1. Home
  2. Library
  3. Valedictory

Valedictory

Author: John O'Brien

There are hundreds, probably thousands, of activists and leaders around the world who have visited the City of Madison and Dane County, which sits in the middle of the vast US State of Wisconsin. We visited because we had heard that people there had worked, for decades, to establish the highest standards in support, inclusion and community life for people with intellectual disabilities.

John O'Brien was one of those who both inspired some of these positive developments and who helped share their learning with an international audience. However success - in public service - does not guarantee survival, especially when local democracy comes into conflict with the lobbying of the private healthcare and insurance systems. And this is not just a US problem, as colleagues in the UK and Finland are finding. The invasion of decent and effective public services, by managed care systems is well underway around the world. The result is likely to be the abandonment of the highest standards and a loss of integrity around the achievement of declared public policy goals.

This fascinating paper by John O'Brien helps both document what was achieved in Dane County and it explores the means by which those achievements were put under threat. This a critical document for future leaders, because it shows that positive, human rights-based supports, are entirely possible. But it should also help us spot some of the strategies that we must defeat if we are to push back commodified systems of care and to overcome the threat of managed care. 

Read and download the free pdf in your browser here.


The publisher is John O'Brien.

Valedictory © John O'Brien 2018.

All Rights Reserved. No part of this paper may be reproduced in any form without permission from the publisher except for the quotation of brief passages in reviews.

Documents

People

John O'Brien

John O'Brien

Library

Politics & Economics of Personal Budgets

Politics & Economics of Personal Budgets

In the first of a short series of essays Simon Duffy explores the political and economic challenges of moving towards personal budgets.

Surviving Cogworld

Surviving Cogworld

John O'Brien describes cogworld - the strange assumptions of systems to commodify, regulate and manage care.

Designing NDIS

Designing NDIS

Simon Duffy gives an international perspective on the design of systems of individualised funding for people with disabilities.

Personalisation and Human Rights

Personalisation and Human Rights

In this paper the authors argue that the broad policy concepts and detailed practice of personalisation are rooted in, and informed by, human rights.

Reforming Social Care

Reforming Social Care

This report explains why integration between health and social care is not desirable, setting out a clear vision for reforming social care in its own right.

Self-Directed Support

Self-Directed Support

This paper has been written as part of the SKILLS Project to begin the development of an international exploration of best-practice.