This book explores the pressing issues of border control and infectious disease from the nineteenth to present day. The book places world health in world history, microbes and their management in globalization, and disease in the history of international relations, bringing together leading scholars on the history and politics of global health.
Patients Beyond Borders is the first comprehensive, easy-to-understand guide to medical tourism. Impartial and extensively researched, it is filled with authoritative and accessible advice - carefully culled from hundreds of resources around the world. Whether you're seeking dental work, heart surgery, orthopedics, cosmetic surgery, neurosurgery, or LASIK eye repair, Patients Beyond Borders is your best way to become an informed health traveler and get started on your medical travel journey.
In his day, Raphael Cilento was one of the most prominent and controversial figures in Australian medicine. As a senior medical officer in the Commonwealth and Queensland governments, he was an active participant in public health reform during the inter-war years and is best known for his vocal engagement with public discourse on the relationship between hygiene, race and Australian nationhood. Yet Cilento’s work on tropical hygiene and social welfare ranged beyond Australia, especially when he served as a colonial medical officer in British Malaya and in the Mandated Territory of New Guinea. He also worked with the League of Nations Health Organization in the Pacific Islands and oversaw international social welfare programs for the United Nations. On one level, this professional mobility allowed ideas and practices of public health and government to circulate between colonial spaces of northern Australia, the Pacific Islands and Asia. On another, it meant that Cilento’s Pacific colonialism and colonial experience shaped his understanding of Australian national health and welfare. Rather than attempt a comprehensive biography of Cilento, this book instead uses this border-crossing career as a means to explore several material and discursive facets of Australia’s relationships to the Pacific and the world.
An intimate portrait of the renowned international humanitarian organization. Winner of the PROSE Award for Excellence, Sociology and Social Work of the Association of American Publishers This study of Médecins Sans Frontières / Doctors Without Borders (MSF) casts new light on the organization’s founding principles, distinctive culture, and inner struggles to realize more fully its “without borders” transnational vision. Pioneering medical sociologist Renée C. Fox spent nearly twenty years conducting extensive ethnographic research within MSF, a private international medical humanitarian organization that was created in 1971 and awarded the Nobel Prize for Peace in 1999. With unprecedented access, Fox attended MSF meetings and observed doctors and other workers in the field. She interviewed MSF members and participants and analyzed the content of such documents as communications between MSF staff members within the offices of its various headquarters, communications between headquarters and the field, and transcripts of internal group discussions and meetings. Fox weaves these threads of information into a rich tapestry of the MSF experience that reveals the dual perspectives of an insider and an observer. The book begins with moving, detailed accounts from the blogs of women and men working for MSF in the field. From there, Fox chronicles the organization’s early history and development, paying special attention to its struggles during the first decades of its existence to clarify and implement its principles. The core of the book is centered on her observations in the field of MSF’s efforts to combat a rampant epidemic of HIV/AIDS in postapartheid South Africa and the organization’s response to two challenges in postsocialist Russia: an enormous surge in homelessness on the streets of Moscow and a massive epidemic of tuberculosis in the penal colonies of Siberia. Fox’s accounts of these crises exemplify MSF’s struggles to provide for thousands of people in need when both the populations and the aid workers are in danger. Enriched by vivid photographs of MSF operations and by ironic, self-critical cartoons drawn by a member of the Communications Department of MSF France, Doctors Without Borders highlights the bold mission of the renowned international humanitarian organization even as it demonstrates the intrinsic dilemmas of humanitarian action.
Crossing both disciplinary and geographical boundaries, this volume draws together a number of important contributions from acknowledged leaders in three respective fields: the trade in bodily commodities, biomedical tourism and migration of health care professionals. It explores and maps out the key characteristics of this emerging, although as yet poorly researched global trade, questioning how, where and why bodies cross borders, whether this exacerbates existing health inequalities and how these circulations impact on healthcare services. In addition the book invites comparisons of the ways in which body parts, patients and medical professionals cross national borders, elucidating common themes, concerns and issues.
Life in Crisis tells the story of Médecins Sans Frontières (Doctors Without Borders or MSF) and its effort to "save lives" on a global scale. Begun in 1971 as a French alternative to the Red Cross, the MSF has grown into an international institution with a reputation for outspoken protest as well as technical efficiency. It has also expanded beyond emergency response, providing for a wider range of endeavors, including AIDS care. Yet its seemingly simple ethical goal proves deeply complex in practice. MSF continually faces the problem of defining its own limits. Its minimalist form of care recalls the promise of state welfare, but without political resolution or a sense of well-being beyond health and survival. Lacking utopian certainty, the group struggles when the moral clarity of crisis fades. Nevertheless, it continues to take action and innovate. Its organizational history illustrates both the logic and the tensions of casting humanitarian medicine into a leading role in international affairs.
In 1972, when the world around him was making little sense, David Sklar left in his senior year of college to volunteer at a community clinic in rural Mexico. With absolutely no medical experience beyond being accepted to medical school at Stanford, Sklar literally learned medicine by practicing it. With duties that ranged from suturing wounds and delivering babies to digging latrines to pulling teeth, his time at the clinic took him into the heart of a medical world that the sterilized walls of the twentieth century would never have shown him. The experience challenged his idealism and, ultimately, molded him into a skilled emergency physician. Years later, deeply immersed in the stress of running the ER at the University of New Mexico Hospital and facing a divorce, Sklar decided to revisit the Mexican village and clinic that provided inspiration and grounding in the early stages of his career. Weaving together his time in Mexico, his later career, and his marriage, Sklar's memoir offers a thought-provoking meditation on the virtues of idealism in the face of the inevitable failures that haunt all human endeavors.
A timely examination of how restrictive policies force women to travel both within and across national borders to access abortion services. Safe, legal, and affordable abortion is widely recognized as an essential medical service for women across the world. When access to that service is denied or restricted, women are compelled to carry unwanted pregnancies to term, seek backstreet abortionists, attempt self-induced abortions, or even travel to less restrictive states, provinces, and countries to receive care. Abortion across Borders focuses on travel across domestic and international boundaries to terminate a pregnancy. Christabelle Sethna and Gayle Davis have gathered a cadre of authors to examine how restrictive policies force women to move both within and across national borders in order to reach abortion providers, often at great expense, over long distances and with significant safety risks. Taking historical and contemporary perspectives, contributors examine the situation in regions that include Texas, Prince Edward Island, Ireland, Australia, the United Kingdom, and Eastern Europe. Throughout, they take a feminist intersectional approach to transnational travel and access to abortion services that is sensitive to inequalities of gender, race, and class in reproductive health care. This multidisciplinary volume raises challenging logistical, legal, and ethical questions while exploring the gendered aspects of medical tourism. A noticeable rollback of reproductive rights and renewed attention to border security in many parts of the world will make Abortion across Borders of timely interest to scholars of gender and women's studies, health, medicine, law, mobility studies, and reproductive justice. Contributors: Barbara Baird, Niklas Barke, Anna Bogic, Hayley Brown, Lori A. Brown, Cathrine Chambers, Ewelina Ciaputa, Gayle Davis, Mary Gilmartin, Agata Ignaciuk, Sinéad Kennedy, Lena Lennerhed, Jo-Ann MacDonald, Colleen MacQuarrie, Jane O'Neill, Clare Parker, Christabelle Sethna, Sally Sheldon
Globalization is rapidly changing lives and industries around the world. Drug development, authorization, and regulatory supervision have become international endeavors, with most medicines becoming global commodities. Drug companies utilize global supply chains that often include facilities in countries with inconsistent regulations from those of the United States, perform pivotal trials in multiple countries to support registration submissions in various jurisdictions, and subsequently market their medicines throughout most of the world. These companies operate across borders and require individual national regulators to ensure that drugs authorized for use in their countries are safe and effective, and appropriate for their health care system and their population. This process involves significant resources and often duplicative work. It is important to consider how this process can be improved in order to better allocate resources, time, and efforts to improve public health. Regulating Medicines in a Globalized World: The Need for Increased Reliance Among Regulators considers the role of mutual recognition and other reliance activities among regulators in contributing to enhancing public health. This report identifies opportunities for leveraging reliance activities more broadly in order to potentially impact public health globally. Key topics in this report include the job of medicines regulators in today's world, what policy makers need to know about today's regulatory environment, stakeholder views of recognition and reliance, as well as removing impediments and facilitating action for greater recognition and reliance among regulatory authorities.