Commodification of health care systems: The Catalan case

Commodification of the public healthcare system has been a growing process in recent decades, especially in universal healthcare systems and in high-income countries like Spain.  There are substantial differences in the healthcare systems of each autonomous region of Spain, among which Catalonia is characterized by having a mixed healthcare system with complex partnerships and interactions between the public and private healthcare sectors.  Using a narrative review approach, this article addresses various aspects of the Catalan healthcare system, characterizing the privatization and commodification of health processes in Catalonia from a historical perspective with particular attention to recent legislative changes and austerity measures.  The article approximates, the eventual effects that commodification and austerity measures will have on the health of the population and on the structure, accessibility, effectiveness, equity and quality of healthcare services.

Health reforms in Latin America: processes and results

Two types of health reforms in Latin America are analysed: one based on insurance and service commodification and the one referred to the unified public systems of progressive governments. Health insurance with explicit service packages has not fulfilled their purposes of universal coverage, equal access to necessary health services and improvement of health conditions but has opened health as a field of profit making for insurance companies and private health providers. The national health services as a state obligation have developed territorialized health services and widened substantially timely access to the majority of the population. The adoption of an integrated and wide social policy has an impact on population well fare. It faces some problems derived from the old health systems and the power of the insurance and medical complex.

En busca de la justicia: los agentes de corte y chancillerías de la Mesta en siglo XVIII

Los agentes de corte y chancillerías surgieron de las mestas locales medievales y pasaron a formar parte de la Cabaña Real a principios del siglo xvi. Fueron el resultado de la mayor actividad procesal en los diferentes tribunales y de la creciente conflictividad en el campo. El oficio no tenía las funciones bien definidas porque se vio arrastrado por las disfunciones institucionales y la oposición de las chancillerías. Los Borbones se dieron cuenta de la importancia del cargo en la recuperación de la mesta y en el desarrollo de la trashumancia y elaboraron un detallado plan para desacreditarlo, suprimir el empleo de Granada, restarle atribuciones y sólo adjudicarles asuntos internos y sin relevancia. Paulatinamente fue sustituido en sus facultades y comisiones por el procurador general de corte.

A nobreza doutural da bruzundanga: Profissionais liberais e fetiche do coutoramento no Brasil

Analisa-se, a partir da obra Os Bruzundangas (1922) de Lima Barreto, o fascínio brasileiro pelo título de doutor, e a necessidade de ostentá-lo demonstrada por alguns profissionais liberais. Inicialmente, sintetiza-se a obra limabarretiana, enfatizando-se o tratamento e a sátira feita pelo autor aos doutores e à doutorice dos anos 1910. Em seguida, discute-se a construção histórica da associação entre o título e o valor social do poder e do prestígio, destacando, de um lado, a tradição lusitana do bacharelismo, e, de outro, a bacharelização promovida por D. Pedro II. Discorre-se, então, acerca das tentativas contemporâneas de apropriação e/ou manutenção do doutoramento pelos advogados, juízes, médicos e outros profissionais de saúde. Por fim, aborda-se a problemática do ponto de vista discursivo, levantando-se algumas questões linguísticas e ideológicas envolvidas.

Household "ethnoscapes" and rite of passage: meaning and chronicity of the diagnosis in schizophrenia

Based on the results of an ethnographic study with people diagnosed with schizophrenia and their relatives in Barcelona and Tarragona along one year, I problematize the transformation of roles and relationships inside the household from the first burst and the assignation of a diagnosis as rite of passage. I appeal to a cultural interpretation of family, understanding the family group as a specific ethnoscape. I analyze the chronicity meaning, and its consequences in the conformation of the “role of sick person” in the context of parental relationships. I also discuss the paradoxes in terms of autonomy for the affected persons because of the projection of cultural connotation of chronicity.

Ventajas de aplicar la triangulación empresarial entre España, China y América Latina. Una relación win-win para todos los polos

España tiene la oportunidad de desempeñar un papel importante en el proceso de internacionalización de las empresas chinas hacia Europa y América Latina gracias a la histórica experiencia de las multinacionales españolas en estas regiones. Puesto que las relaciones diplomáticas entre España y China gozan de buena sintonía, si España aprovecha la posición de privilegio respecto al resto de economías europeas, el gigante asiático podría estar interesado en el apoyo de España en América Latina, propiciando así la implantación de iniciativas de cooperación entre los tres polos. Los puntos clave para construir una relación win-win en clave triangular es la importancia de un socio local para profundizar en su despliegue internacional en América Latina, que las empresas chinas requieren, además del expertise y know-how necesarios en los procesos operativos, siendo en estos ámbitos las empresas españolas las mejor posicionadas.