Sociological Explanations

Marxist and Pluralist Explanations of Unequal Distribution of Healthcare

Sociologists see the unequal distribution of healthcare provision in different ways and offer different explanations. The three main explanation come from Marxist, pluralist and structuralist perspectives.

Marxist approaches

Tudor-Hart proposes an ‘inverse care law’, whereby the most advantaged gain the most from healthcare even though the disadvantaged need it most.
This reflects a pattern of inequality across capitalist societies.

Big business

Marxists argue that healthcare provision supports big business, in terms of pharmaceuticals (drugs), medical technology and private healthcare at the expense of preventative methods such as health education.

Class struggle

Healthcare provided via the NHS is viewed as benefitting capitalism by keeping the working classes fit enough to work while giving the impression of fairness and caring in society, disguising the inherit inequalities that capitalism creates and reinforces.

Pluralist approaches

The distribution and allocation of healthcare resources result from the bargaining actions of competing groups.
Groups include, groups such as the British Medical Association, GPs, health administrators, the government, private healthcare companies and patient groups.

Structuralist Explanations of Unequal Distribution of Healthcare

Sociologists see the unequal distribution of healthcare provision in different way and offer different explanations. The three main explanation come from Marxist, pluralist and structuralist perspectives.

Structuralist approaches

Structuralist approaches draw on the Marxist view of social inequality and power distribution in healthcare and structuralist notions of competing interest groups.

Distribution

How healthcare is distributed depends the outcome of the power struggle between three different and competing interest groups who work within the healthcare system...

Interest groups

Dominant interests (the final decision-makers).
Challenging interests (who challenge the interests of the dominant group).
Repressed interests (whose interests are least likely to have their need met by the existing structure of the healthcare organisation).

Power structure

Checkland et al. argue that there is little scope for public and patient participation with the NHS structure, and patients are the least powerful group and have the least control over the allocation of healthcare.

1Theory & Methods

2Education with Methods in Context

2.1Role & Function of the Education System

2.1.1Introduction

2.1.2Functionalist Theories

2.1.3Marxist & Feminist Theories

2.1.4The New Right

2.2Educational Achievement

2.2.1Social Class: Internal Factors

2.2.2Social Class: External Factors

2.2.3Social Class: Attitudes to Education

2.2.4Social Class: Difference in Achievement

2.2.5Gender

2.2.6Ethnicity

2.3Relationships & Processes Within Schools

2.3.1Processes

2.3.2Labelling

2.3.3Categorisations

2.3.4Student Experience

2.3.5End of Topic Test -Education with Methods

2.4Educational Policies

2.4.1Equality

2.4.2Privatisation

2.4.3Marketisation

2.4.4Government Policies by Party

2.4.5Globalisation

2.4.6End of Topic Test- Educational Policies

2.4.7Practice Exam Question - Social Policies

3Option 1: Culture & Identity

4Option 1: Families & Households

4.1Families & Households

4.1.1Definitions

4.1.2Functionalist & New Right Perspectives

4.1.3Marxist & Feminist Perspectives

4.1.4Postmodernist Perspective

4.1.5End of Topic Test - Families & Households

4.1.6Practice Exam Question - Function of Family

4.2Changing Patterns

4.2.1Marriage

4.2.2Divorce

4.2.3LAT Relationships

4.2.4Child-Bearing

4.2.5Lone Parenthood

4.2.6Diversity

4.2.7The Sociology of Personal Life

4.2.8Government Policies Post-WW2

4.2.9End of Topic Test - Changing Patterns

4.3The Symmetrical Family

4.3.1The Symmetrical Family

4.3.2Evaluation

4.4Children & Childhood

4.4.1Childhood

4.4.2Childhood in the UK

4.4.3Childhood as a Social Construct

4.4.4The Disappearance of Childhood

4.4.5Child Abuse

4.4.6Domestic Violence

4.4.7End of Topic Test - Family & Childhood

4.5Demographic Trends UK

4.5.1Introduction

4.5.2Birth Rates

4.5.3Death Rates

4.5.4The Ageing Population

4.5.5Studies on the Ageing Population

4.5.6Migration

4.5.7Globalisation

4.5.8End of Topic Test - Demographics UK

5Option 1: Health

5.1Social Constructions

5.1.1The Body

5.1.2Health, Illness & Disease

5.1.3Disability

5.1.4Models of Health & Illness

5.1.5End of Topic Test - Social Constructions

5.2Social Distribution of Healthcare

5.2.1Social Class

5.2.2Gender

5.2.3Ethnicity

5.2.4Regional

5.3Provision & Access to Healthcare

5.3.1The NHS

5.3.2Inequalities in Provision

5.3.3Sociological Explanations

5.3.4Inequalities in Access

5.3.5Inequalities in Access 2

5.3.6End of Topic Test - Distribution Health

5.4Mental Health

5.4.1The Biomedical Approach

5.4.2Social Patterns

5.4.3Social Constructionist Approach

5.5The Globalised Health Industry

5.5.1The Functionalist Approach

5.5.2The Postmodernist Approach

5.5.3The Globalised Health Industry

5.5.4End of Topic Test - Mental Health & Globalisation

6Option 1: Work, Poverty & Welfare

6.1Poverty & Wealth

6.1.1Types of Poverty

6.1.2Types of Poverty 2

6.1.3Distribution of Wealth UK

6.1.4Sociological Theories

6.1.5Sociological Theories 2

6.1.6Distribution of Poverty UK

6.1.7End of Topic Test - Poverty & Wealth

6.2Welfare

6.2.1The Welfare State

6.2.2Theoretical Approaches to Welfare

6.3Labour Process

6.3.1Nature of Work

6.3.2Technology & Control

6.3.3Work & Life

6.3.4The Effects of Globalisation

6.3.5Globalisation & Worklessness

6.3.6End of Topic Test - Welfare & Labour

7Option 2: Beliefs in Society

7.1Ideology, Science & Religion

7.1.1Types of Religion

7.1.2Ideology & Belief Systems

7.1.3Social Stability & Religion

7.1.4Social Change & Religion

7.1.5End of Topic Test - Ideology, Science & Religion

7.2Religious Movements

7.2.1Religious Organisations

7.2.2New Religious Movements

7.2.3New Age Movements

7.2.4Practice Exam Question - Growth of NRMs

7.3Society & Religion

7.3.1Social Groups & Religion

7.3.2Gender & Religion

7.3.3End of Topic Test- Religious Movements & Society

7.4Contemporary Religion

7.4.1Secularisation UK

7.4.2Against Secularisation

7.4.3Secularisation US

7.4.4Fundamentalism

7.4.5Economic Development & Religion

7.4.6End of Topic - Contemporary Religion

8Option 2: Global Development

8.1Development, Underdevelopment & Global Inequality

8.1.1Development

8.1.2Underdevelopment & Global Inequality

8.2Globalisation & Global Organisations

8.2.1Globalisation

8.2.2Transnational Corporations & International Agency

8.2.3Non-Governmental Organisations (NGOs)

8.3Aid, Trade, Industrialisation, Urbanisation

8.3.1Development: Aid & Trade

8.3.2Development: Industrialisation & Urbanisation

8.3.3Development: Environment & War

9Option 2: The Media

9.1Contemporary Media

9.1.1New Media

9.1.2Control of the Media

9.1.3Sociological Approaches: New Media

9.1.4Globalisation

9.1.5News Selection

9.1.6Moral Panics

9.1.7End of Topic Test - Contemporary Media

9.2Media Representations

9.2.1Age

9.2.2Social Class & Ethnicity

9.2.3Gender

9.2.4Sexuality & Disability

9.2.5Practice Exam Questions - Presentation of Women

9.3Audiences

9.3.1Media Theories

9.3.2Media Theories 2

9.3.3Media Representations & Audiences

10Crime & Deviance

10.1Crime & Society

10.1.1Functionalism

10.1.2Subcultural Theory

10.1.3Marxism

10.1.4Realism

10.1.5Other Approaches

10.1.6End of Topic Test - Crime & Society

10.1.7Practice Exam Questions - Social Construction

10.2Social Distribution of Crime

10.2.1Ethnicity

10.2.2Gender

10.2.3Globalisation & Crime

10.2.4Media & Crime

10.2.5Types of Crimes

10.2.6End of Topic Test - Social Distribution of Crime

10.3Prevention & Punishment

10.3.1Surveillance

10.3.2Prevention

10.3.3Punishment

10.3.4Victimology

10.3.5End of Topic Test - Prevention & Punishment

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