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A review by dee9401
Pathologies of Power: Health, Human Rights, and the New War on the Poor by Paul Farmer
3.0
Prior to my trip to Santa Fe, I finished reading Pathologies of Power: Health, Human Rights, and the New War on the Poor, by Paul Farmer. I wanted to finish it up before I moderated our HIV/AIDS panel at CGS’s second annual conference. I wanted to see if there was any great material I could draw on for my portion of the panel.
This is a great book, which really helped drill in his concept of “a preferential option for the poor”. It laid out a solid epidemiological case and backed it up with deep ethnography. It seems that Paul’s combination of anthropology and medicine are perfect for confronting the deeper structural issues of modern plagues. He argues effectively about the fallacy of cost effectiveness. We must treat people with infectious diseases. It’s not fair to offer one class of people one thing and another class a lesser option. He also argues that treatment vs. prevention is a false dichotomy. With millions already infected with HIV and millions with TB (both regular and multiple drug resistant strains), we don’t have the option to exclude those who are already sick. Their sickness is often a manifestation of structural violence. The situations they find themselves in contribute as much, and often times more, to their infections than do their individual agency (ability to affect their own lives).
Infectious disease in the modern world is as much about class and politics as it is about bacteria and viruses.
I found an earlier book of his, [b:Infections and Inequalities|10233|Infections and Inequalities The Modern Plagues|Paul Farmer|http://photo.goodreads.com/books/1166152608s/10233.jpg|12952]: The Modern Plagues, to be a better read. But this book is certainly one to have in your hand. I wanted to say have on your shelf, but these types of books need to be used, not just used to decorate your bookshelves.
This is a great book, which really helped drill in his concept of “a preferential option for the poor”. It laid out a solid epidemiological case and backed it up with deep ethnography. It seems that Paul’s combination of anthropology and medicine are perfect for confronting the deeper structural issues of modern plagues. He argues effectively about the fallacy of cost effectiveness. We must treat people with infectious diseases. It’s not fair to offer one class of people one thing and another class a lesser option. He also argues that treatment vs. prevention is a false dichotomy. With millions already infected with HIV and millions with TB (both regular and multiple drug resistant strains), we don’t have the option to exclude those who are already sick. Their sickness is often a manifestation of structural violence. The situations they find themselves in contribute as much, and often times more, to their infections than do their individual agency (ability to affect their own lives).
Infectious disease in the modern world is as much about class and politics as it is about bacteria and viruses.
I found an earlier book of his, [b:Infections and Inequalities|10233|Infections and Inequalities The Modern Plagues|Paul Farmer|http://photo.goodreads.com/books/1166152608s/10233.jpg|12952]: The Modern Plagues, to be a better read. But this book is certainly one to have in your hand. I wanted to say have on your shelf, but these types of books need to be used, not just used to decorate your bookshelves.