Van yatiri tot privékliniek – Interculturaliteit in de gezondheidszorg in Bolivia – deel 1
Toegang tot goede gezondheidszorg is een belangrijke basisbehoefte. Maar wat is goede gezondheidszorg? Als wij in Nederland ziek worden, hebben we er in de meeste gevallen wel vertrouwen in dat onze huisarts of een specialist in het ziekenhuis ons weer geneest. We begrijpen min of meer hoe het zorgsysteem in elkaar steekt, en hoeven ons over de kosten van de behandeling nauwelijks zorgen te maken omdat we verzekerd zijn. Als we in het buitenland zijn, wordt de situatie al lastiger. De arts spreekt onze taal niet en we weten niet hoe het systeem werkt. Hetzelfde geldt natuurlijk voor immigranten in Nederland die het Nederlands nog niet goed beheersen.
Dit soort problemen speelt ook in andere landen met een cultureel diverse bevolking. Voor de inheemse inwoners van ontwikkelingslanden kan het Westerse zorgsysteem vreemd, onbegrijpelijk en angstaanjagend overkomen. In veel gevallen vertrouwen zij liever op hun eigen inheemse geneeskunde, vaak uitgevoerd door medicijnmannen en -vrouwen. Read more
Van yatiri tot privékliniek – Interculturaliteit in de gezondheidszorg in Bolivia – deel 2
4. El Alto: Capital Andina
Net als dat Bolivia een bijzonder land is, is El Alto een bijzondere stad in Bolivia. Oorspronkelijk is El Alto ontstaan als een sloppenwijk van La Paz. La Paz ligt in een dal naast de hoogvlakte. Toen het dal van La Paz vol raakte, is de stad letterlijk ‘over de rand’ gekropen, de hoogvlakte op.
Van sloppenwijk tot miljoenenstad
De bevolkingsgroei in deze sloppenwijk nam een vlucht na de Nationale Revolutie van 1952. De hierin afgedwongen landhervormingen zorgden ervoor dat kleine boeren niet langer konden overleven van de landbouw (Kranenburg 2002). Deze voornamelijk inheemse (Aymara) boeren hoopten op een beter leven in de stad en kwamen in El Alto terecht, wat ook weer andere migranten van Aymara afkomst aantrok. Zij voelden zich het meest thuis in deze stad waar ook hun eigen inheemse en plattelandstradities behouden bleven (Muriel Hernandez 1995). Nadat in de jaren ’80 veel mijnen sloten, trokken ook de voornamelijk Quechua mijnwerkers naar El Alto (Kranenburg 2002). In 1985 werd de wijk een onafhankelijke gemeente. Bijna alle inwoners van El Alto (alteños) komen van de hoogvlakte, en dan niet alleen uit Bolivia maar zelfs een deel uit Peru. Ook voor deze inheemse Peruanen is de culturele overgang van hun dorp naar El Alto kleiner dan naar bijvoorbeeld de Peruaanse hoofdstad Lima. Migranten uit andere delen van Bolivia zijn er eigenlijk nauwelijks, al neemt de laatste jaren het aantal migranten uit La Paz toe. Zij ontvluchten de dure woningmarkt van La Paz. Inmiddels wonen er naar schatting tegen de één miljoen mensen in El Alto. Hiermee is het de grootste stad op de hoogvlakte en ze wordt dan ook wel ‘Capital Andina’ genoemd (van Rijn 2006).
Ondanks dat in Bolivia stedelijke gebieden gemiddeld rijker zijn dan het platteland, leeft tweederde van de inwoners van El Alto onder de armoedegrens. Nog eens 17% leeft in extreme armoede. Dit is lager dan het nationale gemiddelde. Basisbehoeften zoals sanitaire voorzieningen, onderwijs en toegang tot zorg worden niet vervuld (INE 2005). Veel huizen, vooral in de nieuwere wijken aan de rand van de stad, hebben nog geen goede sanitaire voorzieningen, al wordt hier wel aan gewerkt door de gemeente (van Rijn 2006). Read more
IIDE Proceedings 2014 ~ Social Change in Our Technology-Based World ~ Contents & Preface and Acknowledgements
Contents
Preface and Acknowledgements
Sytse Strijbos – Introduction: Social Change in our Technology-Based World
Michael Heyns – A Transcendental Inquiry into ‘Academic Capitalism in the New Economy’
Mark Rathbone – Corporate Social Responsibility, Deconstruction and Justice: A Response to Campbell Jones and Richard T De George
Attie van Niekerk – The Cultural Basis for a Sustainable Community in a South African Township
Lindile L. Ndabeni – The Informal Sector and Local Economic Developments in South Africa: An Evaluation of Some Critical Factors
Natallia Pashkevich, Darek M. Haftor – About IT Unemployment: Reflecting on Normative Aspects of the ‘Broken Link’
Darek M. Haftor, Erdelina Kurti – Toward Post Systems Thinking in the Conception of Whole-Part Relations
Fabian von Schéele, Darek M. Haftor – Cognitive Time Distortion as a Source of Risk in Economic Organizations: Conceptual Foundations
Anita Mirijamdotter, Mary Sommerville – Information -The ‘I’ in 21st Century Organizational IT Systems: An Informed Systems Methodology
Andrew Basden – A Dooyeweerdian Understanding of Affordance in Information Systems and Ecological Psychology
Maarten J. Verkerk – The Triple I model: A Translation of Dooyeweerdian Philosophical Concepts for Engineers
Darek M. Haftor – Dealing with Complexity: Some Critical Reflections upon Verkerk’s ‘Triple I Model’
Information about the International Institute for Development and Ethics
Information about the Annual Working Conferences
Preface and Acknowledgements
In 1995 an international and interdisciplinary research cooperation started, initially between researchers from some universities and institutions in Sweden and the Netherlands. In later years this initiative quickly expanded into a network of interested colleagues from the UK and South Africa. To summarize a long story in short: a stable core group with converging research interests was born that since then has operated fruitfully. The annual working conferences (AWC’s) have served as an international platform for researchers with a common interest for the use of Dooyeweerdian thinking in the interdisciplinary study for a broad range of issues regarding ‘technology and society’.
Looking back on the AWC 2014 we feel this international collaboration has again proven to be successful format. We take pride in hereby to present the final result of a wonderful conference with inspiring discussions and constructive input in each other’s research paper. All selected papers after the conference went through an intensive process of rewriting, based on the reports of the reviewers, and the instructions of the editors. While each chapter has been written as an independent piece of scholarly work, we hope that an introductory chapter authored by one of the editors is helpful for the reader to see the unity in diversity.
Finally, the editors wish to express their thanks to the authors, to each other for the collegial cooperation, and, last but not least, to Dr. Christine Boshuijzen – van Burken for her skilful management of the conference and the production process of these Proceedings.
The Editors
IIDE Proceedings 2014 ~ Introduction: Social Change In Our Technology-Based World
1. Introduction
This book contains the research papers presented and thoroughly discussed at the 19th Annual Working Conference of the IIDE held in May 2014. These conferences are a collaborative effort of senior researchers and PhD students from different universities in different countries with a shared interest in normative aspects of the ongoing development and social change of our technology-based world. An integrative framework has emerged in previous research collaboration that enables us to map the contributions from the various disciplines – such as philosophy, engineering, information systems, management science, systems thinking, and development studies – in a coherent vision. Therefore it is useful to introduce first this integrative framework before we present an overview of the papers.
2. Integrative framework
With slight exaggeration, one can say that change is the only constant factor in today’s society where everything is in flux – continuing change seems to be a basic condition for living in modern times. This extreme dynamics and even fluidity of society (Bauman 2000) is directly related to the complex of Science, Technology and Economy since the Industrial revolution of the 19th century in Europe. In the past decades the study of this complex has become a vast field of interdisciplinary research with many ramifications and approaches (see e.g., the Encyclopedia of Science, Technology and Ethics)
To understand social change in a technology-based society requires first of all a conceptualization of the main terms “technology” and “society”. One should realize however that in fact both terms are container concepts or collective names and do not refer to a specific object. Furthermore one has to be aware that by distinguishing between such a thing as “technology” on the one hand and “society” on the other, one might already start from a false view on technology, namely as something that is separate from society. Aiming for an integrative vision of technology and society one should take into account that technology is about people and thus part of society and not like a meteorite that impinges from outside on our human lives and society. “We know that technology does not determine society: it is society. Society shapes technology according to the needs, values, and interests of people who use the technology.” (Castells and Cardoso 2005: 3) Read more
IIDE Proceedings 2014 – A Transcendental Inquiry Into ‘Academic Capitalism In The New Economy’
The aim of this essay [i] is to investigate and evaluate the ideas transcendental to the notion of ‘academic capitalism in the new economy’. Ideas that will get attention are firstly structure and direction, which broadly indicate the nature that the analysis and evaluation of ‘academic capitalism in the new economy’ will take. A second and narrower focus on ‘academic capitalism in the new economy’ is to label this phenomenon as an idea-framework that moulds the universities of our times. A third distinction is to identify in the core of this framework the constitutive goods that particularly give structure and direction to the idea of the university. In the case of ‘academic capitalism in the new economy’, the concepts of ‘profit’ and ‘economic growth’ are identified as constitutive goods. It will be argued that this idea-anatomy prepares the arena for the deformation that sets in when the constitutive good of an entity like a university is not internal to that entity but instead a totalitarian constitutive good is imposed from outside.
1. Introduction
Lynch (2006:4-5) takes note of the phenomenon of ‘academic capitalism in the new economy’[ii] when she observes that “there is an ongoing movement to define education as a tradable service”, an undertaking which is very much part of the “ideology of the World Trade Organisation”. The reason for this, she says, is “quite simple”: It is estimated that in the year 2000 already, “education was a $2 trillion global industry” with the perspective that it has the potential for profitable returns among those who can afford to pay for it. More than six hundred “for-profit” higher education institutions were operating at that time, which should give a clear indication that for-profit trading in higher education is making huge strides forward. Rhoades and Slaughter (2004:37-38) report about the American situation that the profit motive is not only part of private ‘for-profit’ universities but that “the ascendance of neo-liberal and neo-conservative politics and policies” caused a shift in “government investment in higher education to emphasize education’s economic role and cost efficiency”. This leads to what they call “academic capitalism in the new economy”, which is the tendency where non-profit public universities also “develop, market and sell a wide range of products commercially in the private sector as a basic source of income”.
The justifiers of the neoliberal academic capitalism are disposed to link with the anti-ivory tower sentiment about universities. Charles Taylor points out that already in early modernism, Francis Bacon argued that science which is not in the service of bettering the plight of humanity, is without value. Bacon’s argument can be seen as the cradle of a “model of science whose criterion of truth would be instrumental efficacy” in the service of “the production of life in ever-greater abundance and the relief of suffering on an ever-wider scale” (Taylor 2003:104-105). According to this anti-ivory tower sentiment universities should link with the main concerns of society and not withdraw in practicing science for its own sake. A foremost issue of this nature for current society is the neoliberal emphasis on economic growth and profit and the application of the latter obsession, justified by the good-sounding notion of innovation in universities. Read more
IIDE Proceedings 2014 – Corporate Social Responsibility, Deconstruction And Justice: A Response To Campbell Jones And Richard T. De George
The purpose of this article [i] is to develop an experimental model of deconstruction in CSR in order to attempt to bridge the aporia between the CSR of Jones and De George. Jones advocates the importance of deconstruction in CSR, while De George is suspicious of the perceived relativism and undecidability of deconstruction. It will be argued that this perceived aporia between Jones and De George develops, because it is overlooked by both, that the normative foundation of deconstruction is rooted in the appearance of the other as a function of justice. The appearance of the other decentres business and challenges modernism’s fragmentation and reduction of reality. This is highlighted in Derrida’s deconstruction of the gift in which business is not only a commercial function, but linked to society as a whole and therefore has a responsibility as an agent of social transformation. Deconstruction in CSR will be illustrated in the case study of Royal Bafokeng Platinum.
1. Introduction
The debt crisis of 2008, corporate scandals and environmental disasters related to business activities have emphasised the importance of corporate social responsibility (CSR) as a means to encourage good corporate citizenship. Good corporate citizenship assumes that business has a responsibility in society. This means that business will not harm society or the environment and assist in transforming society. This can be done by business by means of using their wealth and expertise to improve the lives and circumstances of people and by addressing injustices like socio-economic inequality. Corporate citizenship affirms the complex nature of corporate responsibility that encompasses a wide range of stakeholders in the local and global context e.g. Stakeholder theory[ii] (Freeman 1984). In this context, some scholars have argued that deconstruction, and specifically the work of Jacques Derrida in terms of the ethics of irreducibility, responsibility and justice, may be insightful to CSR in the global business context of cultural and religious diversity by challenging the limits of traditional CSR (Rendtorff[iii] 2008, Jones 2007, Woermann[iv] 2013). Limits refer to the focus of deconstruction on the inability of language to articulate the full complexity of reality (Melchert 2011:700). The optimism that articulation is possible, is a legacy of the reductionist trend of modernism and science that is evident in traditional CSR (Woermann 2013:98). Traditional CSR is rooted in the assumption that profit is the main agenda of business and the focus of social responsibility and ethical decision-making. Therefore, universal normative foundations are required to provide homogenous and predictable outcomes that sustain the status quo. According to this view, business only has a commercial function in society and the interaction of a business with employees, clients, producers, shareholders and communities is ultimately to increase profits and has very little to do with justice and social transformation, except indirectly though compliance to legal and other demands of society. Thus, traditional CSR is a phenomenon of modern culture that perpetuates a reductionist and fragmented view of reality and society in which business mostly focusses on profit and compliance, as if business is not linked to all other aspects of society (Taylor 2003:1-12). This fragmentation does not imply that traditional CSR is redundant and irrelevant, or, that deconstruction is against traditional CSR. Deconstruction reveals that business is more intertwined with society and cannot be limited to profit-making alone, or that transformation is only the responsibility of government. Deconstruction uncovers the tensions within traditional CSR between business as commercial function and agent in social transformation. This tension is due to the fragmented view of reality of traditional CSR that limits business to profit-making, while excluding the possibility of other functions. This is highlighted by Derrida’s deconstruction of the gift that views business as a commercial enterprise and social institution for the benefit and transformation of society. Thus, deconstruction acknowledges the complex and socially connected status of business in society and that business is an agent of social transformation, amongst others. Read more




