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content/research/crazyrhythms.md

@@ -19,6 +19,20 @@ Italy in these decades was subjected to a fast industrialization that deeply alt
 
 The title we chose for this zine is our English translation of the one of a newspaper article - RITMI DA PAZZIA - which denounced how in the factory workers are subjected to a constant accelleration in the name of profit. These rhythms are maddening in the sense that were making people furious and push them to organize for change, while at the same time they also provoked many to experience negative mental health conditions. As we shall see, burnouts, depression and psychosis were widespread experiences linked with chain work. 
 
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+# Italian Healthcare struggles
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+In the aftermath of the decade-long neoliberal crisis of care and the more recent pandemic, many political imaginaries related to the protection of collective health rely on mutual aid and solidarity networks. Many of the initiatives that want care to be more accessible and inclusive are set up as self-organzised practices. Many activists and organizers are loudly critical of public healthcare provisions which are perceived as negligent and over-bureaucratic at best, incompetent and punitive at worst. 
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+Looking back at the Italian struggles for health of the 1960s and 1970s is a relevant tasks today as this history reminds us of a different possibility in orienting our political imaginaries. Rather than presenting autonomous and self-organzied practices as the opposite of languishing public infrastructures, they remind us that these very different alignment of forces is possible, as these  struggles led to the creation of a public health care system in 1978. 
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+The pressure for creating such public health care system was born from an unprecedented alliance between left political forces, advanced experiences renewing medical practice, radical health activism, struggles by trade unions, workers’ groups, student and feminist movements. The 1978 reform was a universal, public, free health service, offering a wide range of provision outside the market, largely modelled on the British NHS and reflecting the definition of health spelt out by the WHO in 1946.
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+Abandoning the tradition of a corporatist health system with its limited coverage of separate professional groups, Italy’s reform introduced a public and universal health service, financed through general taxation, freely available to all/
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+The link between the self-organized struggles and the new public system becomes apparent in the way it was designed in its original conception (albeit soon corrupted by a series of reactionary modification to the law).  In several areas – mental health, occupational health, women’s health, drug treatments - new knowledge on illness prevention, new practices of service delivery and innovative institutional arrangements emerged, with a strong emphasis on territorial services addressing together health and social needs. The movements' legacy was palpable in the integrated vision of health – physical and psychic, individual and collective, linked to the community and the territory – that emerged. The struggles were clear in their proposal: a new, less hierarchical type of doctor-patient relationship was needed; healthcare should be linked to territories and, as much as possible, conducted in participatory manner; preventive approaches, rather than curing, were central in this vision. This political strategy viewed health as combining a collective dimension and an individual condition; collective struggles were therefore needed to address the economic and social roots of disease and public health problems. This approach was paralleled by the feminist movement in addressing women’s health issues, including the important experiments in self-organized health clinics. As Giulio Maccacaro had argued in 1976, the strategy was a bottom-up “politicization of medicine”, challenging the way industrial capitalism was exploiting workers and undermining health and social conditions in the country.
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 # Politicizing Expertise, Over and Over Again
 
 The Covid-19 pandemic brought back at the centre of attention the relationship between medical-scientific knowledge and political strategies in the field of healthcare, the very same relationship that has been the core issue in the historical struggles around healthcare that we have been encountering in the archives centred on 1960s and 1970s' experiences in Italy.