대항 헤게모니로서 건강의 공공성 : 제주 녹지국제병원 공론조사에 대한 비판적 담론분석을 중심으로

• Main Author: 하지우
• Other Authors: 김창엽, Jiwoo HA, 보건대학원 보건학과(보건정책관리학전공)
• Format: Doctoral or Postdoctoral Thesis
• Language: Korean
• Published: 서울대학교 대학원 2022
• Subjects: 녹지국제병원; 영리병원; 의료민영화; 공공성; 비판적 담론분석; 헤게모니; 614; Greenland
• Online Access: https://hdl.handle.net/10371/182075; https://dcollection.snu.ac.kr/common/orgView/000000170055

This study analyzed the discourses existed during the deliberative poll on the approval of ‘Jeju Greenland International Hospital’, Korea’s first for-profit hospital, and corroborated the power effects of discourses, ideologies, and social struggles at the hegemony level through Critical Discourse Analysis. The pro-for-profit hospital agents urged approval for the establishment of the hospital through ‘neoliberal-developmental discourse’ and ‘litigation discourse’, while civic groups led the way in disallowing the for-profit hospital through ‘publicness in health discourse’, ‘alternative discourse’, and ‘process discourse’. Also, all of them directly criticized the opponents behind the discourses. ‘Jeju Free International City’, which follows the ideal free market economy model and the history and purpose of the for-profit hospital in Jeju were the background of the discourses presented during the poll. However, corporations and representatives of economic power were not the only agents to urge for approval. Governments, which are captured by the economic power and represented themselves as the neoliberal and developmental state, were the leading agents for the establishment of the hospital. Neoliberal and developmental ideologies were vested in the discourses pro-for-profit hospital agents created. They defined problems and solutions based on market populism and insisted to invest, deregulate, compete, and marginalize equity with emphasis on monetary cost-benefit calculation. Also, they demanded the protection of rich’s right to choose extravagant services regardless of the damage on the accessibility of vulnerable groups. Civil groups criticized neoliberal and developmental ideologies and exposed the fallacy of the trickle-down effect that embedded in market populism. The pro-for-profit hospital agents forced participants of the poll to choose the approval by threatening them with a lawsuit. Government did not represent the citizens, instead, they threatened people on behalf of Greenland Holdings. It was ...