Health In Ruins

In Health in Ruins César Ernesto Abadía-Barrero chronicles the story of El Materno—Colombia’s oldest maternity and neonatal health center and teaching hospital—over several decades as it faced constant threats of government shutdown. Using team-based and collaborative ethnography to analyze the social life of neoliberal health policy, Abadía-Barrero details the everyday dynamics around teaching, learning, and working in health care before, during, and after privatization. He argues that health care privatization is not only about defunding public hospitals; it also ruins rich traditions of medical care by denying or destroying ways of practicing medicine that challenge Western medicine. Despite radical cuts in funding and a corrupt and malfunctioning privatized system, El Materno’s professors, staff, and students continued to find ways to provide innovative, high-quality, and noncommodified health care. By tracking the violences, conflicts, hopes, and uncertainties that characterized the struggles to keep El Materno open, Abadía-Barrero demonstrates that any study of medical care needs to be embedded in larger political histories.

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Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

Since the mid-1970s, Lebanon has been at the center of the worldwide rise in sectarian extremism. Its cultural output has both mediated and resisted this rise. Standing by the Ruins reviews the role of culture in supporting sectarianism, yet argues for the emergence of a distinctive aesthetic of resistance to it. Focusing on contemporary Lebanese fiction, film, and popular culture, this book shows how artists reappropriated the twin legacies of commitment literature and the ancient topos of “standing by the ruins” to form a new “elegiac humanism” during the tumultuous period of 1975 to 2005. It redirects attention to the critical role of culture in conditioning attitudes throughout society and is therefore relevant to other societies facing sectarian extremism. Standing by the Ruins is also a strong intervention in the burgeoning field of World Literature. Elaborating on the great Arabist Hilary Kilpatrick’s crucial insight that ancient Arabic forms and topoi filter into modern literature, the author details how the “standing by the ruins” topos—and the structure of feeling it conditions—has migrated over time. Modern Arabic novels, feature films, and popular culture, far from being simply cultural imports, are hybrid forms deployed to respond to the challenges of contemporary Arab society. As such, they can take their place within a World Literature paradigm: they are cultural products that travel and intervene in the world.

Though constantly in decay, ruins continue to fascinate the observer. Their still-standing survival is a loud affirmation of their presence, in which we can admire the struggle against the power of Nature aesthetically manifested during the decay. This volume takes a thematic approach to examining the aesthetics of ruins. It looks at the general aspects of architectural decay and its classical forms of admiration and then turns towards ruins from both classical and contemporary periods, from both Western and non-Western areas, and with examples from “high art” as well as popular culture. Combining the methodologies of art history, aesthetics and cultural history, this book opens up new ways of looking at the phenomenon of ruins.

DIVDIV“A great adventure . . . So outrageous and so real, one is left speechless.” —Chicago Sun Times/divDIV/divDIVIn Walker Percy’s future America, the country is on the brink of disaster. With citizens violently polarized along racial, political, and social lines, and a fifteen-year war still raging abroad, America is crumbling quickly into ruin. The country’s one remaining hope is Dr. Thomas More, whose “lapsometer” is capable of diagnosing the spiritual afflictions—anxiety, depression, alienation—driving everyone’s destructive and disastrous behavior./divDIV /divDIVBut such a potent machine has its pitfalls. As Dr. More soon learns, in the wrong hands, the powerful lapsometer could lead to open warfare, pushing America into anarchy at full-speed./div /div

In this examination of landscape and memory, four sites of American history are revealed as places where historical truth was written over by oppressive fiction--with profound repercussions for politics past and present. Popular narratives of American history conceal as much as they reveal. They present a national identity based on harvesting the treasures that lay in wait for European colonization. In Whose Ruins tells another story: winding through the US landscape, from Native American earthworks in West Virginia to the Manhattan Project in New Mexico, this history is a tour of sites that were mined for an empire's power. Showing the hidden costs of ruthless economic growth, particularly to Indigenous people and ways of understanding, this book illuminates the myth-making intimately tied to place. From the ground up, the project of settlement, expansion, and extraction became entwined with the spiritual values of those who hoped to gain from it. Every nation tells some stories and suppresses others, and In Whose Ruins illustrates the way American myths have been inscribed on the earth itself, overwriting Indigenous histories and binding us into an unsustainable future. In these pages, historian Alicia Puglionesi​illuminates the story of the Grave Creek Stone, "discovered" in an ancient Indigenous burial mound, and used to promote the theory that a lost white race predated Native people in North America--part of a wider effort to justify European conquest with alternative histories. When oil was discovered in the corner of western Pennsylvania soon known as Petrolia, prospectors framed that treasure, too, as a birthright passed to them, through Native guides, from a lost race. Puglionesi traces the fate of ancient petroglyphs that once adorned rock faces on the Susquehanna River, dynamited into pieces to make way for a hydroelectric dam. This act foreshadowed the flooding of Native lands around the country; over the course of the 20th century, almost every major river was dammed for economic purposes. And she explores the effects of the US nuclear program in the Southwest, which contaminated vast regions in the name of eternal wealth and security through atomic power. This promise rang hollow for the surrounding Native, Hispanic, and white communities that were harmed, and even for some scientists. It also inspired nationwide resistance, uniting diverse groups behind a different vision of the future--one not driven by greed and haunted by ruin. This deeply researched work of narrative history traces the roots of American fantasies and fears in a national tradition of selective forgetting. Connecting the power of myths with the extraction of power from the land itself reveals the truths that have been left out and is an invaluable torch in the search for a way forward.

In this enchanting meditation on ruins, Christopher Woodward takes us on a thousand-year journey from the plains of Troy to the monuments of ancient Rome, from the crumbling palaces of Sicily, Cuba, and Zanzibar to the rubble of the London Blitz. With an exquisite sense of romantic melancholy, we encounter the teenage Byron in the moldering Newstead Abbey, Flaubert watching the buzzards on the pyramids, Henry James in the Colosseum, and Freud at Pompeii. We travel the Appian Way with Dickens and behold the Baths of Caracalla with Shelley. An exhilarating tour, at once elegant and stimulating, In Ruins casts an exalting spell as it explores the bewitching power of architectural remains and their persistent hold on the imagination.

Tell Me Why My Children Died tells the gripping story of indigenous leaders' efforts to identify a strange disease that killed thirty-two children and six young adults in a Venezuelan rain forest between 2007 and 2008. In this pathbreaking book, Charles L. Briggs and Clara Mantini-Briggs relay the nightmarish and difficult experiences of doctors, patients, parents, local leaders, healers, and epidemiologists; detail how journalists first created a smoke screen, then projected the epidemic worldwide; discuss the Chávez government's hesitant and sometimes ambivalent reactions; and narrate the eventual diagnosis of bat-transmitted rabies. The book provides a new framework for analyzing how the uneven distribution of rights to produce and circulate knowledge about health are wedded at the hip with health inequities. By recounting residents' quest to learn why their children died and documenting their creative approaches to democratizing health, the authors open up new ways to address some of global health's most intractable problems.