TCBH Duncan Tanner Essay Prize Winner 2018 Financing the Information Age: London TeleCity, the Legacy of IT-82, and the Selling of British Telecom

This article is a history of the privatization of British Telecom. BT's privatization occupies a central position in histories of Thatcherism as a pivotal moment in Thatcherism's ideological focus on popular capitalism. These histories, however, overlook the important intersection of financial institutions and information technology policy in shaping BT's privatization. Financial institutions in the City of London formed a lobbying group, the City Telecommunications Committee, that pressured for BT's privatization and secured preferential treatment for the City from BT, ending a decades-long policy of uniform telecommunications services across Britain. Margaret Thatcher's government positioned BT's privatization as central to the success of two of Britain's information industries, electronics manufacturing and the City of London. Her government also cast BT's privatization as essential to an 'information revolution' that, through personal, networked computing, would further personal freedom and free markets. BT's privatization thus performed two important and related functions. First, it oriented Britain's telecommunications network to the City of London's needs, and secondly, it enacted an 'information revolution' that was portrayed as essential to the success of the City of London and British electronics. I label this fusion of City finance, neoliberal politics, and British telecommunications the 'London ideology', and this ideology shaped the broadly-held assumption that privatizing telecommunications was essential to reaching the 'information age'.

Basic sanitation policy in Brazil: discussion of a path

This article demonstrates that the position of dominance enjoyed by state sanitation companies dictates the public policy decision-making process for sanitation in Brazil. These companies' hegemony is explained here through the analysis of a path that generated political and economic incentives that have permitted its consolidation over time. Through the content analysis of the legislation proposed for the sector and the material produced by the stakeholders involved in the approval of new regulations for the sector in 2007, the study identifies the main sources of incentive introduced by the adoption of the National Sanitation Plan, which explain certain structural features of the current sanitation policy and its strong capacity to withstand the innovations proposed under democratic rule.

[Philanthropy, privatization, and reform: psychiatric assistance scenarios in the state of Paraná]

The article discusses different psychiatric assistance arrangements in Paraná from the earliest years through today, taking into account the state's unique features and relations with national policies. This assistance was first provided in 1903, when the Hospício Nossa Senhora da Luz philanthropic asylum was founded. It was only in 1954 that Hospital Colônia Adauto Botelho, the state's first public hospital, began operations. In the 1960s, the Paraná government signed agreements with private hospitals for more beds in the interior, accelerating the provision of psychiatric assistance and fostering a privatization approach. This strategy led to the current situation in Paraná, where specialized hospitals are the rule, despite the existence of other facilities foreseen under the psychiatric reform legislation.

The future of urban water services in Latin America

In recent decades, problems with the provision of drinking water and sanitation services around the world have increasingly been addressed by attempts at privatisation, recasting clean water as an essentially economic, rather than public, good. This approach gained particular acceptance in Latin America, but with limited success. In order to address the full range of social, economic and environmental values necessary to sustain water resources over time, public and governmental involvement in establishing integrated water management, pursuing ‘soft path’ approaches, assuring stakeholder input and setting policy will be essential to the process.

The crisis, the humanities and medical history

Non-controversially, the full version of this article argues that the crisis in British higher education will impoverish teaching and research in the arts and humanities; cut even more deeply into these areas in the post-1992 sector; and threaten the integrity of every small sub-discipline, including the history of medicine. It traces links between the Thatcherite reforms of the 1980s and the near-privatisation of universities proposed by the Browne Report and partly adopted by the coalition. The article ends by arguing that it would be mistaken to expect any government-driven return to the status quo ante. New ideas and solutions must come from within. As economic and cultural landscapes are transformed, higher education will eventually be rebuilt, and the arts and social sciences, including medical history, reshaped in wholly unexpected ways. This will only happen, however, if a more highly politicised academic community forges its own strategies for recovery.

A new inequality? Privatisation, urban bias, migration and medical tourism

Access to health care in developing countries, the main destinations of medical tourists, is notoriously uneven, and often becoming more so. Medical tourism, urban bias and privatisation have combined to exacerbate this trend. This is exemplified in both Thailand and India, where regional areas have been disadvantaged by the migration of health-care workers to hospitals focusing on medical tourism, neo-liberal national financial provision for medical tourism (and related tourism campaigns) and evidence of trickle-down gains is lacking. Medical tourism challenges rather than complements local health care providers, distorts national health care systems, and raises critical national economic, ethical and social questions.

Shifting subjects of health-care: placing "medical tourism" in the context of Malaysian domestic health-care reform

"Medical tourism" has frequently been held to unsettle naturalised relationships between the state and its citizenry. Yet in casting "medical tourism" as either an outside "innovation" or "invasion," scholars have often ignored the role that the neoliberal retrenchment of social welfare structures has played in shaping the domestic health-care systems of the "developing" countries recognised as international medical travel destinations. While there is little doubt that "medical tourism" impacts destinations' health-care systems, it remains essential to contextualise them. This paper offers a reading of the emergence of "medical tourism" from within the context of ongoing health-care privatisation reform in one of today's most prominent destinations: Malaysia. It argues that "medical tourism" to Malaysia has been mobilised politically both to advance domestic health-care reform and to cast off the country's "underdeveloped" image not only among foreign patient-consumers but also among its own nationals, who are themselves increasingly envisioned by the Malaysian state as prospective health-care consumers.

Slum clearance, privatization and residualization: the practices and politics of council housing in mid-twentieth-century England

This article contributes to a growing literature on working-class suburbanization by arguing that both the residualization and privatization of council housing need to be properly historicized. This case study of housing policy in the borough of Brighton demonstrates that council house sales between the 1950s and 1970s were important in the residualization of inter-war estates well before the 'right to buy' legislation of the 1980s. Concerns about excessively affluent tenants can also be traced to the inter-war period, although it was not until the late 1950s that local Conservatives sought to push affluent council tenants into owner occupation via capping incomes and encouraging council house sales. The article shows that slum clearance had long been central to the local council's provision of municipal housing and that apart from two short periods following the First and Second World Wars, council housing was conceived of primarily as a residual tenure by those in control of policy implementation. It further demonstrates that slum clearance between the 1920s and 1960s altered the social constituency for council housing and, combined with selective privatization, specific allocation policies and disinvestment, led to the stigmatization of certain inter-war estates. The article suggests that further case studies are needed in order to test the wider applicability of these arguments during the middle years of the twentieth century.

The economics and ethics of Hurricane Katrina

How might free enterprise have dealt with Hurricane Katrina and her aftermath. This article probes this question at increasing levels of radicalization, starting with the privatization of several government “services” and ending with the privatization of all of them.

Twenty-five years of convoluted health reforms in Mexico

Núria Homedes and Antonio Ugalde discuss 25 years of reform to the Mexican health care system and argue that although costs and accessibility have increased, health inequities, efficiency, productivity, and quality of care have not improved.

Privatizing responsibility: public sector reform under neoliberal government

In light of public sector reforms in Canada and elsewhere, this paper focuses on the shift of emphasis from social to private responsibilities and raises new questions about the forces of private enterprise and market-based partnerships. Under neoliberal governmental agendas, privatizing responsibility links to three main developments: the reconsideration of the relations of public and private; the mobilization of responsible citizenship; and the formation of a cultural mentality of rule that works alongside these developments. The research for this article is based on extensive analysis of policy documents and public sector reform initiatives, as well as interviews with Canadian federal public service employees.

Extension services and multifunctional agriculture. Lessons learnt from the French and Dutch contexts and approaches

Today's acknowledgement of the multifunctionality of agriculture (MFA) implies the production of new knowledge to integrate different functions at farm level (primary production, environmental protection, food safety, etc.). At the same time, agricultural sectors of European countries have recently faced changes in the organisation of their R&D activities, including a trend of commercialisation and privatisation of advisory services for farmers. To assess the consequences of these changes on support for innovations related to MFA, this paper explores the potential of combining two analytical frameworks: an institutional economic approach (IEA) and a sociological network approach (SNA). This potential is illustrated by a historical analysis of advisory services in France and The Netherlands from 1945 until now. This analysis stresses the importance of collective procedures for the accumulation of technical knowledge in agriculture. It also shows that these procedures could not be analysed from a strictly technical perspective. They are the expression of institutional arrangements involving social groups of farmers and the state, and are grounded in national contexts. A historical perspective also enables us to understand better why the privatisation of extension services cannot meet the requirements of support for farm innovations in the MFA context.

Précis of Paul Starr's The Social Transformation of American Medicine. 1982

The following is a presentation of selected passages from The Social Transformation of American Medicine (original pages numbers enclosed in parentheses) in tandem with the names of the authors in this retrospective issue and the various themes and issues they address.

Privatization of the medical market in socialist China: a historical approach

A Socialist-Market Economy was defined as a target model for China's economic reform by China's 14th National Congress in 1992. Such an innovative change in China's more than a decade long economic reform has brought both new challenges and opportunities for its health care system reform as it moves toward a market determination mechanism and involvement of the private sector. A better understanding of the nature and history of the Chinese private medical market and its dynamic socio-economic environment would certainly shed a great deal of light onto the accomplishments of the health care reform. Research in this area, however, is almost non-existent at either national or international levels. The present study attempts to fill this gap by providing a comprehensive assessment of both historical and prospective development of the Chinese private medical market. Three stages are defined to present the tortuous development of this market over the last four decades, coupled with our critiques of the underlying merits and problems. Predictions are also made on the future perspective of the private market, and its possible impact and role in shaping the reform of the entire Chinese health care system. The government's role as well as its future strategy to cope with the issues surrounding Chinese health care reform are also summarized. The study concludes with five health policy recommendations aimed at facilitating China's health care reform via more market-oriented determination of resources allocation, production, and distribution, coupled with promotion of the private sector's involvement while minimizing its potential adverse side effects.

Psychiatric care in relation to the development of the contemporary state: the case of Catalonia

Over the past two centuries, extensive mental health care systems have come to be a feature of all Western societies. However, the theoretical model generally invoked to account for this process has only limited applicability to Spain, where the growth of capitalism and the liberal state followed an atypical and uneven course. Political power and economic power, usually coterminous, were divided in Spain between center and periphery, so that, until the 1960s, Spain's economic center of gravity was localized in Catalonia, the most culturally and linguistically distinct region. Here we are dealing with a paradox: on the one hand, the failure of the incompletely centralized and economically underdeveloped Spanish state to develop a system of psychiatric care comparable to those of other European states; and on the other hand, the success of the Catalan bourgeoise, though lacking a state of its own, in creating such a system through private initiative.