Internal Migration, Sport and the Scottish Diaspora in England.

Sport has been argued to play an important role for members of diasporic groups of various origins and in various locations (Burdsey, 2006; Carrington, 2010; Darby and Hassan, 2008; Kaufman, 2005). However, little attention has been paid to the role sport plays for ‘internal migrants’ who migrate to contrasting locations within a nation-state, despite the potential for significant contrasts in the prevailing sporting cultures found in different regions of the same nation-state. This article therefore aims to make a contribution towards understanding this relationship by reflecting upon the role sport plays for members of the Scottish diaspora living in England, drawing upon interviews and personal reflections from a number of Scottish ‘internal migrants’ located within the United Kingdom. In particular, discussion attempts to draw attention to the central role sport plays for these individuals in order to maintain a cultural attachment with their Scottish birthplace, given the relative lack of other cultural practices or associations which could be used to achieve this goal. Comparisons are also drawn with studies of the Scottish diaspora in more distant geographic contexts, as well as similar diasporic groups in the English context such as the Irish diaspora. These comparisons allow for a consideration of the impact of geographic proximity and cultural proximity on the relative importance of sport and other cultural practices for Scots living in England, identifying a number of important issues for those studying the role played by sport in the maintenance of a cultural attachment with ‘home’ for various diasporic groups

Politics ahead of patients: The battle between medical and chiropractic professional associations over the inclusion of chiropractic in the American Medicare System

Health care professions struggling for legitimacy, recognition, and market share can become disoriented to their priorities. Health care practitioners are expected to put the interests of patients first. Professional associations represent the interests of their members. So when a professional association is composed of health care practitioners, its interests may differ from those of patients, creating a conflict for members. In addition, sometimes practitioners’ perspectives may be altered by indoctrination in a belief system, or misinformation, so that a practitioner could be confused about the reality of patient needs. Politicians, in attempting to find an expedient compromise, can value a “win” in the legislative arena over the effects of that legislation. These forces all figure into the events that led to the acceptance of chiropractic into the American Medicare system. Two health care systems in a political fight lost sight of their main purpose: to provide care to patients without doing harm. Dans leur recherche de légitimité, de reconnaissance et d’une juste part sur le marché de la santé, les professionnels de la santé peuvent perdre de vue leurs priorités. Ces praticiens doivent donner préséance aux intérêts des patients tandis que les associations professionnelles représentent ceux de leurs membres. Lorsqu’une association professionnelle regroupe des praticiens de la santé cependant, ses intérêts s’opposent parfois à ceux des patients, créant ainsi un conflit pour les membres. De plus, les praticiens peuvent être endoctrinés par un système de valeurs ou mal informés, au point de se tromper dans l’évaluation des besoins réels des patients. De leur côté, les politiciens peuvent préférer une « victoire » dans l’arène législative à une juste appréciation des impacts d’une loi. Ces forces ont toutes participé aux évènements qui ont mené à l’acceptation de la chiropraxie par le système américain Medicare. Dans cette bataille politique, deux systèmes de santé ont négligé leur principal objectif : soigner des patients sans leur nuire