The British National Health Service (NHS) has experienced various phases of reform and reorganisation during the last 15 years. During this time it has been suggested that the role of the patient is analogous to that of the consumer. Meanwhile there has been increasing application of the...

This is chapter 3 of the book "Rethinking Sustainability: Power, Knowledge and Institutions" by Jonathan M. Harris (ed). Effective development usually must involve both the elite and the most needy within any particular society—these two groups being seen not as polar types but as the opposite...