© 1997 Ian Kendall and Graham Moon

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Kendall, I., Moon, G. (1997). Individual Responsiblity or Citizenship Rights?. In: North, N., Bradshaw, Y. (eds) Perspectives in Health Care. Palgrave, London. https://doi.org/10.1007/978-1-349-13469-4_4

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  • DOI: https://doi.org/10.1007/978-1-349-13469-4_4

  • Publisher Name: Palgrave, London

  • Print ISBN: 978-0-333-61465-5

  • Online ISBN: 978-1-349-13469-4

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