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A woman with hypertension refuses vegetables. A man with diabetes adds iron-fortified sugar to his coffee. As death rates from heart attacks, strokes, and diabetes in Latin America escalate, global health interventions increasingly emphasize nutrition, exercise, and weight loss—but much goes awry as ideas move from policy boardrooms and clinics into everyday life. Based on years of intensive fieldwork, The Weight of Obesity offers poignant stories of how obesity is lived and experienced by Guatemalans who have recently found their diets—and their bodies—radically transformed. Anthropologist Emily Yates-Doerr challenges the widespread view that health can be measured in calories and pounds, offering an innovative understanding of what it means to be healthy in postcolonial Latin America. Through vivid descriptions of how people reject global standards and embrace fatness as desirable, this book interferes with contemporary biomedicine, adding depth to how we theorize structural violence. It is essential reading for anyone who cares about the politics of healthy eating.
By portraying the circumstances of people living with chronic conditions in radically different contexts, from Alzheimer’s patients in the UK to homeless people with psychiatric disorders in India, Managing Chronicity in Unequal States offers glimpses of what dealing with medically complex conditions in stratified societies means. While in some places the state regulates and intrudes on the most intimate aspects of chronic living, in others it is utterly and criminally absent. Either way, it is a present/absent actor that deeply conditions people’s opportunities and strategies of care. This book explores how individuals, groups and communities navigate uncertain and unequal healthcare systems, in which inherent moral judgements on human worth have long-lasting effects on people’s wellbeing. This is key reading for anyone wishing to deconstruct the issues at stake when analysing how care and chronicity are entangled with multiple institutional, economic, and other circumstantial factors. How people access the available informal and formal resources as well as how they react to official diagnoses and decisions are important facets of the management of chronicity. In the arena of care, people with chronic conditions find themselves negotiating restrictions and handling issues of power and (inter)dependency in relationships of inequality and proximity. This is particularly relevant in current times, when care has given in to the lure of the market, and the possibility of living a long and fulfilling life has been drastically reduced, transformed into a ‘reward’ for the few who have been deemed worthy of it.
Privatization and the New Medical Pluralism is the first collection of its kind to explore the contemporary terrain of healthcare in Guatemala through reflective ethnography. This volume offers a nuanced portrait of the effects of healthcare privatization for indigenous Maya people, who have historically endured numerous disparities in health and healthcare access. The collection provides an updated understanding of medical pluralism, which concerns not only the tensions and exchanges between ethnomedicine and biomedicine that have historically shaped Maya people’s experiences of health, but also the multiple competing biomedical institutions that have emerged in a highly privatized, market-driven environment of care. The contributors examine the macro-structural and micro-level implications of the proliferation of non-governmental organizations, private fee-for-service clinics, and new pharmaceuticals against the backdrop of a deteriorating public health system. In this environment, health seekers encounter new challenges and opportunities, relationships between the public, private, and civil sectors transform, and new forms of inequality in access to healthcare abound. This volume connects these themes to critical studies of global and public health, exposing the strictures and apertures of healthcare privatization for marginalized populations in Guatemala.
This book provides a clear, broad, and provocative synthesis of the history of Latin American medicine.
Michel Foucault's death in 1984 coincided with the fading away of the hopes for social transformation that characterized the postwar period. In the decades following his death, neoliberalism has triumphed and attacks on social rights have become increasingly bold. If Foucault was not a direct witness of these years, his work on neoliberalism is nonetheless prescient: the question of liberalism occupies an important place in his last works. Since his death, Foucault's conceptual apparatus has acquired a central, even dominant position for a substantial segment of the world's intellectual left. However, as the contributions to this volume demonstrate, Foucault's attitude towards neoliberalism was at least equivocal. Far from leading an intellectual struggle against free market orthodoxy, Foucault seems in many ways to endorse it. How is one to understand his radical critique of the welfare state, understood as an instrument of biopower? Or his support for the pandering anti-Marxism of the so-called new philosophers? Is it possible that Foucault was seduced by neoliberalism? This question is not merely of biographical interest: it forces us to confront more generally the mutations of the left since May 1968, the disillusionment of the years that followed and the profound transformations in the French intellectual field over the past thirty years. To understand the 1980s and the neoliberal triumph is to explore the most ambiguous corners of the intellectual left through one of its most important figures.
State of Health takes readers inside one of the most controversial regimes of the twenty-first century—Venezuela under Hugo Chávez—for a revealing description of how people’s lives changed for the better as the state began reorganizing society. With lively and accessible storytelling, Amy Cooper chronicles the pleasure people experienced accessing government health care and improving their quality of life. From personalized doctor’s visits to therapeutic dance classes, new health care programs provided more than medical services. State of Health offers a unique perspective on the significance of the Bolivarian Revolution for ordinary people, demonstrating how the transformed health system succeeded in exciting people and recognizing historically marginalized Venezuelans as bodies who mattered.
Through storytelling, ethnography, and interviews, Heritage in the Body examines the links between health and heritage in times of change. Using a series of case studies, anthropologist Kristina Baines tells the intimate stories of how Indigenous Maya and Garifuna Belizeans—both in Belize and in the United States—navigate macro-level processes such as economic development, climate change, political shifts, and global health crises in the context of changes in their own lives. Employing an embodied ecological heritage (EEH) framework, Baines explores the links between health and heritage as a fluid series of ecological practices. Health and wellness are holistically defined and approached from a phenomenological perspective. Baines focuses on how sensory experiences change the body through practice and provides insights into community-driven alternatives as a means to maintain and support happy, healthy lives.
The idea of finding a 'third way' in politics has been widely discussed over recent months - not only in the UK, but in the US, Continental Europe and Latin America. But what is the third way? Supporters of the notion haven't been able to agree, and critics deny the possibility altogether. Anthony Giddens shows that developing a third way is not only a possibility but a necessity in modern politics.
James B. Waldram’s groundbreaking study, An Imperative to Cure: Principles and Practice of Q’eqchi’ Maya Medicine in Belize, explores how our understanding of Indigenous therapeutics changes if we view them as forms of “medicine” instead of “healing.” Bringing an innovative methodological approach based on fifteen years of ethnographic research, Waldram argues that Q’eqchi’ medical practitioners access an extensive body of empirical knowledge and personal clinical experience to diagnose, treat, and cure patients according to a coherent ontology and set of therapeutic principles. Not content to leave the elements of Q’eqchi’ cosmovision to the realm of the imaginary and beyond human reach, Q’eqchi’ practitioners conceptualize the world as essentially material and meta/material, consisting of complex but knowable forces that impact health and well-being in real and meaningful ways—forces with which Q’eqchi’ practitioners must engage to cure their patients.
This book explores the consequences of the last three decades’ substantial neoliberal securitisation of freedom of speech, democracy and social security of racialised groups. Its empirical material contains in-depth interviews with racialised politicians, journalists, academics and civil society activists in Sweden. Like many other countries, Sweden has combined a neoliberal reorganisation of society with securitisation policies in which ‘the war on terror’ has played a central role. In order to understand the complexity of neoliberal securitisation policies and the analysis of the empiric material, the study makes use of central theoretical concepts, such as ‘the spiral of silence’, ‘symbolic violence’, ‘governmentalisation’ and ‘neoliberal racism.’ It will be of particular interest to students and scholars of political sociology, social policy and social work.