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Introduction. Dealing with Multiple Uncertainties in Post-Soviet Health, Technologies, and Politics

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Health, Technologies, and Politics in Post-Soviet Settings

Abstract

This chapter demonstrates that post-Soviet health domain is characterised by multiple and profound uncertainties born out of rapid societal transformations, non-transparent and exclusionary decision-making, and instabilities in governance arrangements. It elaborates the specific focus of this book: how actors navigate these uncertainties and what the implications of their chosen navigation routes are for relations between health, technologies, and politics. This chapter also introduces insights from the two domains of scholarship that, for the most part, have flourished independently from each other: science and technology studies (STS) research on health, technology, and politics, and studies of post-socialism concerned with informality. Drawing on these insights, the book explores what actually happens when healthcare, public health, and research and development spheres are continuously destabilised.

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  1. 1.

    European Health for All Database http://data.euro.who.int/hfadb/

References

  • Abbott, P., & Wallace, C. (2007). Talking about health and well-being in post-soviet Ukraine and Russia. Journal Communist Studies Transition Polit, 23, 181–202. doi:10.1080/13523270701317455.

    Article  Google Scholar 

  • Abbott, P. A., Turmov, S., & Wallace, C. (2006). Health world views of post-soviet citizens. Social Science and Medicine, 62, 228–238. doi:10.1016/j.socscimed.2005.05.019.

    Article  Google Scholar 

  • Andreev, E. M., Nolte, E., Shkolnikov, V. M., Varavikova, E., & McKee, M. (2003). The evolving pattern of avoidable mortality in Russia. International Journal of Epidemiology, 32, 437–446.

    Article  Google Scholar 

  • Balabanova, D., McKee, M., Pomerleau, J., Rose, R., & Haerpfer, C. (2004). Health service utilization in the former soviet union: Evidence from eight countries. Health Services Research, 39, 1927–1950. doi:10.1111/j.1475-6773.2004.00326.x.

    Article  Google Scholar 

  • Balabanova, D., Roberts, B., Richardson, E., Haerpfer, C., & McKee, M. (2012). Health care reform in the former Soviet Union: Beyond the transition. Health Services Research, 47, 840–864. doi:10.1111/j.1475-6773.2011.01323.x.

    Article  Google Scholar 

  • Balashov, A. (2012). Formation of sustainable development of the pharmaceutical industry: Theory and methodology. Sait-Petersburg: SPbGUEF.

    Google Scholar 

  • Balázs, K. (1995). Innovation potential embodies in research organisations in central and Eastern Europe. Social Studies of Science, 25, 655–683.

    Article  Google Scholar 

  • Balázs, K., Faulkner, W., & Schimank, U. (1995). Transformation of the research systems of post-communist central and eastern Europe: An introduction. Social Studies of Science, 25(4), 613–632.

    Article  Google Scholar 

  • Biehl, J. (2007). Pharmaceuticalisation: AIDS treatment and global health politics. Anthropology Quaterly, 80, 1083–1126.

    Article  Google Scholar 

  • Bobak, M., Pikhart, H., Rose, R., Hertzman, C., & Marmot, M. (2000). Socioeconomic factors, material inequalities, and perceived control in self-rated health: Cross-sectional data from seven post-communist countries. Social Science & Medicine, 51, 1343–1350.

    Article  Google Scholar 

  • Brown, J. V., & Rusinova, N. L. (1997). Russian medical care in the 1990s: A user’s perspective. Social Science & Medicine, 45, 1265–1276.

    Article  Google Scholar 

  • Brown, M. (2009). Science in democracy: Expertise, institutions, and representation. Cambridge, MA: The MIT Press.

    Book  Google Scholar 

  • Bychkova, O. (2016). Innovation by coercion: Emerging institutionalization of university–industry collaborations in Russia. Social Studies of Science, 46, 511–535. doi:10.1177/0306312716654768.

    Article  Google Scholar 

  • Cerami, A., & Vanhuysse, P. (Eds.). (2009). Post-communist welfare pathways: Theorizing social policy transformations in Central and Eastern Europe. London: Palgrave Macmillan.

    Google Scholar 

  • Cockerham, W. (1999). Health and social change in Russia and Eastern Europe. London: Routledge.

    Google Scholar 

  • Collier, S. J. (2011). Post-soviet social: Neoliberalism, social modernity, biopolitics. Princeton and Oxford: Princeton University Press.

    Book  Google Scholar 

  • Cook, L. J. (2007). Postcommunist welfare states: Reform politics in Russia and Eastern Europe. Ithaca, NY: Cornell University Press.

    Google Scholar 

  • Cornia, G. A., & Paniccià, R. (Eds.). (2000). The mortality crisis in transitional economies. Oxford: Oxford University Press.

    Google Scholar 

  • Couderc, M. L. (1996). Adaptation of some former research units to the new economic environment in Russia. Science and Public Policy, 23, 375–384.

    Google Scholar 

  • Danishevski, K., Balabanova, D., Mckee, M., & Atkinson, S. (2006). The fragmentary federation: Experiences with the decentralized health system in Russia. Health Policy and Planning, 21, 183–194. doi:10.1093/heapol/czl002.

    Article  Google Scholar 

  • Dryzek, J. S. (2008). Making use of mini-publics. In R. E. Goodin (Ed.), Innovating democracy: Democratic theory and practice after the deliberative turn (pp. 11–37). Oxford: Oxford University Press.

    Google Scholar 

  • Dyker, D. A. (1998). Key actors in the process of innovation and technology transfer in the context of economic transition. Science and Public Policy, 25, 239–245.

    Google Scholar 

  • Egorov, I. (1995). The transformation of R&D potential in Ukraine. Europe-Asia Studies, 47, 651–668.

    Article  Google Scholar 

  • Ekiert, G., & Hanson, S. E. (Eds.). (2003). Capitalism and democracy in Central and Eastern Europe: Assessing the legacy of communist rule. Cambridge, UK: Cambridge University Press.

    Google Scholar 

  • European Centre for Disease Prevention and Control/WHO Regional Office for Europe. (2016). Tuberculosis surveillance and monitoring in Europe 2016. Stockholm: WHO.

    Google Scholar 

  • Field, M. G. (2004). HIV and AIDS in the former soviet bloc. The New England Journal of Medicine, 531, 117–120.

    Article  Google Scholar 

  • Footman, K., & Richardson, E. (2014). Organization and governance. In B. Rechel, E. Richardson, & M. McKee (Eds.), Trends in health systems in the former soviet countries (pp. 29–50). Copenhagen: European Observatory on Health Systems and Policies.

    Google Scholar 

  • Gaponenko, N. (1995). Transformation of the research system in a transitional society: The case of Russia. Social Studies of Science, 25, 685–703.

    Article  Google Scholar 

  • Gerber, T. P., & Yarsike Ball, D. (2009). Scientists in a changed institutional environment: Subjective adaptation and social responsibility norms in Russia. Social Studies of Science, 39(4), 529–567. doi:10.1177/0306312709103477.

    Article  Google Scholar 

  • Giordano, C., & Hayoz, N. (2013). Informality in eastern Europe: Structures, political cultures and social practices. Bern: Peter Lang.

    Google Scholar 

  • Gore, C. (2000). The rise and fall of the Washington Consensus as a paradigm for developing countries. World Development, 28, 789–804. doi:10.1016/S0305-750X(99)00160-6.

    Article  Google Scholar 

  • Graham, L. R., & Dezhina, I. (2008). Science in the new Russia: Crisis, aid, reform. Bloomington, IN: Indiana University Press.

    Google Scholar 

  • Hagendijk, R. (2004). The public understanding of science and public participation in regulated worlds. Minerva, 42, 59.

    Article  Google Scholar 

  • Hagendijk, R., Healey, P., Horst, M., & Irwin, A. (2005). Science, technology and governance in Europe: Challenges of public engagement.

    Google Scholar 

  • Harboe, I. K. (2015). Grey zones of welfare: Normative coping strategies in rural Lithuania. Journal of Eurasian Studies, 6, 17–23. doi:10.1016/j.euras.2014.08.001.

    Article  Google Scholar 

  • Hecht, G. (2009). The radiance of France. Nuclear power and national identity after World War II. Cambridge, MA: The MIT Press. doi:10.1017/CBO9781107415324.004.

    Google Scholar 

  • Hecht, G. (2011). Entangled geographies. Empire and technopolitics in the global Cold War. Cambridge, MA: The MIT Press. doi:10.1017/CBO9781107415324.004.

    Book  Google Scholar 

  • Henig, D., & Makovicky, N. (Eds.). (2016). Economies of favour after socialism. Oxford: Oxford University Press.

    Google Scholar 

  • House of Lords Select Committee on Science and Technology. (2000). Science and society. London.

    Google Scholar 

  • Irwin, A. (2008). STS perspectives on scientific governance. In E. J. Hackett, O. Amsterdamska, M. Lynch, & J. Wajcman (Eds.), The handbook of science and technology studies (3rd ed., pp. 583–608). Cambridge, MA: The MIT Press.

    Google Scholar 

  • Jasanoff, S. (Ed.). (2004). States of knowledge: The co-production of science and social order. London: Routledge.

    Google Scholar 

  • Kitschelt, H. (2003). Accounting for post-communist regime diversity: What counts as a good cause? In G. Ekiert & S. E. Hanson (Eds.), Capitalism and democracy in central and Eastern Europe: Assessing the legacy of communist rule (pp. 49–86). Cambridge, UK: Cambridge University Press.

    Google Scholar 

  • Latour, B. (1993). The pasteurization of France. Harward: Harward University Press.

    Google Scholar 

  • Ledeneva, A. (1998). Russia’s economy of favours: Blat, networking and informal exchange. Cambridge: Cambridge University Press.

    Google Scholar 

  • Lonkila, M. (1997). Informal exchange relations in post-soviet Russia: A comparative perspective. Sociological Research Online, 2(2).

    Google Scholar 

  • MacKenbach, J. P. (2013). Convergence and divergence of life expectancy in Europe: A centennial view. European Journal of Epidemiology, 28, 229–240. doi:10.1007/s10654-012-9747-x.

    Article  Google Scholar 

  • Marangos, J. (2009). What happened to the Washington Consensus? The evolution of international development policy. Journal Socio-Econamics, 38, 197–208. doi:10.1016/j.socec.2008.07.007.

    Article  Google Scholar 

  • McKee, M., & Shkolnikov, V. (2001). Understanding the toll of premature death among men in Eastern Europe. British Medical Journal, 323, 1051–1055.

    Article  Google Scholar 

  • Morris, J., & Polese, A. (Eds.). (2014). The informal post-socialist economy: Embedded practices and livelihoods. London and New York: Routledge.

    Google Scholar 

  • Murrell, P. (1996). How far has the transition progressed? The Journal of Economic Perspectives. doi:10.1257/jep.10.2.25.

  • Nemtsov, A. (2002). Alcohol-related human losses in the 1980s and 1990s. Addiction, 97, 1413–1425.

    Article  Google Scholar 

  • Patico, J. (2002). Chocolate and cognac: Gifts and the recognition of social worlds in post-soviet Russia. Ethnos, 67(3), 345–368.

    Article  Google Scholar 

  • Polanyi, K. (1977). The two meanings of economic. In K. Polanyi & H. W. Pearson (Eds.), The livelihood of man: Studies in social discontinuity. New York: Academic Press.

    Google Scholar 

  • Polese, A. (2008). “If I receive it, it is a Gift; if I Demand it, then it is a Bribe”: On the local meaning of economic transactions in post-soviet Ukraine. Anthropology in Action, 15(3), 47–60.

    Article  Google Scholar 

  • Polese, A., & Morris, J. (2014). The failure and future of the welfare state in post-socialism. Journal of Eurasian Studies, 6, 1–5. doi:10.1016/j.euras.2014.11.001.

    Article  Google Scholar 

  • Polese, A., Morris, J., & Kovacs, B. (2016). “States” of informality in post-socialist Europe. Journal of Contemporary Central and Eastern Europe, 24(3), 181–190.

    Article  Google Scholar 

  • Polese, A., Morris, J., Kovacs, B., & Harboe, I. (2014). Welfare states’ and social policies in Eastern Europe and the former USSR: Where informality fits in? Journal of Contemporary European Studies, 22, 184–198.

    Article  Google Scholar 

  • Rachel, B., Richardson, E., & McKee, M. (2014). Trends in health systems in the former soviet countries. Copenhagen: WHO Regional Office for Europe.

    Google Scholar 

  • Rechel, B., & McKee, M. (2009). Health reform in central and eastern Europe and the former Soviet Union. Lancet, 374, 1186–1195. doi:10.1016/S0140-6736(09)61334-9.

    Article  Google Scholar 

  • Rechel, B., Roberts, B., Richardson, E., Shishkin, S., Shkolnikov, V. M., Leon, D. A., et al. (2013). Health and health systems in the Commonwealth of Independent States. Lancet, 381, 1145–1155. doi:10.1016/S0140-6736(12)62084-4.

    Article  Google Scholar 

  • Rivkin-Fish, M. (2000). Health development meets the end of state socialism: Visions of democratization, women’s health, and social well-being for contemporary Russia. Culture, Medicine and Psychiatry, 24, 77–100. doi:10.1023/A:1005587117153.

    Article  Google Scholar 

  • Rivkin-Fish, M. (2005). Bribes, gifts, and unofficial payments: Towards an anthropology of corruption in post-soviet Russia. In D. Haller & C. Shore (Eds.), Corruption: Anthropological perspectives (pp. 47–64). London: Pluto Press.

    Google Scholar 

  • Rusinova, N. L., & Brown, J. V. (2003). Social inequality and strategies for getting medical care in post-soviet Russia. Health, 7, 51–71. doi:10.1177/1363459303007001618.

    Article  Google Scholar 

  • Sachs, J. D. (1996). The transition at mid decade. The American Economic Review, 86, 128–133. doi:10.2307/2118109.

    Google Scholar 

  • Sheaff, R. (2005). Governance in gridlock in the Russian health system; the case of Sverdlovsk oblast. Social Science & Medicine, 60, 2359–2369.

    Article  Google Scholar 

  • Soubbotina, T., & Weiss, C. (2009). A new model of technological learning for Russia. Science and Public Policy, 36, 271–286.

    Article  Google Scholar 

  • Stepurko, T., Pavlova, M., Gryga, I., Murauskiene, L., & Groot, W. (2015). Informal payments for healthcare services in Lithuania and Ukraine. In J. Morris & A. Polese (Eds.), Informal economies in post-socialist spaces: Practices, institutions and networks (pp. 195–224). London, UK: Palgrave Macmillan. doi:10.1057/9781137483072_10.

    Chapter  Google Scholar 

  • Sunder Rajan, K. (2006). Biocapital: The constitution of postgenomic life. Durham, NC: Duke University Press.

    Book  Google Scholar 

  • Tikhonova, N., & Manning, N. (Eds.). (2009). Health and health care in the new Russia. Aldershot: Ashgate.

    Google Scholar 

  • Vacroux, A. M. (2005). Formal and informal institutional change: Evolution of pharmaceutical regulation in Russia, 1991–2004. Cambridge, MA: Harvard University.

    Google Scholar 

  • Williams, C. C., Round, J., & Rodgers, P. (2013). The role of informal economies in the post-soviet world: The end of transition? London and New York: Routledge.

    Google Scholar 

  • Zvonareva, O. (2016). Pharmapolitics in Russia: Making drugs and (re)building the nation. PhD Dissertation, Maastricht University.

    Google Scholar 

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Zvonareva, O., Horstman, K. (2018). Introduction. Dealing with Multiple Uncertainties in Post-Soviet Health, Technologies, and Politics. In: Zvonareva, O., Popova, E., Horstman, K. (eds) Health, Technologies, and Politics in Post-Soviet Settings. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-64149-2_1

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  • DOI: https://doi.org/10.1007/978-3-319-64149-2_1

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