SOCY105 Intro to Contemporary Social Problems Final exam review Part 2 Queer gender binary Queer theory o An umbrella term for sexual minorities that are not heterosexual heteronormative or o In the context of Western identity politics the term also acts as a label setting queer identifying people apart from the discourse ideologies and lifestyles that typify mainstream LGBT communities as being oppressive or assimilationist o Reaction to the essential identity idea that we need to be paying specific attention to things defined as the outside and besides the norm deviant o Queer is by definition whatever is at odds with the normal legitimate the dominant o There is nothing in particular to which it necessarily refers o It is an identity without an essence The rise of the medical profession o Idea that is was exclusive and not everyone could do it you ha to demonstrate you could do it o Doctors are extremely powerful awarded great respect Difficulty and scarcity of the job exclusivity High moral calling Universally valued product Professionalism peers not clients Objectivity Power props and scripts Supplier induced demand Medicalization o Medicine was not always a high status occupation How did this change Hospitals were a place to die Late 19th century they were a place to heal 1990s power of doctors begins to decline Moral panic o A moral panic occurs when a condition episode person or group of persons emerges to become defined as a threat to societal values and interests o Those who start the panic when they fear a threat to prevailing social or cultural values are known as moral entrepreneurs o See something as a threat to the point where how things work changes o It can cause a threat narrative change can spark it o Questioning if it is morally right or not o It is about deviance going against the regular norms o Circle of acceptability then everything outside of that o Immoral unacceptable direct threat to us the way we do things our identity 1 o Panic occurs when people say that something needs to be done right now o Its just what people tend to identify at the time o Moral panic ex Red Scare Salem witch trials prohibition o Gay rights discourse what are some elements around it supporting or not supporting Same sex marriage moral panic o Marriage seen by some as inherently problematic Some people just don t want to get married Marriage is sexist Decoupling o Who does marriage belong to Laws Religious groups o More states allow marriage between first cousins than same sex marriage o Increasing global support for same sex marriage Cultural backlash Remember threat marriage why do threat narratives form o What kind of legislative reform precedes reform of marriage laws Eliminate laws that discriminate against gay practices Creates laws that allow it o Why has the US gone the way it has American Protestantism Labor and social citizenship Gender and national identity Transgender rights territory o Laws affecting lesbian gay bisexual and transgender people vary greatly by country or o Everything from legal recognition of same sex marriage or other types of partnerships to the death penalty as punishment for same sex activity or identity o LGBT related laws include but are not limited to Government recognition of same sex relationships LGBT adoption Sexual orientation and military service Immigration equality Anti discrimination laws Hate crime laws regarding violence against LGBT people Sodomy laws Anti lesbianism laws Higher ages of consent for same sex activity Health care reform o A general rubric used for discussing major health policy creation or changes for the most part governmental policy that affects health care delivery in a given place o Health care reform typically attempts to Broaden the population that receives health care coverage through either public sector insurance programs or private sector insurance companies 2 Improve the access to health cares specialists Improve the quality of health care Expand the array of health care providers consumers may choose among Give more care to citizens Decrease the cost of health care We let a significant portion of our population be sick or hurt without insurance Coverage linked to employment portability lack of coverage low wage labor this o How are we exceptional results in unequal access o Historical kinds of care Fee for service earliest model Capitation fee for person created to control costs doctor doesn t make a per visit Uneven quality usually first on state chopping block physicians refuse to provide care income Medicare Medicaid People 65 and older generally a success Poor people generally not so much of a success o Flaws in the system or provide substandard care Medline avoid the sick Don t pay claims o People who aren t covered by the above BANKRUPTCY o What to do Large scale reform has been problematic Ideology Lobbyists business insurance o Incremental and local level reforms Medicaid also voluntary o Common themes Require all residents to have health insurance Require affordable coverage no matter what Subsidize low income families Require all employers to provide insurance Tax credits for purchase of insurance o Health and outcomes Massachusetts universal health care required free below a certain level sliding scale above but still relies on insurance companies Vermont variety of state sponsored cheap price capped or free health services Maine state subsidized private insurance plan controlled premiums expansion of Health health care systems does not equal mortality and quality of life outcomes clean air and water nutrition social position Same access to health care lower classes much worse outcomes Race minorities have worse outcomes regardless of income o Why the expense Profit driven 3 Inefficient many different insurance companies management and administration Prescription drugs growing in expense 12 a year Expensive health care high insurance premiums Health care is already rationed o Social justice how can we be a fair society Intersecting inequalities How do other systems of power and inequality contribute to heath outcomes How is health constructed differently in different groups Economics How are we going to pay for care Social costs 4 5