ANTH/HSERV 475 Perspectives in Medical Anthropology University of Washington Evening Degree Program Tue & Thu 7:00 pm – 9:20 pm Balmer Hall 304 Alejandro Cerón Office: Denny Hall 443 Office hours: Tue & Thu 5-7 pm Mailbox Denny Hall Mezzanine Week 6: Thy, 11/5/2009 Catching up…

Agenda Debate on week 8: controversies around vaccination – If yes, you send me articles Personal account + feedback next week Your feedback to me – Thanks! Participation evaluation Free markets, dead mothers Claude Levi-Strauss Briggs

Stuckler D, King LP, Basu S, 2008 International Monetary Fund Programs and Tuberculosis Outcomes in Post-Communist Countries. PLoS Med 5(7): e143. doi: /journal.pmed

“Free markets, dead mothers” Social ecological perspective Trying to interpret what explains the statistical association between macro social structures and individual deaths. “good ideas” vrs importance of context Ethics: social justice vrs market justice Neoliberalism

Reviewing neoliberalism from Prof. Mathew Spark 1.expand free trade - ‘free trade = freedom’ 2.privatize public services - ‘biz efficiency’ 3.deregulate business - ‘cut red tape’ 4.cut public spending - ‘austerity’& ‘shrink government’ 5.reduce and flatten taxes - ‘business friendly climate’ 6.encourage foreign investment - ‘reduce capital controls’ 7.de-unionize - ‘right to work’ & ‘flexibility’ 8.export led development - ‘trade not aid’ 9.reduce inflation - ‘price stability’ 10.property rights - laws against ‘expropriation’ & ‘IPR’ abuse Top-down definition: It is a dominant policy-making rule-set that represents a return, under new global conditions, to the free market liberalism of the 19th c. There are 10 main neoliberal top-down ‘commandments’

Reviewing neoliberalism from Prof. Mathew Spark 1.One must be entrepreneurial 2.One must be self-reliant as well as self-promotional 3.One must be responsible about managing one’s health Bottom up definition: It is a form of government that systematically encourages and rewards forms of subjectivity or self-definition that are individualized There are 3 main neoliberal codes of self-definition

Gini Coefficient – Income inequality

Claude Lévi-Strauss, Anthropologist, Dies at 100 Bricoleur (Bricolage) Symbolic efficacy

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6. Containing an Indigenous Invasion: Quarantine in Barrancas Quarantine in School “The Mariusans had found the medical assistance they so badly needed, but at the cost of their freedom” (141) Jose Rivera becomes new “cacique”

Dr. Maria Vargas – Modernity arrives in Barrancas ( ) Modernity: “The view of social science theory and social ideology whereby society should or does progress toward rational, individualized, free market orientation, and away from traditional, collective, and irrational perspectives”. (Janzen 2002) Situated and contingent character of constructions of modernity and modern hygienic norms. Imposition of modernity is a powerful way to construct social and political hierarchies and to position oneself within them. License to dominate others, and subordinate to others”

Diego Escalante – Appartheid (156) Connection between race and space as natural Indigenas who move to town – stripped from identity Acultural rather than bicultural Final Lessons (159) Third world officials – professional standards and concerns Vargas relaxed standards when she became “proficient” in local views

7. Exile and internment: the Mariusans on La Tortuga “cordon sanitaire” Why La Tortuga Resistance – march to Barrancas (169) Stories told by officials and journalist (178) Indigenas – racialized citizenship (173, 178)

8. Medicine, Magic, and Military Might: Cholera control on La Tortuga Ricardo Campins Professional-Emotions Lack of sample tubes Role of clinician and epidemiologist Became “underdeveloped” Magic meets Medicine (185)