44 research outputs found

    Review of Emma Cunliffe, 'Murder, Medicine and Motherhood'

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    Dying for the Economy: Disposable People and Economies of Death in the Global North

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    This essay explores the idea of dying for the economy that has been a proposition supported by President Trump and the Republican Party in discussions about how to reopen the economy in light of the COVID-19 pandemic and massive lockdowns. While to most of us this seems like crazy talk, I argue that the loss of some peoples' lives in order to sustain a buoyant economy is a rationale acceptable to many in the corporate sector as well as their pro-business political partners. I first explore theoretical discussions about biopolitics, necropolitics, and the long historical relationship between capitalism and death. I then point to an emerging literature on “economies of death” and apply that to the opioid epidemic in the United States as an illustrative case of a “necroeconomy”. I reflect upon parallels between the opioid epidemic and the COVID-19 pandemic, turning to current debate in the United States about reopening the economy versus the associated public health risks of further lives being lost. The rhetoric of these debates reflects widespread economic values that prioritize some lives over others, making explicit who is ultimately “killable” in the quest to return to a flourishing and efficient economy

    Constructing the eastern european other: The horsemeat scandal and the migrant other

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    The Horsemeat scandal in the UK in 2013 ignited a furore about consumer deception and the bodily transgression of consuming something so alien to the British psyche. The imagination of the horse as a noble and mythic figure in British history and sociological imagination was invoked to construct the consumption of horsemeat as a social taboo and an immoral proposition in the British media debates. This paper traces the horsemeat scandal and its media framing in the UK. Much of the aversion to horsemeat was intertextually bound with discourses of immigration, the expansion of the EU and the threat in tandem to the UK. Food as a social and cultural artefact laden with symbolic meaning and national pride became a platform to construct the ‘Other’ – in this case the Eastern European Other. The media debates on the horsemeat scandal interwove the opening up of the EU and particularly UK to the influx of Eastern European migration. The horsemeat controversy in implicating the Eastern Europeans for the contamination of the supply chain became a means to not just construct the ‘Other’ but also to entwine contemporary policy debates about immigration. This temporal framing of contemporary debates enables a nation to renew and contemporise its notions of ‘otherness’ while sustaining an historic social imaginary of itself

    Rehabilitation versus surgical reconstruction for non-acute anterior cruciate ligament injury (ACL SNNAP): a pragmatic randomised controlled trial

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    BackgroundAnterior cruciate ligament (ACL) rupture is a common debilitating injury that can cause instability of the knee. We aimed to investigate the best management strategy between reconstructive surgery and non-surgical treatment for patients with a non-acute ACL injury and persistent symptoms of instability.MethodsWe did a pragmatic, multicentre, superiority, randomised controlled trial in 29 secondary care National Health Service orthopaedic units in the UK. Patients with symptomatic knee problems (instability) consistent with an ACL injury were eligible. We excluded patients with meniscal pathology with characteristics that indicate immediate surgery. Patients were randomly assigned (1:1) by computer to either surgery (reconstruction) or rehabilitation (physiotherapy but with subsequent reconstruction permitted if instability persisted after treatment), stratified by site and baseline Knee Injury and Osteoarthritis Outcome Score—4 domain version (KOOS4). This management design represented normal practice. The primary outcome was KOOS4 at 18 months after randomisation. The principal analyses were intention-to-treat based, with KOOS4 results analysed using linear regression. This trial is registered with ISRCTN, ISRCTN10110685, and ClinicalTrials.gov, NCT02980367.FindingsBetween Feb 1, 2017, and April 12, 2020, we recruited 316 patients. 156 (49%) participants were randomly assigned to the surgical reconstruction group and 160 (51%) to the rehabilitation group. Mean KOOS4 at 18 months was 73·0 (SD 18·3) in the surgical group and 64·6 (21·6) in the rehabilitation group. The adjusted mean difference was 7·9 (95% CI 2·5–13·2; p=0·0053) in favour of surgical management. 65 (41%) of 160 patients allocated to rehabilitation underwent subsequent surgery according to protocol within 18 months. 43 (28%) of 156 patients allocated to surgery did not receive their allocated treatment. We found no differences between groups in the proportion of intervention-related complications.InterpretationSurgical reconstruction as a management strategy for patients with non-acute ACL injury with persistent symptoms of instability was clinically superior and more cost-effective in comparison with rehabilitation management

    "Country and City in the New Europe"

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    The country (periphery) and city (center) define a mutually constituting relationship. Drawing on Raymond Williams' country/city dichotomy, and postcolonial critiques of this state framed relationship, this paper takes a slightly different direction in exploring the continuing viability of the capital city as emblematic of national interests and an authoritative controlling center. In discussing recent research about "global" cities in Europe, I bring into question London's shirting spatial associations both to other European cities and to its surrounding landscape. My Focus centers on the proposed high-speed rail link between London, Paris, Brussels, Cologne and Amsterdam, of which the Channel Tunnel is a part. I ask how these transport networks, which seek to transform national cities into European citystations, may alter people's construction of a nationally identifiable countryside. This exploration of the new tensions emerging between ideas of city and country within a national context is one way of approaching a much larger territorial issue facing a transnational Europe. In the so-called march towards European unity, where will lie future centers and peripheries

    Locating a Global Perspective

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    William Twining�s Montesquieu Lecture �Globalisation and Legal Scholarship� is a must read for anyone seeking to understand the relations between law and globalisation which includes, among other things, a need to overcome ethnocentric biases in modern Western law. In my commentary I push his analysis further by suggesting that all legal processes, even those that seem ostensibly domestic and contained within local or national jurisdictions, can be considered to have global implications. In contrast to Twining�s definition of what makes something global, I argue that it is not a matter of spatial scale or geopolitical reach that makes any law or legal process �global�. Global doesn�t just mean big. Putting it another way, what makes a law �global� is the perspective one brings to the questions one asks about all legal phenomena
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