Partner to the Poor: A Paul Farmer Reader
Paul Farmer, Haun Saussy
Language: English
Pages: 680
ISBN: 0520257138
Format: PDF / Kindle (mobi) / ePub
A portion of the proceeds from the sale of this book will be donated to Partners In Health.
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to be fatal. Social Science and Immodest Claims of Causality How have social scientists discussed the various forces that conspire to render certain groups susceptible to TB while shielding others? Let us examine a handful of studies of TB published in the sociomedical or anthropological press. Each was conducted in a poor country, and each makes certain claims of causality in attempting to explain both noncompliance and the persistence of TB as a major cause of mortality in the setting under
had been sent to him by a jealous rival or a group of rivals. Anita had contracted sida through sexual contact with a person who had the syndrome. She was not the victim of sorcery. Indeed, this would have been a very unlikely fate for Anita Joseph. As villagers repeated many times, Anita had lost her mother, run away at fourteen, and been forced into a sexual union by poverty. Several people, including Anita’s uncle, added that they were all victims of the dam at Péligre, whose construction in
argued that speculation about a Haitian origin of AIDS led to a wave of anti-Haitian discrimination, which in turn led to loss of jobs and housing.4 The link between AIDS and Haiti, strengthened in innumerable articles in the popular press, seemed to resonate with what might be termed a North American folk model of Haitians.5 One of the most persistently invoked associations related the occurrence of AIDS in Haitians to voodoo. Something that happened at these ritual fires, it was speculated,
in approximately 25 percent of Haiti’s foreign currency.49 There was every sign that the gains in tourism would be steady, but political instability in 1957, followed by the tyrannical rule of François Duvalier, meant that North Americans avoided Haiti for several years.50 Duvalier attempted to court tourists and their dollars later in the 1960s, after he had silenced domestic opposition. In the same speech in which he welcomed U.S. vice president Nelson Rockefeller to Haiti and promoted the
explanation. The emphasis is on cultural determination. Even when social relations receive more than reflexive recognition, medical social scientists restrict the social relations to small “primary” group settings, such as the family, and factions at the micro unit. . . . Little or no attempt is made to encompass the totality of the larger society’s structure.” 17 In my view, obscuring “the totality of the larger society’s structure” (including its place in international systems) is all too