Constructing promissory futures to defer moral scrutiny: The dilemma of healthcare austerity

Author:

Van Elk Sam1ORCID,Reinecke Juliane2,Trenholm Susan3,Ferlie Ewan1

Affiliation:

1. King’s College London, UK,

2. University of Oxford, UK,

3. Mount Saint Vincent University, Canada,

Abstract

How can actors use the future to politically navigate moral disputes today? This article examines how projected futures are constructed and mobilised to suspend present-day moral dilemmas. Utilising the Economies of Worth and Barbara Adam’s sociology of time, we discursively analyse the moral dilemma between civic virtues and financial savings in UK healthcare austerity (2010–2018). This reveals how the pro-austerity government avoided moral scrutiny of their posited solutions to apparently intractable moral struggles using future projections we term ‘promissory futures’. Promissory futures project desirable futures that ambiguously seem both secured enough to be reliable, and open enough to escape today’s moral dilemmas. Thus, government could use them to shift the temporal focus away from present-day moral critique of how they were balancing austerity’s financial savings against civic virtues, and into a future where savings and civic virtues were compatible. However, promissory futures contain a contradiction: the future cannot be both already-secured and still-open. Thus, critics could eventually deconstruct promissory futures, requiring government to repeatedly reconstruct them. There thus emerges less a definitive moral settle- ment and more a continual process of moral settl- ing, whereby a series of promissory futures together forestall critique of underlying settlements, thus delaying moral struggles’ denouements.

Publisher

SAGE Publications

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