Salter B
School of Health, University of East Anglia, UK.
Soc Sci Med. 2001 Mar;52(6):871-83. doi: 10.1016/s0277-9536(00)00190-8.
The recent politicization of medical regulation in the United Kingdom has destabilized the historic relationship between medicine, society and the state. The purpose of this article is to present a political analysis of that relationship and its likely future by identifying the essential elements of power which determine its composition and its capacity to change. That analysis is in three parts. First, it identifies the underlying political tensions in the relationship between medicine, society and the state and the implications of those tensions for any proposed settlement on the future of medical regulation. What are the political criteria by which such a settlement must be judged if the tensions are to be resolved? Secondly, it explores the ideological conflict concerning the nature of medical regulation between the major players, the expression of that conflict in their use of quite different discourses, and the incompatibility of the power assumptions contained therein. Thirdly, it examines the medical profession's particular response to the pressures for change. Finally, the article reflects on the necessary dialogue which must take place between medicine, society and the state before a lasting resolution of the present tensions can be achieved.
英国近期医疗监管的政治化破坏了医学、社会与国家之间的历史关系。本文旨在通过确定决定这种关系的构成及其变革能力的权力要素，对这种关系及其可能的未来进行政治分析。该分析分为三个部分。首先，它确定医学、社会与国家之间关系中潜在的政治紧张局势，以及这些紧张局势对任何有关医疗监管未来的提议解决方案的影响。如果要解决这些紧张局势，评判此类解决方案必须依据的政治标准是什么？其次，它探讨了主要参与者之间关于医疗监管性质的意识形态冲突，这种冲突在他们使用截然不同的话语中的表现，以及其中所包含的权力假设的不相容性。第三，它审视了医学专业对变革压力的具体反应。最后，本文思考了在医学、社会与国家之间实现当前紧张局势的持久解决之前必须进行的必要对话。
