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15 - How Should We Care for the Elderly?

from Part II - Our Lives

Published online by Cambridge University Press:  27 October 2022

By
Amy Clotworthy
Edited by
Daniel Scott Souleles ,
Johan Gersel  and
Morten Sørensen Thaning
Daniel Scott Souleles
Affiliation:
Copenhagen Business School
Johan Gersel
Affiliation:
Copenhagen Business School
Morten Sørensen Thaning
Affiliation:
Copenhagen Business School
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Summary

One remarkable feature of market imperialism as it has affected welfare provision is just how deep it has become entrenched in the act of caring for people. Here, Clotworthy describes how the provision of eldercare in Denmark has been taken over by a system that aims to create idealized, active, and independent older people. Eldercare is thus increasingly subject to a “competition state” focused on optimizing costs by “responsibilizing” both care providers and senior citizens as rational and independent decision-makers. What Clotworthy shows, though, is that creating a welfare system with this sort of ideal in place runs the risk of ignoring the actual person sitting in front of you. The system acts more as a gatekeeper than a care provider, and thus leaves people alienated in their old age. Clotworthy contrasts this with eldercare systems that make a direct provision of care in order to show another way of caring for older adults.

Keywords

capitalismalternativesproblem-solvingDenmarkeldercarecitizenshipneoliberalismmunicipal governmentaging
Type
Chapter
Information
People before Markets
An Alternative Casebook
 , pp. 303 - 331
Publisher: Cambridge University Press
Print publication year: 2022

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References

Aspinal, F., Glasby, J., Rostgaard, T., Tuntland, H., and Westendorp, R.. 2016. “Reablement: supporting older people towards independence” Age and Ageing 45: 574–578.CrossRefGoogle ScholarPubMed
Åström, G., Norberg, A., Hallberg, I. R., and Jansson., L. 1993. “Experienced and skilled nurses’ narratives of situations where caring action made a difference to the patient.” Scholarly Inquiry for Nursing Practice 7 (3): 183–193.Google Scholar
Ballet, J., Petit, E., and Pouchain, D.. 2018. “What mainstream economics should learn from the ethics of care.” Œconomia 8 (2): 187–208.Google Scholar
Better Health While Aging. 2021. “What are activities of daily living (ADLs) & instrumental activities of daily living (IADLs)?” Last accessed April 19, 2021. https://betterhealthwhileaging.net/what-are-adls-and-iadls.Google Scholar
Blom, A. 2014. “Det kommunale sundhedsområde i et historisk perspektiv.” (The municipal health area in a historical perspective.) In Det kommunale sundhedsvæsenet (The Municipal Healthcare Sector.), edited by Pedersen, B. M. and Petersen, S. R.. Copenhagen: Hans Reitzels Forlag.Google Scholar
Buch, M. S. 2020. Buurtzorgs model for hjemmesygepleje og hjemmepleje: Introduktion til modellen, oversigt over litteraturen og perspektiver for afprøvninger i en dansk kontekst (Buurtzorg’s Model for Home Nursing and Home Care: Introduction to the Model, Overview of the Literature, and Perspectives on Trials in a Danish Context). Copenhagen: VIVE, Det Nationale Forsknings- og Analysecenter for Velfærd. https://pure.vive.dk/ws/files/4552337/301713_Buurtzorgs_model_for_hjemmesygepleje_og_hjemmepleje_PDU_UA.pdf. Last accessed September 24, 2021.Google Scholar
Buurtzorg. 2021. “Buurtzorg’s model of care.” Last accessed September 24, 2021. www.buurtzorg.com/about-us/buurtzorgmodel.Google Scholar
Charles, C., Gafni, A., and Whelan, T.. 1999. “Decision-making in the physician–patient encounter: revisiting the shared treatment decision-making model.” Social Science & Medicine 49: 651–661.CrossRefGoogle ScholarPubMed
Clotworthy, A. 2017. Empowering the Elderly? A Qualitative Study of Municipal Home-Health Visits and Everyday Rehabilitation.” PhD diss., University of Copenhagen, Faculty of Humanities.Google Scholar
Clotworthy, A. 2020. “‘Train yourself free’: How elderly citizens exercise freedom of choice in the Danish state.” In The Cultural Context of Aging: Worldwide Perspectives 4th edition, edited by Sokolovsky, J., 608–630. Santa Barbara, CA : Praeger Publishers.Google Scholar
Clotworthy, A., Kusumastuti, S., and Westendorp, R. G. J.. 2021. “Reablement through time and space: A scoping review of how the concept of ‘reablement’ for older people has been defined and operationalized.” BMC Geriatrics 21 (61): 1–16.CrossRefGoogle Scholar
Crimmins, E. M. and Beltrán-Sánchez, H.. 2010. “Mortality and morbidity trends: is there compression of morbidity?” Journal of Gerontology: Social Sciences 66B (1): 75–86.CrossRefGoogle Scholar
Cruess, R. L. and Cruess, S. R.. 2008. “Expectations and obligations: professionalism and medicine’s social contract with society.” Perspectives in Biology and Medicine 51 (4): 579–598.Google Scholar
Erlich, P. R. 1968. The Population Bomb. New York: Buccaneer Books.Google Scholar
European Commission. 2014. “Population ageing in Europe: facts, implications and policies.” Last accessed February 6, 2017. Luxembourg: Publications Office of the European Union. https://ec.europa.eu/research/social-sciences/pdf/policy_reviews/kina26426enc.pdfGoogle Scholar
European Commission. 2018. “2018 ageing report: Policy challenges for ageing societies.” Last accessed April 19, 2021. Luxembourg: Publications Office of the European Union. https://ec.europa.eu/info/news/economy-finance/policy-implications-ageing-examined-new-report-2018-may-25_en.Google Scholar
European Commission. 2020. “Ageing Europe: statistics on population developments.” Last accessed April 19, 2021. Luxembourg: Publications Office of the European Union. https://ec.europa.eu/eurostat/statistics-explained/index.php/Ageing_Europe__statistics_on_population_developments#Older_people_.E2.80.94_population_overview.Google Scholar
Fine, M. D. 2007. A Caring Society? Care and the Dilemmas of Human Service in the Twenty-First Century. Basingstoke, UK: Palgrave Macmillan.Google Scholar
Fisher, B. and Tronto, J. C.. 1990. “Toward a feminist theory of caring.” In Circles of Care, edited by Abel, E. K. and Nelson, M.. Albany: SUNY Press.Google Scholar
Foucault, M. 1979. Discipline and Punish. Harmondsworth, UK: Penguin.Google Scholar
Foucault, M. 1987. “The ethic of care for the self as a practice of freedom: an interview with Michel Foucault on January 20, 1984.” Philosophy and Social Criticism 12 (2–3): 112–131.Google Scholar
Freidson, E. 1988. Profession of Medicine: A Study of the Sociology of Applied Knowledge. Chicago: University of Chicago Press.Google Scholar
Goode, W. J. 1957. “Community within a community: the professions.” American Sociological Review 22 (2): 194–200.CrossRefGoogle Scholar
Gray, B. H., Sarnak, D. O., and Burgers, J. S.. 2015. “Home care by self-governing nursing teams: The Netherlands’ Buurtzorg model.” Last accessed September 24, 2021. www.commonwealthfund.org/publications/case-study/2015/may/home-care-self-governing-nursing-teams-netherlands-buurtzorg-model.Google Scholar
Guldager, A. 2011. “Drømmen er gået i opfyldelse” (The dream has come true). Fysioterapeuten 5. Last accessed May 24, 2021. https://fysio.dk/fysioterapeuten/arkiv/nr.-5-2011/Drommen-er-gaet-i-opfyldelse.Google Scholar
Gullestad, M. 1989. “Small facts and large issues: the anthropology of contemporary Scandinavian society.” Annual Review of Anthropology 18: 71–93.Google Scholar
Halse, C. 2009. “Bio-citizenship: virtue discourses and the birth of the bio-citizen.” In Biopolitics and the “Obesity Epidemic”: Governing Bodies, edited by Wright, J. and Harwood, V., 45–59. London: Routledge.Google Scholar
Hansen, R. 2015. “The politics of Denmark and Germany’s low birth rates.” Brown Political Review, October 23, 2015. Last accessed February 6, 2017. www.brownpoliticalreview.org/2015/10/the-politics-of-denmark-and-germanys-low-birth-rates.Google Scholar
Healthcare Denmark. 2019. “Assisted living: A dignified elderly care in Denmark.” Last accessed April 19, 2021. www.healthcaredenmark.dk/media/plvbj4yz/elderly-care-v10919.pdf.Google Scholar
Henriksen, I. 2006. “An economic history of Denmark.” In Encyclopedia of Economic and Business History, edited by Whaples, R.. Last accessed February 6, 2017. https://eh.net/encyclopedia/an-economic-history-of-denmark.Google Scholar
Heritage Foundation. 2017. “Index of economic freedom.” Last accessed March 28, 2017. www.heritage.org/index/country/denmark.Google Scholar
Højbjerg, K., Sandholm, N., and Larsen, K.. 2015. “Grænser for professionel autoritet i mødet mellem sundhedsprofessionelle og patienter/klienter” (Limits for professional authority in the meeting between health professionals and patients/clients). Praktiske Grunde 1–2: 43–60.Google Scholar
Højlund, H. 2006. “Den frit vælgende ældre” (The freely choosing elderly). Dansk Sociologi 1(17): 42–65.Google Scholar
Johnson, P., Conrad, C., and Thomson, D.. 1989. Workers Versus Pensioners: Intergenerational Justice in an Ageing World. Manchester: Manchester University Press.Google Scholar
Kjellberg, P. K., Ibsen, R., and Kjellberg, J.. 2011.”Fra pleje og omsorg til rehabilitering: viden og anbefalinger” (From care and compassion to rehabilitation: knowledge and recommendations). Copenhagen: KORA, Det Nationale Institut for Kommuners og Regioners Analyse og Forskning. Last accessed April 6, 2017. www.kora.dk/media/1039625/fra-pleje-og-omsorg-til-rehabilitering-viden-og-anbefalinger.pdf.Google Scholar
Knudsen, T. 2007. Fra folkestyre til markedsdemokrati (From government to market democracy). Copenhagen: Akademisk Forlag.Google Scholar
Kreitzer, M. J., Monsen, K. A., Nandram, S., and de Blok, J.. 2015. “Buurtzorg Nederland: A global model of social innovation, change, and whole-systems healing.” Global Advances in Health and Medicine 4 (1): 40–44.Google Scholar
Lanoix, M. 2020. “Re-conceptualising the political subject: the importance of age for care theory.” International Journal of Care and Caring 4 (1): 43–58.CrossRefGoogle Scholar
Larsen, L. T. 2015. “Fra ventelister til frit valg: neoliberal guvernementalitet i sundhedsvæsenet” (From waiting lists to free choice: neoliberal governmentality in the healthcare sector). Gjallerhorn 20: 17–24.Google Scholar
Larsen, L. T. and Stone, D.. 2015. “Governing health care through free choice: neoliberal reforms in Denmark and the United States.” Journal of Health Politics, Policy and Law 40 (5): 941–970.Google Scholar
Lidegaard, B. 2009. A Short History of Denmark in the 20th Century. Copenhagen: Gyldendal.Google Scholar
Liveng, A. 2011. “The vulnerable elderly’s need for recognizing relationships: a challenge to Danish home-based care.” Journal of Social Work Practice 25 (3): 271–283.CrossRefGoogle Scholar
Lønstrup, L. 2008. “Samarbejdsproblemer i ældreplejen: forskerinterview med Tine Rostgaard” (Cooperation problems in eldercare: researcher interview with Tine Rostgaard). Djøfbladet 32 (9): 42–45.Google Scholar
Martela, F., Greve, B., Rothstein, B., and Saari, J.. 2020. “The Nordic exceptionalism: What explains why the Nordic countries are constantly among the happiest in the world?” In World Happiness Report 2020, chapter 7. Last accessed April 19, 2021. https://happiness-report.s3.amazonaws.com/2020/WHR20_Ch7.pdf.Google Scholar
Mattingly, C. 1994. “The concept of therapeutic ‘emplotment’.” Social Science & Medicine 38 (6): 811–822.Google Scholar
Metzelthin, S., Rostgaard, T., Parsons, M., and Burton, E.. 2020. “Development of an internationally accepted definition of reablement: A Delphi study.” Ageing and Society: 1–16.CrossRefGoogle Scholar
Mik-Meyer, N. 2014. “Health promotion viewed in a critical perspective.” Scandinavian Journal of Public Health 42 (S15): 31–35.Google Scholar
Ministry of Finance (Finansministeriet). 2003. “Frit valg og kvalitet: afregningsmodeller på de kommunale serviceområder” (Free choice and quality: payment models for the municipal service areas). Copenhagen: Ministry of Finance Working Group. Last accessed February 27, 2020. www.fm.dk/publikationer/2003/frit-valg-og-kvalitet.Google Scholar
Ministry of Children, Equality, Integration and Social Affairs (Ministeriet for Børn, Ligestilling, Integration og Sociale Forhold). 2014. “Bekendtgørelse af lov om social service” (Announcement of the Social Services Act). Last accessed February 7, 2017. www.retsinformation.dk/Forms/r0710.aspx?id=161883.Google Scholar
Mishra, V. and Barratt, J.. 2016. “Final report: reablement and older people.” Last accessed April 19, 2021. www.ifa-copenhagen-summit.com/wp-content/uploads/2016/04/Copenhagen-Summit-Final-Report.pdf.Google Scholar
Mol, A. 2008. The Logic of Care: Health and the Problem of Patient Choice. Milton Park: Routledge.Google Scholar
OECD 2019. Economic Surveys: Denmark 2019. Paris, France: OECD Publishing. Last accessed April 19, 2021. www.oecd.org/economy/surveys/Denmark-2019-OECD-economic-survey-overview.pdf.Google Scholar
Otto, L. 2013. “Negotiating a healthy body in old age: preventive home visits and biopolitics.” International Journal of Ageing and Later Life 8 (1): 111–135.CrossRefGoogle Scholar
Pedersen, L. H., and Andersen, L. B., 2016. “Ved NPM’s dødsleje: tre ting vi har lært” (At NPM’s deathbed: three things we have learned). KORA Publications. Last accessed February 7, 2017. https://www.altinget.dk/kommunal/artikel/ved-npms-doedsleje-hvad-har-vi-laert.Google Scholar
Pedersen, O. K. 2011. Konkurrencestaten (The Competition State). Copenhagen: Hans Reitzels Forlag.Google Scholar
Petersen, J. H. 2008. Velfærd for ældre: holdning og handling (Welfare for the Elderly: Attitude and Action). Odense, Denmark: Syddansk Universitetsforlag.Google Scholar
Pols, J. 2016. “Analyzing social spaces: relational citizenship for patients leaving mental health care institutions.” Medical Anthropology: Cross-Cultural Studies in Health and Illness 35 (2): 177–192.CrossRefGoogle ScholarPubMed
Powers, P. 2003. “Empowerment as treatment and the role of health professionals.” Advances in Nursing Science 26 (3): 227–237.CrossRefGoogle ScholarPubMed
Rostgaard, T. 2006. “Constructing the care consumer: free choice of home care for the elderly in Denmark.” European Societies 8 (3): 443–463.CrossRefGoogle Scholar
Smith, A. 1976 [1759]. The Theory of Moral Sentiments. Oxford: Clarendon Press.Google Scholar
Springer, S., Birch, K., and MacLeavy, J., eds. 2016. The Handbook of Neoliberalism. London and New York: Routledge.Google Scholar
Statistics Denmark. 2018. “Markant Flere Ældre i Fremtiden” (Significantly more elderly in the future). Copenhagen, Denmark. Last accessed November 12, 2018. www.dst.dk/da/Statistik/nyt/NytHtml?cid=26827.Google Scholar
Statistics Denmark. 2019. “Denmark in Figures 2019.” Copenhagen, Denmark. Last accessed February 28, 2021. www.dst.dk/Site/Dst/Udgivelser/GetPubFile.aspx?id=28924&sid=dkinfigures2019Google Scholar
Taussig, K.-S., Høyer, K., and Helmreich, S.. 2013. “The anthropology of potentiality: an introduction to Supplement 7.” Current Anthropology 54 (S7): 3–14.Google Scholar
Terjesen, A. 2011.”Adam Smith cared, so why can’t modern economics? The foundations for care ethics in early economic theory.” In Applying Care Ethics to Business, Issues in Business Ethics, no. 34, edited by Hamington, M. and Sander-Staudt, M., 55–72. New York: Springer.Google Scholar
Tinetti, M. E., Baker, D., Gallo, W. T., Nanda, A., Charpentier, P., and O”Leary, J.. 2002. “Evaluation of restorative care vs usual care for older adults receiving an acute episode of home care.” JAMA 287: 2098–2105.Google Scholar
Tronto, J. 2017. “There is an alternative: homines curans and the limits of neoliberalism.” International Journal of Care and Caring 1 (1): 27–43.Google Scholar
United Nations. 2017. World Population Ageing 2017: Highlights (ST/ESA/SER.A/397). New York: United Nations, Department of Economic and Social Affairs, Population Division.Google Scholar
University College UC Syddanmark. 2014. “Visitator Uddannelse” (Visitator education). Last accessed April 11, 2017. https://evu.ucsyd.dk/download.php?id=279.Google Scholar
World Health Organization (WHO). 2012. Healthy Ageing in Denmark. Copenhagen; Regional Office for Europe. Last accessed February 6, 2017. www.euro.who.int/__data/assets/pdf_file/0004/161797/Denmark-Healthy-Aging-Strategy-Final-July-2012.pdf.Google Scholar
Yglesias, M. 2015. “Denmark’s prime minister says Bernie Sanders is wrong to call his country socialist.” Vox, October 31, 2015. Last accessed April 19, 2021. www.vox.com/2015/10/31/9650030/denmark-prime-minister-bernie-sanders.Google Scholar

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