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정신질환자의 민간보험 가입차별 문제에 대한 정책과정: 비판적 담론분석의 적용
주민지 ( Minji Ju ),김희언 ( Heeun Kim ),강민아 ( Minah Kang ) 한국사회보장학회 2017 사회보장연구 Vol.33 No.2
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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