The rhetoric and the reality of rural deprivation |
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| Authors: | Brian P McLaughlin |
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| Institution: | 1. Division of Urology, Veterans Affairs Medical Center, Durham, NC;2. Department of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC;3. Department of Urology, UCLA School of Medicine, Los Angeles, CA;4. Urology Section, Department of Surgery, Veterans Affairs Greater Los Angeles, Los Angeles, CA;5. Urology Department, University of California San Diego Health System, San Diego, CA;6. Department of Urology, Oregon Health and Science University, Portland, OR;7. Department of Urology, UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA;8. Section of Urology, Veterans Affairs Medical Center, Augusta, GA;9. Section of Urology, Medical College of Georgia, Augusta, GA;10. Division of Urology, Department of Surgery, Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA;1. Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA;2. Departments of Pathology and Obstetrics and Gynecology, University of New Mexico, Albuquerque, NM, USA;3. Department of Health Policy and Management, Harvard University, Boston, MA, USA;4. University of Oslo, Oslo, Norway |
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| Abstract: | In the development of the rural deprivation debate in the U.K. in the early 1970s, the cause of rural deprivation was largely attributed to the imbalance in the allocation of state resources between urban and rural areas. In subsequent campaigns to redress that situation, much emphasis was placed on identifying specific ‘rural’ as opposed to ‘urban’ explanations for the problems facing rural populations. Evidence presented in this paper, however, illustrates the essentially aspatial nature of the deprivation experience. From a detailed household survey in a range of rural environments in England, deprivation was found to result as much from the socio-economic inequalities within rural society as it does from any perceived processes of territorial injustice in the allocation of Central Government financial support to local authorities. In the light of such findings, the paper questions the advisability of the state's adherence to spatial policies in the pursuit of solutions to the problems of the deprived in rural areas. |
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