Idéologie et pouvoirs en République Démocratique Populaire Lao. Enseignements tirés d’une lecture géographique du système de soins

Since 1975, Laos is a People's Democratic Republic (Lao P.D.R) with a socialist political line while also using authoritarian practices. This political regime is distinct by its opening to a market economy in the early 1980s. In this context, we consider ways of coexisting and potential links b...

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Auteur principal: Virginie Mobillion
Format: article
Langue:DE
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Publié: Unité Mixte de Recherche 8504 Géographie-cités 2018
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Accès en ligne:https://doaj.org/article/b360dea595704c3a94cd4d0a9189dd86
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Résumé:Since 1975, Laos is a People's Democratic Republic (Lao P.D.R) with a socialist political line while also using authoritarian practices. This political regime is distinct by its opening to a market economy in the early 1980s. In this context, we consider ways of coexisting and potential links between authoritarianism, socialism and economic liberalization. The article offers to study this issue in Vientiane, the political and economic capital, through the analysis of the health-care system. As a state apparatus and a permeable device to political and economic developments, the health care system is able to reveal the power and expectations of the political sphere and the relationships between public and private actors. The proposed geographical approach is based on two complementary analyses: on one hand the development of the health-care system (public, private, traditional) as it was conceived and framed in the capital city, and on the other hand the spatial organization of health care provision and planning. A short socialist period providing for the development and the supervision of a large network of care is opposed to a rapid and liberal economic shift, in which the public care system is neglected by public authorities and private providers serving their own interests and by the same token the legitimacy of the leaders.