‘Carol Davila’ University of Medicine and Pharmacy Bucharest, Romania
30 August - 2 September 2017
The state, as we have come to know it, is very much a 19th-century creation. After poverty, ill health was the dominant social issue targeted by the interventions of emerging – states. Following the principle of the fair allocation of resources to meet basic social and economic needs, many countries introduced collective funding of health care in the 19th century. National healthcare systems came to epitomise the principle that all citizens have an equal right to health and that costs should be shared equitably. At the end of WWII, the WHO defined health as a universal human right. In the UN’s Universal Declaration of Human Rights (1948), it was proclaimed that “everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including medical care”. Over the course of the 20th century, health and disease have become a matter of direct concern for the state. As an aspect of democratic citizenship, the provision of medical care is not considered a favour, but a civil right guaranteed by the state.
In recent decades, we have witnessed a globalisation of disease patterns, the rise of chronic disease, rapid technological change, spiralling healthcare costs, and the demise of the nation state. From 1990 onwards, we have seen heated public and political debates about the organisation and financing of collective healthcare. One key question has been: to what extent can the state be held responsible for the health of citizens and the practice of medicine? In many countries, collective arrangements were critically reconsidered, reformed or transferred to “the market”. Rationalisation and commercialisation brought in managers, who took control from professionals, creating new bureaucracies that to a large extent withdrew from democratic supervision. Triggered by the crisis of the welfare state since the 1980s and by the reassessment of the system of nation states since 1989, this conference sets out to rethink the role of the state in the domain of healthcare.
This is the first EAHMH biennial conference to be hosted in Eastern Europe. To date, Eastern Europe has received only limited attention from medical historians. Due to large political shifts, the history of the region is embracing new opportunities. While detailed regional studies are still required to uncover the pathways and processes of knowledge construction, the conference intends to foster discussions about how historians have considered the role of power and politics in the construction of medical knowledge. The conference organisers seek abstracts that relate to the following themes, but not limited to these alone:
- To what extent is the state allowed to interfere with the (private) lives of its citizens?
- Can health be considered a civil right and if so, what does that mean in practical terms? How far does the individual responsibility of citizens go?
- Given the fact that democratic citizenship not only involves entitlements but also responsibilities and obligations, can health or the prevention of illness and a healthy lifestyle be imposed on citizens as a civic duty?
- How do collective health care arrangements, professionalism and democracy relate to each other?
- How should the responsibilities of state, civil society, the medical professions and individual citizens be distributed?
- Can we speak of “national” diseases, or even national ethics?
- Is health a precondition for the realisation of citizenship? To what extent is citizenship a precondition for health?
- When faced with global health challenges, how should states relate to international bodies in the field of governance of health (care), and what is the role of non-state actors?
- The State and the new international medical economy: towards two Europes?
The Scientific Board of the EAHMH invites proposals for 25-30 minute papers or panels of three or four papers on any aspect and era broadly relating to the topics and questions suggested above. Abstracts should be approximately 500 words in length and accompanied by a single-page CV.
Proposals should be sent to email@example.com before 31 January 2017.
A full programme featuring keynote speakers will be published in May 2017.