Department of Political Science, Lund University, Lund, Sweden.
Stockholm Business School, Stockholm University, Stockholm, Sweden.
Sociol Health Illn. 2022 Sep;44(8):1270-1286. doi: 10.1111/1467-9566.13545. Epub 2022 Sep 6.
In recent years, Swedish sick insurance has become more restrictive. In this article, we analyse how people not being granted payments, despite being seriously ill, are affected. Scholarship on identity formation and sickness stress the importance of constructing narratives in order to come to terms with one's situation. Our analysis of 30 qualitative interviews with people diagnosed with ME/CFS shows that workfare politics conditions such identity formation and often prevents it from taking place. Interviewees describe extreme stress as a result of their contacts with the Social Insurance Agency (SIA), which results in a perpetual crisis that is renewed with each new denied application. In particular, the sense of not having a future means that it is hard to construct narratives to make sense of one's situation. To escape the perpetual crisis, some people have politicised their situation, constructing a narrative about themselves as suffering from oppressive politics. Others have escaped by not applying for sick insurance or other social insurances. But generally speaking, the most common effect of being denied sick insurance is an ongoing crisis that leads to deteriorating health.
近年来，瑞典的医疗保险变得更加严格。在本文中，我们分析了尽管病情严重但仍被拒绝支付的人所受到的影响。关于身份形成和疾病压力的研究强调了构建叙述以适应自己的处境的重要性。我们对 30 名被诊断患有肌痛性脑脊髓炎/慢性疲劳综合征的人的定性访谈进行了分析，结果表明，工作福利政策影响了这种身份形成，并且常常阻止其形成。受访者描述了他们与社会保险局（SIA）接触所带来的极度压力，这导致了一种持续的危机，每次新的拒绝申请都会引发这种危机。特别是，没有未来的感觉意味着很难构建叙述来理解自己的处境。为了摆脱持续的危机，一些人将自己的处境政治化，将自己描述为遭受压迫性政治的受害者。其他人则通过不申请病假保险或其他社会保险来逃避。但总的来说，被拒绝病假保险最常见的后果是持续的危机，导致健康状况恶化。
