| Literature DB >> 35729948 |
Abstract
Boltanski and Thévenot (On justification. Economies of worth, Princeton University Press, Princeton, 2006) constructed in their seminal work On Justification the Orders of Worth (OW) framework as a research program for further empirical and theoretical development. This article suggests two methodological additions to extend the analytical capacities of the OW framework: The Socialism OW and the analytical adequacy axiom. The polito-philosophical Socialism OW, which acknowledges '(collective) welfare' as its mode of evaluation (worth) and the higher principle of 'solidarity' as its test, is rooted in the political philosophy of Rosanvallon (The society of equals, Harvard University Press, Cambridge, 2013). In addition to the systematic justification of the canonical text, this article also offers a tabular presentation for the construction of a new OW in relation to the axioms. In the article, first, the existing OW are put under scrutiny discussing the test category of solidarity, which was added and creates an analytic overload for the Civic OW. Second, analyzing the case of the German binary statutory health system, comprising of a private (first-class) and a public (second-class) healthcare, the capacities of the existing OW are discussed to identify a blank spot in the OW framework for empirical analysis. Accordingly, the descriptive analysis of the German binary health system is less about how the system is justified, and much more about understanding how given OW operate within it as coordinative devices. This systematic analysis of a situation of (temporary) agreements, especially of investments in forms, amends the OW use for empirical analysis of critique and justification in a situation.Entities:
Keywords: Axiological Sociology; Orders of worth; Public and private health insurance; Sociology of conventions; Theory development
Year: 2022 PMID: 35729948 PMCID: PMC9198621 DOI: 10.1007/s10746-022-09629-3
Source DB: PubMed Journal: Hum Stud ISSN: 0163-8548
Categories of Civic, Industrial and Market OW and schematic OW drift in the German political economy of health
| Civic | Industrial | Market | |||
|---|---|---|---|---|---|
| Mode of evaluation (worth) | Collective interest a | → | Technical efficiency | → | Price, cost |
| Test | Equality b | → | Competence, reliability, planning | → | Market competitiveness |
| Form of relevant proof | Formal, official | → | Measurable: criteria, statistics | → | Monetary |
| Qualified objects | Rules and regulations, fundamental rights c | → | Infrastructure, method, plan, project, technical object | → | Freely circulating market good or service |
| Qualified subjects | Citizens d | → | Engineer, expert, professional | → | Customer, consumer, merchant, seller |
| Time formation | Perennial | → | Long-term planned future | → | Short-term, flexibility |
| Space formation | Detachment | → | Cartesian space | → | Globalization |
a) The earlier term used by Boltanski and Thévenot (1999:368) is given, not the later term “collective welfare” (Thévenot et al., 2000: 241)
b) later amended to "equality and solidarity" in Thévenot et al. (2000: 241)
c) later amended to “rules and regulations, fundamental rights, welfare policies” in Thévenot et al. (2000: 241)
d) later amended to “equal citizens, solidarity unions" in Thévenot et al. (2000: 241)
Sources: Boltanski and Thévenot (1999: 368); Thévenot et al. (2000: 241); Modified by author
Private health insurance ‘products and services’ according to rates
| Basic | Comfort | Premium | |
|---|---|---|---|
| General treatment | + + | + + | + + |
| Treatment by chief physician | + + | + + | + + |
| Treatment by medical specialist | + | + | + + |
| Drugs and bandages | + | + | + + |
| Remedies (e.g., massages, speech therapy, ergo therapy and physiotherapy) | + | + | + + |
| Adjuvants (e.g., glasses and contact lenses) | + | + | + + |
| Healer/alternative practitioner | − | + | + + |
| Psychotherapy | − | + | + + |
| Alternative method of healing | − | + | + + |
| General hospital | + + | + + | + + |
| Treatment | + + | + + | + + |
| Single/double bedroom | − | + + | + + |
| Individual selection of doctor (chief physician) | − | + | + + |
| Teeth | + + | + + | + + |
| Dentures (artificial denture, dental bridge and dental crown) | + | + | + |
| Inlays, dental implant and orthodontia | + | + | + |
+ + No or minimal constraints (80%–100% reimbursements of costs)
+ Constraints (about 50%–80% reimbursements of costs)
− Not included
Source: https://www.krankenkassen.de/private-krankenversicherung/private-krankenversicherung-kosten/ (last accessed 04.10.2021); authors’ translation and arrangement
Fig. 1Triangle of in’equal’ first-class and second class ‘citizens’ in the German binary political economy of health according to mode of evaluation (worth) and test of the Civic, Industrial and Market OW
Six Axioms by Boltanski and Thévenot (2006: 74–77), applied to the Socialism OW
| Axioms | Socialism OW |
|---|---|
| Principle of common humanity [a1] | |
| Members of a polity who are capable of identifying with and reaching an agreement about a common definition of humanity (presupposition excludes slaves and subhumans) | ‘Common welfare’ is based on the communal and reciprocal ‘solidaristic’ assurance of safety and quality of life when there is contingent loss of health (e.g., due to an accident), subsistence (e.g., food) and work (e.g., retirement) |
| Principle of differentiation [a2] | |
| Polity members have at least two possible | The possible states are situated on a continuum between ‘solidarity’ and indifference. According to Rosanvallon ( |
| Common dignity [a3] | |
| All members of a polity have potentially identical power to access all the different states of the multistate humanity | A common welfare system consists of singularities who provide for the means of welfare support and those who benefit from it. Ideally, singularities first provide for and then benefit from welfare (e.g., work and unemployment benefits). However, access to the different states in the common welfare system might be limited due to unfortunate circumstances (e.g., an accident) |
| Order of worth [a4] | |
| Compromises, disputes, disagreements and justification are necessary to achieve a ranking of polities that express a range of values (e.g., for the common good) | Need is the worth creating the order of ‘common welfare’. Communal and reciprocal singularities are morally required to balance their personal needs with those of others through ‘solidarity’. According to the subsidiarity principle, the State is supposed to define legal procedures to prevent fraud by members of the polity who are either non- ‘solidaristic’ or overly dependent |
| Investment formula [a5] | |
| Human beings with equal power to access all states (when a higher state equates to a greater degree of happiness) have to balance the benefits against the costs or sacrifices made to access higher and lower states | The investment formula of singularities in the higher states is based on the calculation that it could be me in need of ‘common welfare’ sometime in the unknown future. The communal investment formula is based on the political economy of a singularities’ potentially not being able to provide for welfare needs. The investment formula of the lower states is based on a singularities’ potential to avoid common welfare as far as possible |
| Common good [a6] | |
| This states that a good or happiness correlates to the higher or lower rank of a state and is not beneficial in a similar way to all members of a polity | The paradox of solidaristic common ‘welfare’ is, in the highest state, the willingness to contribute to it and at the same time hope not to be in need of it. In contrast to this highest state, the lowest state is defined by the paradox of being unwilling to contribute but knowing that common ‘welfare’ is a safety net to rescue a singularity in need |
Fig. 2Differentiated analysis of a political economy of health according to mode of evaluation (worth) and test categories of the Civic, Industrial, Market, and Socialism OW
Categorized abstractions of the Socialism OW
| Socialism OW | |
|---|---|
| Mode of evaluation (worth) | (Collective) welfare |
| Test | (Communal and reciprocal) solidarity |
| Form of relevant proof | Safety, quality of life |
| Qualified objects | Health, accident, pension, subsistence, unemployment |
| Qualified subjects | Solidaristic singularities |
| Time formation | Human lifetime |
| Space formation | Nation state, alliance |
Five criteria for selecting a canonical text by Boltanski and Thévenot (2006: 71–74), applied to Rosanvallon (2013)
| Criteria | Socialism OW |
|---|---|
| (a) The selected text should be (one of) the earliest political text(s) to present the polity in a systematic form. The grammar of the political text should provide for general formulations, i.e., be applicable to everyone and in all situations, which validate the operating customs, procedures, rules and settlements on the local level. The higher common principle must be satisfied “in order to sustain | Rosanvallon’s |
| (b) The text needs to define a higher common principle, which is used in a socially structured situation for the construction of worth, [and to] present “a form of sacrifice and a form of common good possessing universal validity” (Boltanski & Thévenot, | The higher common principle is communal and reciprocal ‘solidarity’ between singularities. Worth is based on the ethical continuum of singularities’ ‘solidarity’: the generality pole consists of “just rules,” and the particularity pole consists of agreement on singularities’ benefits being tied to “forms of attentive behavior” (Rosanvallon, |
| (c) The text has to be explicitly political in the way the author argues for the “principles of justice that govern the polity” (Boltanski & Thévenot, | The ‘solidarity’ of singularities, based on mutual esteem, is fundamental for the social construction of a communal and reciprocal polity |
| (d) The canonical text has to aim to establish practical trust within a polity by constructing a “natural order so as to institute situations that are stabilized by recourse to a higher common principle” (Boltanski & Thévenot, | Rosanvallon argues in Chapter 4 that the natural trust known in industrial modernity (e.g., cultural conformity, rationalization, technicalization and expansion of the welfare state) is no longer valued in late modernity. In Chapter 5, the idea of singularities’ communal and reciprocal solidarity might be judged utopian in 2022. However, the Socialism “world is possible – that is, logically possible, cohesive and robust” (Boltanski, |
| (e) This criterion is ambiguous. Boltanski and Thévenot ( | Of course, in comparison to Rousseau’s |