{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:46:29Z","timestamp":1785545189867,"version":"3.56.0"},"reference-count":65,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2011,7,1]],"date-time":"2011-07-01T00:00:00Z","timestamp":1309478400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Health Serv"],"published-print":{"date-parts":[[2011,7]]},"abstract":"<jats:p>The health impact of neoliberal \u201cshock treatment\u201d has been explored in relation to the former USSR, but much remains to be done to ascertain its impact elsewhere. The authors consider the \u201cScottish Effect\u201d in health\u2014the unexplained excess mortality in Scotland, compared with the rest of Britain, after accounting for deprivation. A prevalent but as yet untested view is that this effect is linked to the neoliberal \u201cpolitical attack\u201d against the organized working class, implemented by the post-1979 U.K. Conservative governments. The article begins to develop and test this view in the form of a \u201cpolitical attack hypothesis.\u201d It shows how the west of Scotland became a particular target for the political attack planned by the U.K. Conservative Party prior to its election in 1979; outlines how such an attack might affect health; and shows that after 1979 the United Kingdom as a whole was exposed to neoliberalism in a way other European nations were not and, crucially, that the west of Scotland was more vulnerable to its damaging effects than other U.K. regions. The authors conclude that it is now appropriate to explore more fully the role of neoliberal political attack in creating the \u201cScottish Effect\u201d in health.<\/jats:p>","DOI":"10.2190\/hs.41.3.f","type":"journal-article","created":{"date-parts":[[2011,7,6]],"date-time":"2011-07-06T21:22:51Z","timestamp":1309987371000},"page":"501-523","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":33,"title":["The Impact of Neoliberal \u201cPolitical Attack\u201d on Health: The Case of the \u201cScottish Effect\u201d"],"prefix":"10.1177","volume":"41","author":[{"given":"Chik","family":"Collins","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerry","family":"McCartney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2011,7,1]]},"reference":[{"key":"bibr1-HS.41.3.f","doi-asserted-by":"publisher","DOI":"10.1093\/epirev\/mxp002"},{"key":"bibr2-HS.41.3.f","volume-title":"The Shock Doctrine: The Rise of Disaster Capitalism","author":"Klein N.","year":"2007"},{"key":"bibr3-HS.41.3.f","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60005-2"},{"key":"bibr4-HS.41.3.f","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69341-0"},{"key":"bibr5-HS.41.3.f","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckn040"},{"key":"bibr6-HS.41.3.f","volume-title":"Understanding the Health of Scotland's Population in an International Context: A Review of Current Approaches, Knowledge, and Recommendations for New Research Directions","author":"Leon D. 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