Ramon Castellblanch - Academia.edu (original) (raw)
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Papers by Ramon Castellblanch
Journal of Health Politics, Policy and Law, 2003
Journal of Health Politics, Policy and Law, 2003
Although leadership is typically seen as coming from the leaders of governments and major institu... more Although leadership is typically seen as coming from the leaders of governments and major institutions, a strong case can be made that concerned citizens first articulate important issues and policies that official leaders then pick up and promote. In a market-based society dominated by large corporations, Hirschman's framework of exit, voice, and loyalty can be used to relate consumer and grassroots movements to markets, when participants believe there is no exit and loyalty (or acquiescence) is not an option. While "voice" is usually applied to the individual or consumer level, this article develops the concept of organized voice and illustrates how it has exhibited leadership in the controversial relations between the biotech and pharmaceutical industries and society as a whole. The essay concludes by urging more research on organized voice as a source of leadership and by outlining some important dimensions for researchers to consider. If by leadership one means the public articulation and organized advocacy for transcendent values and a vision of a good society, then a strong case can be made that grassroots organizations and social movements are a wellspring of leadership. The social movements literature tends to focus on issues of process and organization-how social movements arise and are organized, what variables matter, what stages they go through, and what affects their chances of success (Snow et al. 1986; McAdam, McCarthy,
Professional Psychology: Research and Practice, 2003
In 1994 Maryland passed a mental health parity law. Although the law specified minimums for insur... more In 1994 Maryland passed a mental health parity law. Although the law specified minimums for insurance coverage, it allowed insurers to deny payment if treatments were not medically necessary or through a process of managed care. To learn more about the impact of this law, we conducted 5 focus groups composed of people involved in mental health care in Maryland. The groups suggested that the law was a small step in the direction of improving access to mental health care. However, they also indicated that parity legislation might do better to the extent that such bills provide for monitoring of medically necessary and managed-care provisions and, if warranted, improve them.
Journal of Health Politics, Policy and Law, 2003
Journal of Health Politics, Policy and Law, 2003
Although leadership is typically seen as coming from the leaders of governments and major institu... more Although leadership is typically seen as coming from the leaders of governments and major institutions, a strong case can be made that concerned citizens first articulate important issues and policies that official leaders then pick up and promote. In a market-based society dominated by large corporations, Hirschman's framework of exit, voice, and loyalty can be used to relate consumer and grassroots movements to markets, when participants believe there is no exit and loyalty (or acquiescence) is not an option. While "voice" is usually applied to the individual or consumer level, this article develops the concept of organized voice and illustrates how it has exhibited leadership in the controversial relations between the biotech and pharmaceutical industries and society as a whole. The essay concludes by urging more research on organized voice as a source of leadership and by outlining some important dimensions for researchers to consider. If by leadership one means the public articulation and organized advocacy for transcendent values and a vision of a good society, then a strong case can be made that grassroots organizations and social movements are a wellspring of leadership. The social movements literature tends to focus on issues of process and organization-how social movements arise and are organized, what variables matter, what stages they go through, and what affects their chances of success (Snow et al. 1986; McAdam, McCarthy,
Professional Psychology: Research and Practice, 2003
In 1994 Maryland passed a mental health parity law. Although the law specified minimums for insur... more In 1994 Maryland passed a mental health parity law. Although the law specified minimums for insurance coverage, it allowed insurers to deny payment if treatments were not medically necessary or through a process of managed care. To learn more about the impact of this law, we conducted 5 focus groups composed of people involved in mental health care in Maryland. The groups suggested that the law was a small step in the direction of improving access to mental health care. However, they also indicated that parity legislation might do better to the extent that such bills provide for monitoring of medically necessary and managed-care provisions and, if warranted, improve them.