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Journal of Macromarketing
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Rising Markets and Failing Health: An Inquiry into Subaltern Health Care Consumption under Neoliberalism

Rohit Varman

Department of Industrial and Management Engineering at Indian Institute of Technology, Kanpur

Ram Manohar Vikas

Department of Industrial and Management Engineering at Indian Institute of Technology, Kanpur

This research highlights some of the fundamental weaknesses in the market-based economic approach for a developing society. This study of health care consumption by subaltern groups in India reveals that consumers believe that greater reliance on a market-based system has contributed to a decline in the state health institutions, proliferation of private clinics, and a close physician—pharmaceutical firm nexus. Accordingly, instead of creating a more efficient system of health care delivery, market forces are instrumental in marginalization of the subaltern sections of the population. Ramifications of these findings include a suggested expansion in quality of life marketing framework to include the concept of consumer empowerment with specific emphases on dimensions of control and exclusion.

Key Words: health care • development • quality of life • subaltern consumers • neoliberalism

Journal of Macromarketing, Vol. 27, No. 2, 162-172 (2007)
DOI: 10.1177/0276146707301333


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