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Not the usual suspects: addressing layers of vulnerability
Florencia Luna1, Sheryl Vanderpoel
1Programa de Bioética, Facultad Latinoamericana de Ciencias Sociales FLACSO, Sede Académica de Argentina, Ayacucho 555 CABA, Argentina. florlunaflacso@gmail.com
Traditional healthcare vulnerability models overlook how middle-class individuals can become vulnerable. This study proposes a layered approach, using cord blood banking as a case study, to better understand and address these vulnerabilities in public health policy.
Area of Science:
- Healthcare policy
- Sociology of health
- Bioethics
Background:
- Traditional vulnerability frameworks in healthcare focus on identifiable subpopulations, often from lower-resource settings.
- This categorical approach offers a narrow perspective, failing to capture nuanced vulnerabilities experienced by diverse socioeconomic groups.
- The concept of vulnerability requires re-evaluation beyond predefined categories.
Purpose of the Study:
- To challenge the traditional, categorical understanding of vulnerability in healthcare.
- To propose and explore a relational and layered account of vulnerability.
- To examine how middle-class individuals can experience vulnerability in specific healthcare contexts, using cord blood banking as a case study.
Main Methods:
- Contrasting categorical and layered approaches to vulnerability.
- Presenting a case study of cord blood banking in Argentina.
- Analyzing the pressures faced by middle-class pregnant women considering cord blood collection and storage.
Main Results:
- The categorical approach to vulnerability is insufficient for understanding the pressures and vulnerabilities experienced by middle-class women in the context of cord blood banking.
- A layered account of vulnerability reveals multiple dimensions of vulnerability not captured by traditional models.
- The case study demonstrates how socioeconomic status does not preclude vulnerability.
Conclusions:
- A layered, relational model of vulnerability offers a more comprehensive understanding of healthcare vulnerabilities.
- Public health policies should be designed considering this layered approach to effectively address diverse vulnerabilities.
- Rethinking vulnerability is crucial for equitable and effective healthcare provision.
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