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lectuer notes - Anthropology of Medicine and Culture...

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Anthropology of Medicine and Culture September 14 th , 2011 I. Medicine and the State a. Not to mistake the state as a continuous whole b. Lots of controversy within nations and states Medical Anthropologists Questions 1. State regulation of medicine – What kind of medicine gain legitimacy ? What practices are regulated? 2. Access to healthcare states role in rationing forms of medical care and treatment 3. Medicine as an expert knowledge, but broadly in terms of relationship states have to their nation a. Population as a collective body b. Power the state has over citizenry b.i. Negative Power: Sovereign Power – the right to kill (death penalty) b.ii. Positive Power: Insist to live – vaccinations, public health department role (must be clean), fertility (encourage or prohibit) c. what responsibility does the state have to ensure healthy population? Ex. 2009 Affordable health care act – reimburse if they consult patients about living will and end of life. (did not pass?) Social benefits – many people do not understand these documents; it could diminish the amount of medical costs spent on last 2 months of patients NICE (governing body) – decide which drugs can be prescribed by NHS doctors. Rationing start with premise – gov’t most good for least amount of money ~ cost effectiveness. How much treatment cost? How much extend persons life? What is that quality of life? Ex. insulin, cholesterol “We can’t provide every medical possibility to every person in the state” most medicine to the most people Spirit Catches You and You Fall Down War Making State vs. Care Taking State Hmong – minority community within other states (China, Laos, Thailand) War State US military state – working to protect US nation -- 1980s migration risk lives in order to preserve collective natural body and its orders for the greater good US airlifted 1,000-3,000 Hmong out …while 10,000 Hmong remained and waited Secret wars in Lao – good enough for fighting but not good enough for inclusion Therapeutic State “in the name of care” the state took her away from her family – doctors medical responsibility in order to ensure pharmacological regime was properly followed Lee’s point of view – not seen as care; saw it as a SOVEREIGN STATE Different understanding for what “care” means nurse, doctors, social workers, home nurse, foster care mother, Lee’s what care they each feel responsible for?
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How life is differently valued by the war making state vs the care taking state. Different lives are assigned different values Ways in which medicine can exacerbate social hierarchy and mitigate them. Foa – wanted doctors to give her a little medicine and we would tune. But they gave her too much medicine and that is what made her sick. Worst thing is that she would lose her soul, not die Meaning of life, meaning of death Discussion Section – 9/15/11 Social science paper: evidence is more than a statistical fact. Sphygmology
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This note was uploaded on 10/23/2011 for the course ANTHR 2468 taught by Professor Langwick,s during the Fall '10 term at Cornell.

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lectuer notes - Anthropology of Medicine and Culture...

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