| The gift of health: Socialist medical practice and shifting material and moral economies in post-Soviet Cuba. | |
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MedLine Citation:
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PMID: 20092049 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Drawing on ethnographic data collected over 13 months of fieldwork in family doctor clinics in Havana from 2004 to 2005, I examine the shifting moral and material economies of Cuban socialist medical practice. In both official ideology and in daily practice, the moral economy of ideal socialist medicine is based on an ethos of reciprocal social exchange-that is, the gift-that informs not only doctors' relationships with the Cuban state and with individual patients but also the state's policies of international medical service to developing nations. The social and economic upheavals after the fall of t Soviet Union, however, have compelled both the state and individual doctors to operate in a new local and global economy. The gift remains the central metaphor of Cuban medical practice. Nonetheless, as ideologies and practices of gifting and reciprocity encounter an emerging market economy, gifts--whether on the level of the state policies of international humanism or in patient-doctor relations--are open to new significations that highlight the shifting material and moral economies of post-Soviet Cuba. |
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Authors:
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Elise Andaya |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
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Title: Medical anthropology quarterly Volume: 23 ISSN: 0745-5194 ISO Abbreviation: Med Anthropol Q Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2010-01-22 Completed Date: 2010-02-18 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8405037 Medline TA: Med Anthropol Q Country: United States |
Other Details:
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Languages: eng Pagination: 357-74 Citation Subset: IM |
Affiliation:
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Department of Anthropology, University at Albany, State University of New York, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Ambulatory Care Facilities Cuba Delivery of Health Care / economics*, ethics* Humans Physicians Public Policy Socialism / economics* USSR Venezuela |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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