Unhealthy Health Policy A Critical Anthropological Examination

by Castro, Arachu; Singer, Merrill; Abadia-Barrero, Cesar E.; Armada, Francisco; Baer, Hans A.; Bliss, Katherine Elaine; Bourgois, Philippe; Buchanan, David; Chaufan, Claudia; Davis-Floyd, Robbie E.; Desclaux, Alice; Farmer, Paul; Fassin, Didier; Horton, Sar

• ISBN13: 9780759105102
• ISBN10: 0759105103
• Format: Hardcover
• Copyright: 2004-09-17
• Publisher: AltaMira Press

Summary

This new collection turns a critical anthropological eye on the nature of health policy internationally. The authors reveal the prevailing social inequalities that often represent significant threats to the health and well being of the poor, ethnic minorities, and women. The authors define an anthropology of policy concerned with decision-making and the impact of health policy on human lives. It will be a critical resource for researchers and practitioners in medical anthropology, medical sociology, public policy, and public health care. Visit our website for sample chapters!

Author Biography

Cesar E. Abadia-Barrero, D.M.D., D.M.Sc., For the academic year 2003-2004, he holds appointments as a postdoctoral research fellow at both the Harvard School of Dental Medicine and the Department of Social Medicine at Harvard Medical School Francisco Armada, M.D., Ph.D., MPH, is a health officer at the Ministry of Health in Venezuela Hans A. Baer, Ph.D., is professor of anthropology and sociology at the University of Arkansas at Little Rock Katherine E. Bliss, Ph.D., is associate professor of history at the University of Massachusetts, Amherst Philippe Bourgois, Ph.D., is a cultural anthropologist who is professor and chair of the Department of Anthropology, History, and Social Medicine at the University of California, San Francisco David Buchanan, DrPH, is a full professor of community health education at the School of Public Health and Health Sciences, University of Massachusetts, Amherst Arachu Castro, Ph.D., MPH, is instructor in medical anthropology in the Department of Social Medicine at Harvard Medical School Claudia Chaufan, M.D., is a medical doctor specialized in diabetes and obesity, a diabetes educator, and a medical writer from Buenos Aires, Argentina Robbie Davis-Floyd, Ph.D., is a senior research fellow at the Department of Anthropology, University of Texas Austin Alice Desclaux, M.D., Ph.D. after some years of practice in public health, turned to medical anthropology, starting with a Ph.D. on the social treatment of AIDS in children by the health system in Burkina Faso. Since 1993, she has been working on AIDS mainly in Africa Paul Farmer, M.D., Ph.D., has worked in infectious-disease control in the Americas for nearly two decades. He is the founding director of Partners In Health Didier Fassin, M.D., Ph.D., is a sociologist, anthropologist, and medical doctor Robert Heimer, Ph.D., is the director of the Yale Emerging Infections Program Sarah Horton, Ph.D., received her Ph.D. joined the Department of Social Medicine at Harvard University as a postdoctoral fellow in the fall of 2003 Kristen Jacklin, M.A., is a Ph.D. candidate in the Department of Anthropology at McMaster University Salmaan Keshavjee, M.D., Ph.D., is a researcher in the Department of Social Medicine at Harvard Medical School, the Center for Middle Eastern Studies at Harvard University, and the Division of Social Medicine and Health Inequalities at the Brigham and Women's Hospital in Boston Kaveh Khoshnood, Ph.D., is an assistant professor at Yale School of Public Health, an investigator at the Yale Center for Interdisciplinary Research on AIDS (CIRA) Catherine Hodge McCoid is a professor of anthropology who has taught at Central Missouri State University since 1971 Carles Muntaner, M.D., Ph.D., a native of Barcelona, Spain, is professor at the Department of Family and Community Health, University of Maryland; the Department of Mental Health, Bloomberg School of Public Health; and the University of Toronto's Institute for Work and Health Joan E. Paluzzi, Ph.D., R.N., is a medical anthropologist James Pfeiffer, Ph.D., MPH, is currently an assistant professor in the Department of Anthropology, Case Western Reserve University, in Cleveland, Ohio Imrana Qadeer, Ph.D., is a professor of Public Health at the Center of Social Medicine and Community Health, Jawaharlal Nehru University, New Delhi, India Susan Shaw, Ph.D., was an ethnographer on the Syringe Access, Use, and Discard (SAUD) project and now works for the Hispanic Health Council Merrill Singer, Ph.D., is the associate director of the Hispanic Health Council (HHC) and director of the HHC's Center for Community Health Research in Hartford, Connecticut Tom Stopka, MHS, is a research scientist with the HIV Prevention Research and Evaluation Section of the California State Office of AIDS in Sacramento Wei Teng, Ph.D., is now a senior statistical analyst at Center for Outcomes Research and Evaluation, Yale New Haven Health System, New Haven, Connecticut Graham A. Tobin, Ph.D. is professor of geography at the University of South Florida (USF) Fouzieyha Towghi, MPH, is a Ph.D. candidate in the Department of Anthropology, History, and Social Medicine with the joint program of medical anthropology at the Universities of California in San Francisco and in Berkeley Nalini Visvanathan, Ph.D., MPH, is on the faculty of the College of Public and Community Service at the University of Massachusetts Boston William G. Wagner, M.A., is affiliated with the Anthropology Department at the University of New Mexico and is currently completing his dissertation Howard Waitzkin, M.D., Ph.D., is professor of Family and Community Medicine, Internal Medicine, and Sociology at the University of New Mexico Wayne Warry, Ph.D., is an applied medical anthropologist and associate professor, Department of Anthropology, McMaster University Linda Whiteford, Ph.D., MPH, is a professor of anthropology and chair of the Anthropology Department at the University of South Florida (USF) Cathleen E. Willging, Ph.D., is a scientist at the Behavioral Health Research Center of the Southwest and teaches in the Masters of Public Health Program at the University of New Mexico

Table of Contents

Introduction Anthropology and Health Policy: A Critical Perspective
MERRILL SINGER AND ARACHU CASTRO	xi
I. International Institutions and the Setting of Health Policies
CHAPTER 1 Pearls of the Antilles? Public Health in Haiti and Cuba
PAUL FARMER AND ARACHU CASTRO	3	(26)
CHAPTER 2 The Visible Fist of the Market: Health Reforms in Latin America
FRANCISCO ARMADA AND CARLES MUNTANER	29	(14)
CHAPTER 3 International NGOs in the Mozambique Health Sector: The "Velvet Glove" of Privatization
JAMES PFEIFFER	43	(20)
CHAPTER 4 Primary Health Care since Alma Ata: Lost in the Bretton Woods?
JOAN E. PALUZZI	63	(16)
CHAPTER 5 Shifting Policies toward Traditional Midwives: Implications for Reproductive Health Care in Pakistan
FOUZIEYHA TOWGHI	79	(18)
CHAPTER 6 The Contradictions of a Revolving Drug Fund in Post-Soviet Tajikistan: Selling Medicines to Starving Patients
SALMAAN KESHAVJEE	97	(18)
CHAPTER 7 Equity in Access to AIDS Treatment in Africa: Pitfalls among Achievements
ALICE DESCLAUX	115	(18)
CHAPTER 8 Contracepting at Childbirth: The Integration of Reproductive Health and Population Policies in Mexico
ARACHU CASTRO	133	(12)
CHAPTER 9 How Healthy Are Health and Population Policies? The Indian Experience
IMRANA QADEER AND NAUNI VISVANATHAN	145	(18)
II. National Health Policies and Social Exclusion
CHAPTER 10 Happy Children with AIDS: The Paradox of a Healthy National Program in an Unequal and Exclusionary Brazil
CÉSAR E. ABADIA-BARRERO	163	(14)
CHAPTER 11 Between Risk and Confession: The Popularization of Syphilis Prophylaxis in Revolutionary Mexico
KATHERINE ELAINE BLISS	177	(12)
CHAPTER 12 Saving Lives, Destroying Livelihoods: Emergency Evacuation and Resettlement Policies in Ecuador
LINDA M. WHITEFORD AND GRAHAM A TOBIN	189	(14)
CHAPTER 13 Social Illegitimacy as a Foundation of Health Inequality: How the Political Treatment of Immigrants Illuminates a French Paradox
DIDIER FASSIN	203	(12)
CHAPTER 14 The Indian Health Transfer Policy in Canada: Toward Self-Determination or Cost Containment?
KRISTEN M. JACKLIN AND WAYNE WARRY	215	(20)
CHAPTER 15 Land and Rural New Mexican Hispanics' Mistrust of Federal Programs: The Unintended Consequences of Medicaid Eligibility Rules
SARAH HORTON	235	(12)
CHAPTER 16 The Death and Resurrection of Medicaid Managed Care for Mental Health Services in New Mexico
CATHLEEN WILLGING, HOWARD WAITZKIN, AND WILLIAM WAGNER	247	(10)
CHAPTER 17 Sugar Blues: A Social Anatomy of the Diabetes Epidemic in the United States
CLAUDIA CHAUFAN	257	(18)
CHAPTER 18 Syringe Access, HIV Risk, and AIDS in Massachusetts and Connecticut: The Health Implications of Public Policy
DAVID BUCHANAN, MERRILL SINGER, SUSAN SHAW, WEI TENG, TOM STOPKA, KAVEH KHOSHNOOD, AND ROBERT HEIMER	275	(12)
CHAPTER 19 Why Is It Easier to Get Drugs than Drug Treatment in the United States?
MERRILL SINGER	287	(16)
CHAPTER 20 U.S. Inner-City Apartheid and the War on Drugs: Crack among Homeless Heroin Addicts
PHILIPPE BOURGOIS	303	(14)
III. Impact of Policy on the Practice of Medicine
CHAPTER 21 U.S. Health Policy on Alternative Medicine: A Case Study in the Co-optation of a Popular Movement
HANS A. BAER	317	(12)
CHAPTER 22 Home Birth Emergencies in the United States: The Trouble with Transport
ROBBIE E. DAVIS-FLOYD	329	(22)
CHAPTER 23 Why Is Prevention Not the Focus for Breast Cancer Policy in the Unites States Rather than High-Tech Medical Solutions?
CATHY HODGE MCCOID	351	(12)
Index	363	(12)
About the Editors and Contributors	375