HOMEWORK HELP | Based on your reading, explain how accounting helps to structure the field of health care according to different discourses, but also highlight the limitations of accounting to deploy such discourses.

Based on your reading, explain how accounting helps to structure the field of health care according to different discourses, but also highlight the limitations of accounting to deploy such discourses. You can choose to focus on the neoliberal discourse 

Introduction 

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  • Explain how healthcare is an important issue and how there are many discourses surrounding the topic 
  • How neoliberalism can play a part in the distribution of healthcare – finding a balance between ensuring everyone has access to it while attributing costs to healthcare treatments and privatising the market.
  • Focus on the paper of (Preston, 1992) which mentions the timeline of healthcare development from 1875 to 1980 in the USA and how healthcare was once seen as a charity but over the years turned into more of a business with less government intervention PLACE YOUR ORDER NOW
  • Also mention the paper of (Wallstedt, 2020) which discusses how two types of programmes concerning efficiency and individuality along with corresponding technologies influence how healthcare should be conducted in Sweden PLACE YOUR ORDER NOW

Neoliberalism assists in the distribution  of healthcare by deregulating the healthcare system from a public good to a private good, in which only those that can afford to pay can seek medical treatment, which is more so the case in the USA. Poorer individuals would need to obtain private insurance to cover their medical bills.

According to Preston 1992, in 1917, the League for the Conservation of Public Health, comprised of doctors, went against compulsory health insurance as they believed they should work for themselves rather than working for politicians as they would have control over their wages.  PLACE YOUR ORDER NOW

  • The paper of Wallstedt 2020 looks at analysing two programmes; efficiency and individuality and operationalisation in swedish aged care. It shows how these programmes and technology are used to problematise how care should be conducted.
  • The paper also looks at how care practitioners conduct care according to spaces of freedom gained from the two programmes. 
  • The paper also tries to examine and determine how a programme of individuality problematizes a programme of efficiency, and vice versa, this was done by showing how matters of individuality becomes mobilized against matters of efficiency. PLACE YOUR ORDER NOW
  • This becomes possible because the operationalizations are meant to render practices that are both efficient and individualized, which also tend to divide the individual and only visualize certain things, which involves their formalized needs, disabilities or costs and revenues, which render them governable. This goes against the wholeness of the individual and can be countered with arguments maintaining that calculative instruments bring about insufficient knowledge, and that there are various things that also need to be considered. PLACE YOUR ORDER NOW

-The paper also highlight the different discourses, which are key concepts to grasp to get a better understanding of the neoliberal society 

  1. Discourse of practices of cost control 

–       Change of medical practices leads to reorganised hospitals around departments with managers in charge of costs 

–       Costs are treated as expenditures, and break-even is realised through the minimum level of patients needed to cover costs.  

  • Discourse of justifying costs

–       Discourses shaped by the doctors – justifying for the new practices of medicine 

–       Emergence of medical reports within the annual reports, acknowledging the kind of practise the hospital runs. There is an emphasis of the service provided, rather than the costs 

  • Discourse on cost reimbursement 

–       Revenue covered through donation previously, but with improvement of science and new medical practise, hospital did provide a real service, with medical products so they needed to be charged to cover costs

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