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Bringing together the experience, perspective and expertise of Paul Farmer, Jim Yong Kim, and Arthur Kleinman, Reimagining Global Health provides an original, compelling introduction to the field of global health. Drawn from a Harvard course developed by their student Matthew Basilico, this work provides an accessible and engaging framework for the study of global health. Insisting on an approach that is historically deep and geographically broad, the authors underline the importance of a transdisciplinary approach, and offer a highly readable distillation of several historical and ethnographic perspectives of contemporary global health problems. The case studies presented throughout Reimagining Global Health bring together ethnographic, theoretical, and historical perspectives into a wholly new and exciting investigation of global health. The interdisciplinary approach outlined in this text should prove useful not only in schools of public health, nursing, and medicine, but also in undergraduate and graduate classes in anthropology, sociology, political economy, and history, among others.
When asked to compare the practice of medicine today to that of a hundred years ago, most people will respond with a story of therapeutic revolution: back then we had few effective remedies, now we have more (and more powerful) tools to fight disease. In this version of history, medicine was made modern and effectual by medicines. The aim of "Therapeutic Revolutions" is to challenge the linearity of this historical narrative, provide a thicker explanation of the process of therapeutic transformation, and explore the complex relationships between medicines and social change. Working on three continents and touching upon the lived experiences of patients and physicians, consumers and providers, marketers and regulators, the contributors to this volume together reveal the tensions between universal claims of therapeutic knowledge and the specificity of local sites in which they are put into practice, asking, collectively: what is revolutionary about therapeutics? "
This volume bridges the gap between forensic and cultural anthropology in how both disciplines describe and theorize the dead, highlighting the potential for interdisciplinary scholarship. As applied disciplines dealing with some of the most marginalized people in our society, forensic anthropologists have the potential to shed light on important and persistent social issues that we face today. Forensic anthropologists have successfully pursued research agendas primarily focused on the development of individual biological profiles, time since death, recovery, and identification. Few, however, have taken a step back from their lab bench to consider how and why people become forensic cases or ...
In his gripping and provocative debut, anthropologist Jason De Le—n sheds light on one of the most pressing political issues of our timeÑthe human consequences of US immigration policy.Ê The Land of Open Graves reveals the suffering and deaths that occur daily in the Sonoran Desert of Arizona as thousands of undocumented migrants attempt to cross the border from Mexico into the United States. Drawing on the four major fields of anthropology, De Le—n uses an innovative combination of ethnography, archaeology, linguistics, and forensic science to produce a scathing critique of ÒPrevention through Deterrence,Ó the federal border enforcement policy that encourages migrants to cross in areas characterized by extreme environmental conditions and high risk of death. For two decades, this policy has failed to deter border crossers while successfully turning the rugged terrain of southern Arizona into a killing field. In harrowing detail, De Le—n chronicles the journeys of people who have made dozens of attempts to cross the border and uncovers the stories of the objects and bodies left behind in the desert. The Land of Open Graves will spark debate and controversy.
Neoliberalism has been the defining paradigm in global health since the latter part of the twentieth century. What started as an untested and unproven theory that the creation of unfettered markets would give rise to political democracy led to policies that promoted the belief that private markets were the optimal agents for the distribution of social goods, including health care. A vivid illustration of the infiltration of neoliberal ideology into the design and implementation of development programs, this case study, set in post-Soviet Tajikistan’s remote eastern province of Badakhshan, draws on extensive ethnographic and historical material to examine a “revolving drug fund” program—used by numerous nongovernmental organizations globally to address shortages of high-quality pharmaceuticals in poor communities. Provocative, rigorous, and accessible, Blind Spot offers a cautionary tale about the forces driving decision making in health and development policy today, illustrating how the privatization of health care can have catastrophic outcomes for some of the world’s most vulnerable populations.
Suicide is a puzzling phenomenon. Not only is its demarcation problematic but it also eludes simple explanation. The cultures in which suicide mortality is high do not necessarily have much else in common, and neither is a single mental illness such as depression sufficient to lead a person to suicide. In a word, despite its statistical regularity, suicide is unpredictable on the individual level. The main argument emerging from this collection is that suicide should not be understood as a separate realm of pathological behavior but as a form of human action. As such it is always dependent on the decision that the individual makes in a cultural, ethical and socio-economic context, but the context never completely determines the decision. This book also argues that cultural narratives concerning suicide have a problematic double function: in addition to enabling the community to make sense of self-inflicted death, they also constitute a blueprint depicting suicide as a solution to common human problems.
What happens to migrants after they are deported from the United States and dropped off at the Mexican border, often hundreds if not thousands of miles from their hometowns? In this eye-opening work, Jeremy Slack foregrounds the voices and experiences of Mexican deportees, who frequently become targets of extreme forms of violence, including migrant massacres, upon their return to Mexico. Navigating the complex world of the border, Slack investigates how the high-profile drug war has led to more than two hundred thousand deaths in Mexico, and how many deportees, stranded and vulnerable in unfamiliar cities, have become fodder for drug cartel struggles. Like no other book before it, Deported to Death reshapes debates on the long-term impact of border enforcement and illustrates the complex decisions migrants must make about whether to attempt the return to an often dangerous life in Mexico or face increasingly harsh punishment in the United States.
Bill Gates has called Paul Farmer one of the most amazing people he has ever met. CNN medical correspondent Dr. Sanjay Gupta says that “if pure altruism exists in humans, it probably looks a lot like Dr. Paul Farmer." In Paul Farmer, Servant to the Poor, Jennie Weiss Block introduces readers to this physician and medical anthropologist of international stature whose Catholic faith has driven him to work untiringly to make a preferential option for the poor in health care. Farmer, with his colleagues at Harvard University and Partners in Health, have been instrumental in bringing the fruits of modern medicine to millions of the poorest people in the world, in places like Haiti, Rwanda, Peru, Russia, Malawi, and West Africa during the recent Ebola crisis. Challenging the conventional wisdom of global health experts, Dr. Farmer has shown it is possible to deliver high-quality medical care on a large scale in settings of great poverty and to build communities around the globe where good health and hope prevail.
All I Eat Is Medicine charts the lives of individuals and the operation of institutions in the thick of the AIDS epidemic in Mozambique during the global scale-up of treatment for HIV/AIDS at the turn of the twenty-first century. Even as the AIDS treatment scale-up saved lives, it perpetuated the exploitation and exclusion that was implicated in the propagation of the epidemic in the first place. This book calls attention to the global social commitments and responsibilities that a truly therapeutic global health requires.
Offers an innovative study of visual traditions in modern medical history through debates about the causes, impact and spread of AIDS.