A right to health : medicine, marginality, and health care reform in northeastern Brazil
著者
書誌事項
A right to health : medicine, marginality, and health care reform in northeastern Brazil
(Louann Atkins Temple women & culture series : books about women and families, and their changing role in society, bk. 37)
University of Texas Press, 2015
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注記
Includes bibliographical references (p. [165]-172) and index
内容説明・目次
内容説明
In 1988, a new health care system, the Sistema Unico de Saude (Unified Health Care System or SUS) was formally established in Brazil. The system was intended, among other goals, to provide universal access to health care services and to redefine health as a citizen's right and a duty of the state. A Right to Health explores how these goals have unfolded within an urban peripheral community located on the edges of the northeastern city of Fortaleza. Focusing on the decade 1998-2008 and the impact of health care reforms on one low-income neighborhood, Jessica Jerome documents the tensions that arose between the ideals of the reforms and their entanglement with pervasive socioeconomic inequality, neoliberal economic policy, and generational tension with the community.
Using ethnographic and historical research, the book traces the history of political activism in the community, showing that, since the community's formation in the early 1930s, residents have consistently fought for health care services. In so doing, Jerome develops a multilayered portrait of urban peripheral life and suggests that the notion of health care as a right of each citizen plays a major role not only in the way in which health care is allocated, but, perhaps more importantly, in how health care is understood and experienced.
目次
Acknowledgments
Introduction
Chapter 1. Pirambu: Historical and Contemporary Accounts of Citizenship in a Favela
Chapter 2. A History of Welfare and the Poor in Ceara
Chapter 3. Democratizing Health Care: Health Councils in Pirambu
Chapter 4. Prescribing Knowledge: Farmacia Viva and the Rationalization of Traditional Medicine
Chapter 5. Favors, Rights, and the Management of Illness
Chapter 6. Public and Private Medical Care for a New Generation in Pirambu
Conclusion: A Politics of Health
Notes
References
Index
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