International Journal of Health Policy and Management

International Journal of Health Policy and Management

Generating “Différance” or an Ontology That Is Same Old Same Old; Comment on “The Generative Mechanisms of Financial Strain and Financial Well-Being: A Critical Realist Analysis of Ideology and Difference”

Document Type : Commentary

Authors
Lynn McIntyre 1
Catherine L. Mah 2
1 Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
2 School of Health Administration, Faculty of Health, Dalhousie University, Halifax, NS, Canada
10.34172/ijhpm.8565
Abstract
Glenn and colleagues carefully conducted a realist review of initiatives introduced in high-income countries intended to improve financial well-being (FWB) or reduce financial strain (FS) during the early days of the pandemic. They found that these initiatives were underpinned by either neoliberal or social equity ideologies, within which, social location acted on different groups. In this commentary, we suggest caution in applying labels such as neoliberalism and social equity when lumping social welfare policies; labour policies; housing and financial services policies; and service provision for health, seniors, childcare, and education across welfare state regimes. We also caution against aggregating equity-deserving groups from different contexts into a single otherness. We suggest a pragmatic reinterpretation of the study’s findings and in future examinations of post-pandemic recovery in accordance with long-standing pragmatic methods of working in public health that seek to improve population health and well-being through collective action.
Keywords
Pragmatism
Public Health
Equity
Ontology
Pandemic
Ideology
  1. Glenn NM, Yashadhana A, Jaques K, et al. The generative mechanisms of financial strain and financial well-being: a critical realist analysis of ideology and difference. Int J Health Policy Manag. 2023;12:6930. doi:34172/ijhpm.2022.6930
  2. Derrida J. Of Grammatology. Baltimore: Johns Hopkins University; 1976. Trans. Spivak GC. [Original French, 1967; New fortieth anniversary translation, 2016].
  3. Nykiforuk CIJ, Belon AP, Scott LKA. Untangling concepts of financial circumstances for public health professionals and scholars: a glossary and concept map. Am J Public Health. 2024;114(1):79-89. doi:2105/ajph.2023.307449
  4. Harris P, Baum F, Friel S, Mackean T, Schram A, Townsend B. A glossary of theories for understanding power and policy for health equity. J Epidemiol Community Health. 2020;74(6):548-552. doi:1136/jech-2019-213692
  5. Archer M, Sharp R, Stones R, Woodiwiss T. Critical realism and research methodology. Alethia. 1999;2(1):12-16. doi:1558/aleth.v2i1.12
  6. Bhaskar R. A Realist Theory of Science. New York: Routledge; 2008. doi:4324/9780203090732
  7. Archer M. Realism and the problem of agency. Alethia. 2002;5(1):11-20. doi:1558/aleth.v5i1.11
  8. Fleetwood S. The critical realist conception of open and closed systems. J Econ Methodol. 2017;24(1):41-68. doi:1080/1350178x.2016.1218532
  9. United Nations Development Programme (UNDP). Human Development Report 2023-24: Breaking the Gridlock: Reimagining Cooperation in a Polarized World. New York: UNDP; 2024. https://hdr.undp.org/content/human-development-report-2023-24.
  10. Spivak GC. Can the subaltern speak? In: Nelson C, Grossberg L, eds. Marxism and the Interpretation of Culture. London: Macmillan; 1988:24-28. https://jan.ucc.nau.edu/~sj6/Spivak%20CanTheSubalternSpeak.pdf.
  11. Guy ME, McCandless SA. Social equity: its legacy, its promise. Public Adm Rev. 2012;72(Suppl 1):S5-S13. doi:1111/j.1540-6210.2012.02635.x
  12. Gugushvili D, Laenen T. Two decades after Korpi and Palme’s “paradox of redistribution”: what have we learned so far and where do we take it from here? J Int Comp Soc Policy. 2021;37(2):112-127. doi:1017/ics.2020.24
  13. Kim IH, Muntaner C, Vahid Shahidi F, Vives A, Vanroelen C, Benach J. Welfare states, flexible employment, and health: a critical review. Health Policy. 2012;104(2):99-127. doi:1016/j.healthpol.2011.11.002
  14. James W. Lecture II, What Pragmatism Means. Source: What is Pragmatism (1904), from series of eight lectures dedicated to the memory of John Stuart Mill, A New Name for Some Old Ways of Thinking, in December 1904, from William James, Writings 1902-1920, The Library of America. https://www.marxists.org/reference/subject/philosophy/works/us/james.htm.
  15. Dewey J. What pragmatism means by practical. In: Dewey J, ed. Essays in Experimental Logic. Chicago: University of Chicago Press; 1916:303-329. doi:1037/13833-012
International Journal of Health Policy and Management
Volume 13, Issue 1
2024
Pages 1-3

  • Received Date 30 April 2024
  • Revised Date 01 May 2024
  • Accepted Date 02 August 2024
  • First Published Date 04 August 2024
  • Published Date 01 December 2024