Not the usual suspects: adressing layers of vulnerability

Authors
Luna, Florencia; Vanderpoel, Sheryl
Publication Year
2013
Language
English
Format
article
Status
Published version
Description
This paper challenges the traditional account of vulnerability in healthcare which conceptualizes vulnerability as a list of identifiable subpopulations. This list of "usual suspects", focusing on groups from lower resource settings, is a narrow account of vulnerability. In this article we argue that in certain circumstances middle-class individuals can be also rendered vulnerable. We propose a relational and layered account of vulnerability and explore this concept using the case study of cord blood (CB) banking.
In the first section, two different approaches to "vulnerability" are contrasted: categorical versus layered. In the second section, we describe CB banking and present a case study of CB banking in Argentina. We examine the types of pressure that middle-class pregnant women feel when considering CB collection and storage. In section three, we use the CB banking case study to critique the categorical approach to vulnerability: this model is unable to account for the ways in which these women are vulnerable. A layered account of vulnerability identifies several ways in which middle-class women are vulnerable. Finally, by utilizing the layered approach, this paper suggests how public health policies could be designed to overcome vulnerabilities.

Fil: Luna, Florencia. Facultad Latinoamericana de Ciencias Sociales. Sede Académica Argentina Buenos Aires. Programa de Bioética; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Vanderpoel, Sheryl. World Health Organization. Department of Reproductive Health and Research; Suiza
Subject
LAYERS OF VULNERABILITY
PUBLIC HEALTH POLICIES
MIDDLE CLASS PREGNANT WOMEN
LATIN AMERICA
CORD BLOOD BANK
Ética Médica
Ciencias de la Salud
CIENCIAS MÉDICAS Y DE LA SALUD
Access level
Restricted access
License
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repository
CONICET Digital (CONICET)
Institution
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identifier
oai:ri.conicet.gov.ar:11336/24590