Explaining the endurance of poverty and inequality : social policy and the social division of welfare in the South African health system
- Authors: Du Plessis, Ulandi
- Date: 2013
- Subjects: Health system , Private health , Public health , Poor , Subsidies , Profit motive , Quality , Efficiency , Public health -- Finance -- Research -- South Africa , Medical care -- Research -- South Africa , Poverty -- Research -- South Africa , Equality -- Research -- South Africa , South Africa -- Social conditions
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: vital:2755 , http://hdl.handle.net/10962/d1002002
- Description: This thesis examines the structure and flow of public funding between the public and private sectors in the South African health system and the consequences thereof for the achievement of equity. The conceptual framework used to undertake the analysis derives from Richard Titmuss’ core theoretical framework, the Social Division of Welfare. The application of the Social Division of Welfare applied to the South African health care context demonstrates how state resources end up benefitting the non-poor and, as a result, reproduce inequality. Those who access public institutions such as public health care are assumed to be ‘dependent’ on the state, whilst those who access private health facilities claim to be ‘independent’ of the state. However, this thesis shows that these assumptions are flawed. Access to the formal labour market, and subsequently the paying of taxes, authorises one to access state subsidies not available to those who do not. The application of the Social Division of Welfare shows that tax-paying private health care patients benefit considerably from state resources. This thesis argues that due to cost escalation in the private health sector, a consequence of the commodification of health care, these private health care ‘consumers’ as well as the private health industry in general are dependent upon state resources. This thesis analyses the role played by the profit motive present in the private health industry and the consequences for equity, quality, access and efficiency in health care provision
- Full Text:
- Date Issued: 2013
- Authors: Du Plessis, Ulandi
- Date: 2013
- Subjects: Health system , Private health , Public health , Poor , Subsidies , Profit motive , Quality , Efficiency , Public health -- Finance -- Research -- South Africa , Medical care -- Research -- South Africa , Poverty -- Research -- South Africa , Equality -- Research -- South Africa , South Africa -- Social conditions
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: vital:2755 , http://hdl.handle.net/10962/d1002002
- Description: This thesis examines the structure and flow of public funding between the public and private sectors in the South African health system and the consequences thereof for the achievement of equity. The conceptual framework used to undertake the analysis derives from Richard Titmuss’ core theoretical framework, the Social Division of Welfare. The application of the Social Division of Welfare applied to the South African health care context demonstrates how state resources end up benefitting the non-poor and, as a result, reproduce inequality. Those who access public institutions such as public health care are assumed to be ‘dependent’ on the state, whilst those who access private health facilities claim to be ‘independent’ of the state. However, this thesis shows that these assumptions are flawed. Access to the formal labour market, and subsequently the paying of taxes, authorises one to access state subsidies not available to those who do not. The application of the Social Division of Welfare shows that tax-paying private health care patients benefit considerably from state resources. This thesis argues that due to cost escalation in the private health sector, a consequence of the commodification of health care, these private health care ‘consumers’ as well as the private health industry in general are dependent upon state resources. This thesis analyses the role played by the profit motive present in the private health industry and the consequences for equity, quality, access and efficiency in health care provision
- Full Text:
- Date Issued: 2013
Poverty alleviation programmes in selected towns of the Thabo Mofutsanyane District Municipality
- Authors: Mponya, Mahlomaholo Fred
- Date: 2013
- Subjects: Poverty -- South Africa , Economic assistance, Domestic -- South Africa , Economic development projects -- South Africa , Poor
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9173 , http://hdl.handle.net/10948/d1020112
- Description: The period 1994 to 1999 saw the implementation of fundamental social and political change in South Africa. Social science literature suggests that such fundamental change increases the probability of civil conflict and strife, as some sectors of the population expect significant improvements in their position following the removal of economic and political barriers that previously inhibited their upward mobility. Other sectors are concerned about a possible decrease in their living standards of the erosion of their privileged position. Still others experience increased uncertainty, which in itself is associated with significant social change. It is significant to state that poverty in South Africa is intertwined with a host of social and economic issues. The burden of poverty is exacerbated by limited access to basic services, poor housing, limited employment opportunities and inadequate infrastructure, which are an outcome of the terrible legacies of apartheid. The South African government has set certain targets to reduce poverty by half by 2014, in line with its vision for 2014 and in line with its commitment to the Millennium Development Goals. In an endeavour to realise this commitment, the government has prioritised the improvement of service delivery as one of the indicators of progress. However, although the government has made improvements and attained some of its goals, it still needs to do more. With apartheid no longer in place as the system to blame for every grievance, other rifts may have developed in society and become grounds for mobilisation, Klandermans, B. et al. 2001. Mantsopa Local Municipality is not an exception to these developments and it faces a series of challenges. Despite nineteen years of democracy, poverty is still common in Mantsopa. Unemployment levels are high and many people depend on government old age pensions, seasonal farm work, minor-scale self-employment and part-time jobs for the survival of the entire household. These developments have led to the study of poverty alleviation programmes in selected towns of Thabo Mofutsanyane District Municipality. The researcher investigates these programmes through the analysis of secondary data.
- Full Text:
- Date Issued: 2013
- Authors: Mponya, Mahlomaholo Fred
- Date: 2013
- Subjects: Poverty -- South Africa , Economic assistance, Domestic -- South Africa , Economic development projects -- South Africa , Poor
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9173 , http://hdl.handle.net/10948/d1020112
- Description: The period 1994 to 1999 saw the implementation of fundamental social and political change in South Africa. Social science literature suggests that such fundamental change increases the probability of civil conflict and strife, as some sectors of the population expect significant improvements in their position following the removal of economic and political barriers that previously inhibited their upward mobility. Other sectors are concerned about a possible decrease in their living standards of the erosion of their privileged position. Still others experience increased uncertainty, which in itself is associated with significant social change. It is significant to state that poverty in South Africa is intertwined with a host of social and economic issues. The burden of poverty is exacerbated by limited access to basic services, poor housing, limited employment opportunities and inadequate infrastructure, which are an outcome of the terrible legacies of apartheid. The South African government has set certain targets to reduce poverty by half by 2014, in line with its vision for 2014 and in line with its commitment to the Millennium Development Goals. In an endeavour to realise this commitment, the government has prioritised the improvement of service delivery as one of the indicators of progress. However, although the government has made improvements and attained some of its goals, it still needs to do more. With apartheid no longer in place as the system to blame for every grievance, other rifts may have developed in society and become grounds for mobilisation, Klandermans, B. et al. 2001. Mantsopa Local Municipality is not an exception to these developments and it faces a series of challenges. Despite nineteen years of democracy, poverty is still common in Mantsopa. Unemployment levels are high and many people depend on government old age pensions, seasonal farm work, minor-scale self-employment and part-time jobs for the survival of the entire household. These developments have led to the study of poverty alleviation programmes in selected towns of Thabo Mofutsanyane District Municipality. The researcher investigates these programmes through the analysis of secondary data.
- Full Text:
- Date Issued: 2013
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