5_9_05_216j_rev

5_9_05_216j_rev - 21A.216J Dilemmas in Bio-Medical Ethics...

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21A.216J Dilemmas in Bio-Medical Ethics 2005/5/9 (M), Week 14, Class 25 Reading: Paul Farmer. Pathologies of Power Comments: Farmer was on James’s dissertation committee and is one of the most visible physician-activist-anthropologist and his organization Partners in Health, once based in Central Square, now at Harvard MS, questions of pharmaceutical pricing, treatment of HIV/AIDS, and resource course settings. Programs in Haiti have been recognized as models for HIV/AIDS management in extremely poor countries. His style of writing does not mince his opinions and writes to mobilize his readership and has developed a following around him around the global that is spurring physicians to take on questions of social inequality. We’ve looked at clinicians staying within institutions whereas he is advocating something different. To what extent does a physician have a responsibility to address issues beyond the walls of the institution? Farmer is saying that issues of histories of repression, structures, economics, and gradients of inequalities in societies such that the poor are most often caught by affliction and diseases. His notion of structural violence—actually originated or proposed in 1960s, looking at social problems as acute rather than chronic (can discuss more later), and calling social inequalities as violence to describe generational issues of poverty and structural inequalities can be a form of violence that is equal to disaster or political violence. James disagrees uses of term “structural violence” for theoretical reasons but which we will not go into now. Please look over Farmer but also take a look at James’s article. Student Presentation Author: Paul Farmer. HMS anthropologist, social medicine MD, Brigham and Women’s Hospital, Partners In Health, a health and human rights organization. Winner of MacArthur genius award, Margaret Mead award. Summary: He presents a lot of stories of life and death to elucidate ideas of health and human rights. Presents experiences of a lot of individuals. Tries to provoke our thinking—suffering of powerless people, human rights, economics. Chapter 1. Pestilence and Restraint. On Guantanamo and the logic of quarantine. Describes political situation when Aristide was ousted in Haiti and people fled for the US. People were arrested, and sent back to Haiti, after which they were executed. Political situation in Haiti was focus of the press. Inmates in Guantanamo had issues of mistreatment and government tried to
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This note was uploaded on 11/06/2011 for the course ANTHRO 216 taught by Professor James during the Fall '05 term at MIT.

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5_9_05_216j_rev - 21A.216J Dilemmas in Bio-Medical Ethics...

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