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KMID : 1124020170330020153
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Korean Social Security Studies
2017 Volume.33 No. 2 p.153 ~ p.184
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A Critical Discourse Analysis on the Policy Process of Overcoming Discrimination for Mentally-ill Patients in Purchasing Private Insurance
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Ju Min-Ji
Kim Hee-Un
Kang Min-Ah
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Abstract
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This study conducts a discourse analysis regarding the policy process of solving the discrimination against mentally-ill patients` purchasing private insurances, which have been discussed for over a decade. It has been constantly criticized as the problem of discrimination that the refusal to insure or provide coverage to the mentally-ill people with pre-existing conditions or even those who have any record of being treated. Therefore, this study focuses on the policy discourses which contain different views and interpretation on mentally-ill as a policy target group, and analyzes the contents and changes based on Fairclough`s Critical Discourse Analysis (CDA). To figure out the changing process of the set of values among policy stakeholder, the three dimensional analytical approaches of CDA - text analysis, discourse practice analysis, and sociocultural practice analysis - were used. Analysis of the flow of discourse of three periods respectively found that the policy stakeholders have not met a state of agreement, even on the key concepts including mental illness and mental disorder. Inevitably, the discourses on “mentally-ill” have been segmented into two tracks: the citizens with mild and recoverable symptoms and the citizens with severe mental disability. Regardless of the diverse policy alternatives raised for several years, the result of this study implies that an agreement on the concepts and ranges of mentally-ill people as policy target group will be able to minimize the institutional vacuum.
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KEYWORD
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Mental Illness, Mental Disorder, Discrimination in Purchasing Private Insurance, Critical Discourse Analysis
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