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Contributors
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- By Zachary W. Adams, Margarita Alegría, Atalay Alem, Jordi Alonso, Victor Aparicio, Rifat Atun, Florence Baingana, Emily Baron, Marco Bertelli, Dinesh Bhugra, Sanchita Biswas, José Miguel Caldas de Almeida, Edwin Cameron, Somnath Chatterji, Erminia Colucci, Janice L. Cooper, Carla Kmett Danielson, Diego De Leo, Mary-Jo DelVecchio Good, Marten W. de Vries, Maureen S. Durkin, Xiangming Fang, Julia W. Felton, Sally Field, Andrea Fiorillo, Lance Gable, Teddy Gafna, Sandro Galea, Patrick Gatonga, Sofia Halperin-Goldstein, Yanling He, Grace A. Herbert, Sabrina Hermosilla, Simone Honikman, Takashi Izutsu, Ruwan M. Jayatunge, Janis H. Jenkins, Rachel Jenkins, Lynne Jones, Jayanthi Karunaratne, Ronald C. Kessler, Rob Keukens, Lincoln I. Khasakhala, Hanna Kienzler, Sarah Kippen Wood, M. Thomas Kishore, Robert Kohn, Natasja Koitzsch Jensen, Sheri Lapatin, Anna Lessios, Isabel Louro Bernal, Feijun Luo, Laura MacPherson, Matthew J. Maenner, Anne W. Mbwayo, David McDaid, Ingrid Meintjes, Victoria N. Mutiso, David M. Ndetei, Samuel O. Okpaku, Lijing Ouyang, Ramachandran Padmavati, Clare Pain, Duncan Pedersen, Jordan Pfau, Felipe Picon, Rodney D. Presley, Reima Pryor, Shoba Raja, Thara Rangaswamy, Jorge Rodriguez, Diana Rose, Moosa Salie, Norman Sartorius, Ester Shapiro, Manuela Silva, Daya Somasundaram, Katherine Sorsdahl, Dan J. Stein, Deborah M. Stone, Heather Stuart, Athula Sumathipala, Hema Tharoor, Rita Thom, Lay San Too, Atsuro Tsutsumi, Chris Underhill, Anne Valentine, Claire van der Westhuizen, Thandi van Heyningen, Robert van Voren, Inka Weissbecker, Gail Wyatt
- Edited by Samuel O. Okpaku
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- Book:
- Essentials of Global Mental Health
- Published online:
- 05 March 2014
- Print publication:
- 27 February 2014, pp x-xiv
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- Chapter
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4 - Medical audit: a view from the centre
- Edited by Simon P. Frostick, Department of Orthopaedic and Accident Surgery, University Hospital, Nottingham, UK, Philip J. Radford, Department of Orthopaedic and Accident Surgery, University Hospital, Nottingham, UK, W. Angus Wallace, Department of Orthopaedic and Accident Surgery, University Hospital, Nottingham, UK
- Foreword by Kenneth Calman, Terence English
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- Book:
- Medical Audit
- Published online:
- 30 September 2009
- Print publication:
- 19 August 1993, pp 26-36
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Summary
Introduction
In March 1988 the Prime Minister announced that there would be a fundamental review by ministers of the way in which the National Health Service was organised and financed. The Government's intentions were announced in January 1989. The main proposals as expressed in the NHS review White Paper ‘Working for Patients’ were:
– To make the Health Service more responsive to the needs of patients by devolving as much power and responsibility as possible to a local level.
– To establish independent self-governing hospital trusts that would operate within the framework of the NHS.
– To reimburse providers of health care according to the services they render rather than the population they serve. The money for health care should follow the patient.
– To increase consultant posts in order to reduce waiting lists and help cut long hours worked by some junior medical staff.
– To enable large general practices to become budget holders, with the responsibility of purchasing some elements of health care on behalf of their patients.
– To reduce the size of health authorities, and to reform them along business lines by the appointment of executives and non-executive directors.
– To audit more rigorously the performance of health services to ensure optimum quality and value for money.
Trotsky's Morals And Ours Political Morality And The Revolutionary Christian
- Duncan Macpherson
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- Journal:
- New Blackfriars / Volume 60 / Issue 714 / November 1979
- Published online by Cambridge University Press:
- 02 April 2024, pp. 470-478
- Print publication:
- November 1979
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- Article
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This article is based on Trotsky’s article Their Morals and Ours (New International, February 1938) which I will refer to as TMO. Taken together with his second article The Moralists and Sycophants against Marxism (New International, 9 June 1939) which reiterates many of the same arguments TMO is important because it represents a clear and consistent account of the moral philosophy of Revolutionary Marxism. In passing I should point out that even talking about the moral philosophy of Marxism is a little contradictory since for Marxism political philosophy and moral philosophy are the same thing. In classical times no distinction was made between the political and the moral obligations of man. In the Greek city state a good member of the polis was quite simply a good man. Only with the rise of capitalism did it become necessary to posit the Kantian moral imperative as something external to the social and political life of man. In his essay on Kant Herbert Marcuse argues that Capitalist ideology was faced with two conflicting needs. On the one hand it was necessary to foster individualism as an essential component of the growth of capitalist economy but on the other hand it was necessary to subordinate the individual to the needs of the bourgeois state. If the individual were subordinated by crude repression this would expose the mythological character of capitalist freedom of the individual. By positing the moral a priori, a call to duty above class, Kant provided bourgeois ideology with the solution to this problem. Like Marx but unlike Marcuse TMO is polemical rather than speculative in tone, written in a specific historical situation to meet specific charges against Marxism.