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While commentaries about life extension from biogerontologists, demographers, geneticists and ethicists have increased in recent years, these have paid little attention to the public policy implications of life extension or the perspectives of community members and policymakers themselves. This paper draws on the findings from a three-year research project about strong life extension which involved interviews with community members, and state and federal policymakers. The paper explores and compares the views of community members and policymakers about policy priorities arising from life extension, and examines these within the context of existing literature and available evidence. Thus the paper provides an important evidence base to inform policy development on life extension and argues that general community perspectives are important to consider in public and policy debates about the development and regulation of life extension. [ABSTRACT FROM AUTHOR]

Racial discrimination is primarily conceptualised and dealt with at the individual level in health research and practice. Most conceptualisations, and the measures which follow, are grounded in stress-coping theories thus reinforcing individual level understandings. This draws attention away from how structures and systems reproduce racial discrimination, and further supports the very racial categorisations upon which racism depends. The purpose of this paper is to discuss the relevance of critical theoretical perspectives in conceptualising racial discrimination and how it is taken-up and measured in health research. Drawing on Indigenous, Black and material feminist, intersectional, critical race, postcolonial and political economy perspectives, we propose that racial discrimination can most usefully be understood as a relational socio-historical concept. Racial discrimination understood at the systemic level in research and measurement will support more effective policies and practices to mitigate intersecting forms of discrimination in healthcare. Critical theoretical approaches to studying racial discrimination in health research could inform future analyses needed to address and limit the harms perpetuated through individual and structural forms of discrimination. [ABSTRACT FROM AUTHOR]

In 2004 and 2005 the West Australian Labor Government significantly amended the Workers Compensation and Injury Management Act 1981 (WA) (the Act). These amendments followed over a decade of shifting power plays and uncertainty for the many stakeholders in the system. The significance of these state-based reforms cannot be underestimated, providing a localised example of a broader contestation between the interests of private business and the shifting terrain of industrial citizenship. This article documents the last decade of workers compensation reforms within Western Australia and a summary of changes which ultimately took effect in November 2005. In keeping with the post-modern emphasis on context, this paper locates the Western Australian changes within a broader discussion of the shifting landscape of rights and entitlements engendered through neo-liberal discourse. In particular, as this paper explores, the changes to Western Australian workers compensation policy can be read as a reflection on the way employers, government and the insurance industry interpret and engage with the continuing realignment of worker entitlements. [ABSTRACT FROM AUTHOR]

Contemporary Western societies focus considerable policy and media attention on the 'epidemic of childhood obesity'. In this paper we examine the mobilisation of notions of responsibility and consumption in these discussions, and consider the implications they have for women as mothers. In particular, we are interested to explore the potential conflicts mothers face as care providers and nurturers when responsible care is framed as withholding or managing the food consumption of children. We argue that the competing discursive frameworks around mothers' food provision invite further theorisation that explicitly addresses nourishment and consumption as elements of maternal practice and care. We draw on the work of Neysmith and Reitsma-Street (2005) regarding 'provisioning' to undertake a critical examination of the discourses in the 'childhood obesity' epidemic, with particular attention to Australian media and policy discussions. According to Neysmith and Reitsma-Street, mothers are central to social 'provisioning', that is, the labour that secures the necessities of life. This provisioning framework captures paid market work and unpaid caring labour, policy settings and social locations, allowing for a rich conceptualisation of the conditions mothers negotiate as they provide for their children. Taking up the possibilities of this framework, we argue that, insofar as health risks and responsibilities are largely individualised, mothering is framed as primarily about giving, and childhood obesity is considered a disease of affluence and over-consumption, imperatives for maternal provisioning and nurture are potentially in conflict with critiques of consumption and excess. [ABSTRACT FROM AUTHOR]

This paper begins with a review of the Chinese government's reforms on the personnel system in the public health care sector since 1978. These policies were designed to give greater economic autonomy to the public health facilities and public doctors in order to stimulate productivity, but failed to satisfy the medical workers. As public employees whose professional knowledge and skills have long been considered as public property, Chinese doctors have been engaged in 'unofficial conduct' to increase income. This 'conduct', which includes taking 'red packets', 'drug kickbacks' and 'moonlighting', is argued to be an unofficial form of the privatisation of professional knowledge and skills. [ABSTRACT FROM AUTHOR]

In recognition of the broader relational aspects of viral infections, family support is considered important when someone is diagnosed with a blood-borne virus (BBV), such as HIV, hepatitis C (HCV) and hepatitis B (HBV). However, families' own support needs are often not a priority in service provision within the BBV sector. In this article, we draw on qualitative interviews with 20 key informants working in various professional capacities in health, social policy, care and advocacy sectors in Australia, and explore their experiences and perspectives on family inclusivity in their services. Overall, key informants acknowledged the diversity of what constitutes family, and consistently viewed family engagement as beneficial to both diagnosed individuals and the wider familial networks affected by a diagnosis. However, prioritising individual care in support services presented barriers to engaging families, which are further complicated by the role of stigma in shaping the social realities of living with a BBV. Increasing understanding in service provision settings that serodiscordance can be a family experience has the potential to widen this analytic lens to consider the support needs of families in their own right. [ABSTRACT FROM AUTHOR]

Women are finding appeal in (or, at minimum, a lower level of resistance to) caesarean delivery despite the health risks that it poses, and I investigate how this decision figures into a broader pattern of women's gender socialisation within a culture that is deeply anxious about women's bodies. I review scholarship on caesarean delivery, and use social practice theory to map possible contact points between theories of embodiment, a sociology of gender, and the specific practice of caesarean section. I consider caesarean delivery as a component of a social practice, and adopt a practice framework to analyze women's motivation for selecting (or consenting to) caesarean delivery. I detail the materiality of the hospital, the medicalisation of women's bodies, and women's antagonistic body relationship to reveal some of the less immediately apparent reasons why caesarean delivery has been normalised and rendered invisible as part of the pattern of modern childbirth. Interventions to address the further escalation of caesarean delivery might consider how this decision aligns with other social practices. I conclude that activism addressing the social conditions that make caesarean delivery so attractive may radiate out to other aspects of women's lives where the practices of normative femininity have proven equally restrictive. [ABSTRACT FROM AUTHOR]

The cultural and historical background of the substantial deregulation of alcohol sales in Australia in the last quarter century is described and discussed. Drinking and intoxication was contested ground in Australian history, stereotypically split between the heavy-drinking male world of primary industries and the more feminine world of the suburb. In the temperance era of the late 19th and early 20th century, restrictions on alcohol sales gained ground, epitomised by six o'clock closing adopted during World War I. Alcohol's cultural position shifted after World War II: alcohol problems were redefined in terms of alcoholism, a personal failing, and a cultural–political movement led by the Sydney Bulletin led a successful cultural–political movement to caricature and derogate ‘wowsers’. Meanwhile, the alcohol industry moved to identify itself with high-valued features of Australian life. By the 1960s, a dynamic of relaxation of alcohol controls had started, starting with repeal of six o'clock closing and continuing to the present day. [ABSTRACT FROM AUTHOR]