Research output: Contribution to journal › Article › peer-review
Citizenship, medical expertise and the capitalist regulatory state in Europe. / Abraham, J; Lewis, G.
In: Sociology, Vol. 36, No. 1, 02.2002, p. 67-88.Research output: Contribution to journal › Article › peer-review
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TY - JOUR
T1 - Citizenship, medical expertise and the capitalist regulatory state in Europe
AU - Abraham, J
AU - Lewis, G
PY - 2002/2
Y1 - 2002/2
N2 - This article demonstrates how the concept of citizenship can be used to analyse the regulatory state, with particular reference to the safety and efficacy of pharmaceutical products in Western Europe. Empirical evidence on the citizenship dynamics of medicines regulation in Europe, which is drawn from documentary and interview data, is marshalled to interrogate theories of the decline in medical authority and 'disorganized capitalism'. It is argued that late modernity has seen a pharmaceutical sector in which consumers have become more active and critically reflexive citizens, but the decline in producer power or in medical authority by the fracturing of expertise (or otherwise) has been minimal. It is concluded that the balance of evidence shows that the sector is highly organized, producer-driven, oligopolous and standardized, rather than disorganized, fragments and flexible, despite consumer's growing activism and reflexivity.
AB - This article demonstrates how the concept of citizenship can be used to analyse the regulatory state, with particular reference to the safety and efficacy of pharmaceutical products in Western Europe. Empirical evidence on the citizenship dynamics of medicines regulation in Europe, which is drawn from documentary and interview data, is marshalled to interrogate theories of the decline in medical authority and 'disorganized capitalism'. It is argued that late modernity has seen a pharmaceutical sector in which consumers have become more active and critically reflexive citizens, but the decline in producer power or in medical authority by the fracturing of expertise (or otherwise) has been minimal. It is concluded that the balance of evidence shows that the sector is highly organized, producer-driven, oligopolous and standardized, rather than disorganized, fragments and flexible, despite consumer's growing activism and reflexivity.
KW - citizenship
KW - disorganized capitalism
KW - medical authority
KW - pharmaceutical industry
KW - regulatory state
KW - CONTROVERSY
U2 - 10.1177/0038038502036001004
DO - 10.1177/0038038502036001004
M3 - Article
VL - 36
SP - 67
EP - 88
JO - Sociology
JF - Sociology
SN - 0038-0385
IS - 1
ER -