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Bayla Ostrach - Health Policy in a Time of Crisis: Abortion, Austerity, and Access

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Health Policy in a Time of Crisis: Abortion, Austerity, and Access: summary, description and annotation

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Health Policy in a Time of Crisis is a vivid ethnographic account of women and providers navigating the Catalan health system to obtain and provide publicly funded abortion care.

Grounded in critical medical anthropology, the book situates access to publicly funded abortion care in the context of austerity and ongoing threats to recently liberalized laws, examining the actual levels of access in the region. In so doing, it examines the disparities experienced by immigrant and other women, documenting the diverse approaches adopted to overcome obstacles to care. Using accounts from both providers and women seeking care, Ostrachs richly grounded analysis illuminates a healthcare system during a period of economic crisis and disagreement over reproductive governance. Researched against a backdrop of growing movements against austerity and for Catalan independence, the result is at once a study of true access to public health care in times of crisis and a compelling account of some womens determination to go to any length to get the health care they need.

Engagingly written, it will make interesting reading for scholars and students of anthropology and public health, as well as policymakers and the general reader concerned with the politics of abortion and public health.

Bayla Ostrach: author's other books


Who wrote Health Policy in a Time of Crisis: Abortion, Austerity, and Access? Find out the surname, the name of the author of the book and a list of all author's works by series.


Bayla Ostrach - Stigma Syndemics: New Directions in Biosocial Health
Stigma Syndemics: New Directions in Biosocial Health
Bayla Ostrach
Stigma Syndemics: New Directions in Biosocial Health
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Bayla Ostrach
Health Policy in a Time of Crisis: Abortion, Austerity, and Access

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pi HEALTH POLICY IN A TIME OF CRISIS Health Policy in a Time of Crisis is - photo 1
p.i
HEALTH POLICY IN A TIME OF CRISIS
Health Policy in a Time of Crisis is a vivid ethnographic account of women and providers navigating the Catalan health system to obtain and provide publicly funded abortion care.
Grounded in critical medical anthropology, the book situates access to publicly funded abortion care in the context of austerity and ongoing threats to recently liberalized laws, examining the actual levels of access in the region. In so doing, it examines the disparities experienced by immigrant and other women, documenting the diverse approaches adopted to overcome obstacles to care. Using accounts from both providers and women seeking care, Ostrachs richly grounded analysis illuminates a healthcare system during a period of economic crisis and disagreement over reproductive governance. Researched against a backdrop of growing movements against austerity and for Catalan independence, the result is at once a study of true access to public health care in times of crisis and a compelling account of some womens determination to go to any length to get the health care they need.
Engagingly written, it will make interesting reading for scholars and students of anthropology and public health, as well as policymakers and the general reader concerned with the politics of abortion and public health.
Bayla Ostrach is an Assistant Professor of Medical Anthropology and Cross-Cultural Practice, appointed in the Family Medicine Department at Boston University School of Medicine. Affiliated Faculty at Boston Universitys Department of Anthropology, she is also a Full Fellow of the Society of Family Planning. An applied medical anthropologist by training, her research is designed to be returned to affected communities that seek to prompt changes in policy and practice.
p.ii
Advances in Critical Medical Anthropology
Series Editors: Merrill Singer and Pamela Erickson
This book series advances our understanding of the complex and rapidly changing landscape of health, disease, and treatment around the world, with original and innovative books in the spirit of critical medical anthropology that exemplify and extend its theoretical and empirical dimensions. Books in the series address topics across the broad range of subjects addressed by medical anthropologists and other scholars and practitioners working at the intersections of social science and medicine.
Titles in series
Global Warming and the Political Ecology of Health: Emerging Crisis and Systemic Solutions
Hans Baer and Merrill Singer
The Healthy Ancestor: Embodied Inequality and the Revitalization of Native Hawaiian Health
Juliet McMullin
Drug Effects: Khat in Biocultural and Socioeconomic Perspective
Lisa L. Gezon
Syndemic Suffering: Social Distress, Depression, and Diabetes among Mexican Immigrant Women
Emily Mendenhall
p.iii
HEALTH POLICY IN
A TIME OF CRISIS
Abortion, Austerity, and Access
Bayla Ostrach
Health Policy in a Time of Crisis Abortion Austerity and Access - image 2
p.iv
First published 2017
by Routledge
711 Third Avenue, New York, NY 10017
and by Routledge
2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN
Routledge is an imprint of the Taylor & Francis Group, an informa business
2017 Taylor & Francis
The right of Bayla Ostrach to be identified as author of this work has been asserted by her in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988.
All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers.
Trademark notice : Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe.
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging in Publication Data
A catalog record for this book has been requested
ISBN: 978-1-62958-364-8 (hbk)
ISBN: 978-1-62958-365-5 (pbk)
ISBN: 978-1-31530-867-8 (ebk)
Typeset in Bembo
by Swales & Willis Ltd, Exeter, Devon, UK
p.v
Para CasandraTe vi bailando en la manifestacin, y de alli empez una de las amistades ms importantes de mi vida. Moltes grcies per a tot, sempre .
For my Fourtress, who got me through everything up to this point, and still surround me.
For Dylan, without whom this book would not have survived the revisions process. Thank goodness for the dissertation den, and the mutual support it inspired.
And for Jordon Marion Margalit, in hopes your generation and those after you can someday access all forms of health care, with public funding and without bureaucratic obstacles.
p.ix
Figure
Tables
p.xi
Like any book, this one evolved over time, with many brilliant and supportive people inspiring or facilitating the original research on which it is based. For funding or otherwise enabling the funding of the fieldwork, without which I could not have written this, I am deeply grateful to the Society of Family Planning, and Marlo Polonsky in particular, to the Tinker Foundation Fund administered by the University of Connecticut, and to the Network for Reproductive Options. For their help, as I set up research in Catalunya, I am indebted to Roisin Davis, Maria Olivella Quintana, and Silvia Aldavert i Garcia. For childcare, logistical help, company, meals and other support in Barcelona, I cannot thank Marion Malcolm and Stefan Ostrach enough.
For the welcoming friendship and assistance which made Catalunya not only my field-site but also my home, I will always love and appreciate Carolina Clemente Villar, Katia Blue, Miriam Perea Prado, Beatrix Aznar, Guillem Murca Lpez, and of course Jai, Adele, and the Catalan-Jews of Bet Shalom who made us part of their community. For facilitating and supporting institution-based research in the shifting sands of legal and policy changes, I owe a huge debt of gratitude to the Associaci de Planificaci Familiar di Catalunya i Balears (AFPCiB), and to Dr. Santiago Barambio of the Associacin de Clinicas Acreditadas para la Interrupcin del Embarazo (ACAI). The staff and patients at the Today Clinic were great teachers on the topics addressed in these pagesI miss them often.
To turn my research into a dissertation was an exciting and sometimes overwhelming task made easier by the guidance of Dr. Merrill Singer, who encouraged me to write it as a book from the beginning. This made the initial process of turning said dissertation into what became a book manuscript relatively painless, and much improved by Merrills feedback. I count myself lucky to claim him as a doctoral adviser, mentor, sometime-co-author, editor, and friend.
p.xii
The subsequent and much lengthier contortions of developing that manuscript into the final text now in your hands owe much to the early input of Jack Meinhardt at Left Coast Press, and reviewers whose comments reminded me to more clearly integrate my various data sources, emphasize the value of a mixed-methods approach, and contextualize ethnographic data within the socio-political landscape in which I collected it. I again thank Stefan Ostrach, who came to Boston at a crucial moment to provide more childcare, enabling further revisions. Gratitude to Louisa Vahtrick, Marc Stratton, Tom Eden, Helen Strain, Elizabeth Kent and Rachel Finnegan, all at or affiliated with Routledge Press. They graciously inherited my manuscript (and overly detailed corrections in the final stages), after Left Coast Press merged with Routledge. Particularly appreciated were Marcs reassurances at every step.
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