The Republic of Therapy

Download or Read eBook The Republic of Therapy PDF written by Vinh-Kim Nguyen and published by Duke University Press. This book was released on 2010-10-11 with total page 238 pages. Available in PDF, EPUB and Kindle.
The Republic of Therapy
Author :
Publisher : Duke University Press
Total Pages : 238
Release :
ISBN-10 : 9780822393504
ISBN-13 : 0822393506
Rating : 4/5 (04 Downloads)

Book Synopsis The Republic of Therapy by : Vinh-Kim Nguyen

Book excerpt: The Republic of Therapy tells the story of the global response to the HIV epidemic from the perspective of community organizers, activists, and people living with HIV in West Africa. Drawing on his experiences as a physician and anthropologist in Burkina Faso and Côte d’Ivoire, Vinh-Kim Nguyen focuses on the period between 1994, when effective antiretroviral treatments for HIV were discovered, and 2000, when the global health community acknowledged a right to treatment, making the drugs more available. During the intervening years, when antiretrovirals were scarce in Africa, triage decisions were made determining who would receive lifesaving treatment. Nguyen explains how those decisions altered social relations in West Africa. In 1994, anxious to “break the silence” and “put a face to the epidemic,” international agencies unwittingly created a market in which stories about being HIV positive could be bartered for access to limited medical resources. Being able to talk about oneself became a matter of life or death. Tracing the cultural and political logic of triage back to colonial classification systems, Nguyen shows how it persists in contemporary attempts to design, fund, and implement mass treatment programs in the developing world. He argues that as an enactment of decisions about who may live, triage constitutes a partial, mobile form of sovereignty: what might be called therapeutic sovereignty.

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