#Free Epub á Pathologies of Power: Health, Human Rights and the New War on the Poor Ì eBook or E-pub free

Paul Farmer is my favourite anthropologist who I look up to very much this book is easy to read, is not laden down by academic jargon and is eye opening and important. I read Mountains Beyond Mountains by Tracy Kidder which is about Paul Farmer, this is the first book I have read written by Paul Farmer He calls himself a physician and an anthropologist which makes a lot of sense from what I know about him I also saw Tracy Kidder speak once and talk about his experience learning about and becoming friends with Paul Farmer In Pathologies of Power he talks about structured violence against the poor around the world and he points out that the lack of social and economic justice which is a form of violence denying access to jobs, food, and medical care and that what happens to the poor is not random.I can t believe I started reading this book and the earthquake in Haiti happened a week later God, there is just so much suffering there now and has been in the past He is comparing the treatment of AIDs patients from Haiti in Guantanamo and comparing it to the HIV sanatoriums in Cuba He documents eye witness and victim accounts and shows that the conclusions for each case are exactly the opposite as portrayed in US media outlets In a moment of cynicism Farmer states Granted that in this postmodern moment, when we are told that only willfully naive positivists seek something called the truth, it is important to acknowledge that than one discrepant version may be true in some important sense But some versions, surely, must have points of contact with external reality and actual events than others I wonder it the failure of US foreign policy with Haitians in and outside of Haiti will come out with the earthquake disaster At the end of this book Farmer summarizes a new agenda for health AND human rights with 6 points 1 Make health and healing the symbolic core of the agenda not profits , 2 Make provision of services central to the agenda for the poor , 3 Establish new research agendas to make drugs and other therapies cheaper , 4 Assume a broader educational mandate beyond health professionals , 5 Achieve independence from powerful governments and bureaucracies that are so often human rights violators , and 6 Secure resources for health and human rights social and economic justice. #Free Epub â Pathologies of Power: Health, Human Rights and the New War on the Poor ⚧ Pathologies Of Power Uses Harrowing Stories Of Life And Death In Extreme Situations To Interrogate Our Understanding Of Human Rights Paul Farmer, A Physician And Anthropologist With Twenty Years Of Experience Working In Haiti, Peru, And Russia, Argues That Promoting The Social And Economic Rights Of The World S Poor Is The Most Important Human Rights Struggle Of Our Times With Passionate Eyewitness Accounts From The Prisons Of Russia And The Beleaguered Villages Of Haiti And Chiapas, This Book Links The Lived Experiences Of Individual Victims To A Broader Analysis Of Structural Violence Farmer Challenges Conventional Thinking Within Human Rights Circles And Exposes The Relationships Between Political And Economic Injustice, On One Hand, And The Suffering And Illness Of The Powerless, On The OtherFarmer Shows That The Same Social Forces That Give Rise To Epidemic Diseases Such As HIV And Tuberculosis Also Sculpt Risk For Human Rights Violations He Illustrates The Ways That Racism And Gender Inequality In The United States Are Embodied As Disease And Death Yet This Book Is Far From A Hopeless Inventory Of Abuse Farmer S Disturbing Examples Are Linked To A Guarded Optimism That New Medical And Social Technologies Will Develop In Tandem With A Informed Sense Of Social Justice Otherwise, He Concludes, We Will Be Guilty Of Managing Social Inequality Rather Than Addressing Structural Violence Farmer S Urgent Plea To Think About Human Rights In The Context Of Global Public Health And To Consider Critical Issues Of Quality And Access For The World S Poor Should Be Of Fundamental Concern To A World Characterized By The Bizarre Proximity Of Surfeit And Suffering Paul Farmer s Pathologies of Power is a written protest against the structural violence suffered by the poor The first half of the book is devoted to anecdotes from his time spent in the rural highlands of Haiti, the HIV quarantine facilities of Guantanamo, the autonomous zones of Chiapas, and the prisons of Russia Through these anecdotes Paul gives voice to the suffering poor in these areas in a way that neither dehumanizes nor romanticizes their suffering, a rare feat in literature about poverty.As a physician, Paul focuses on the ways in which this suffering is experienced through degradation of health Particularly shameful in these stories is the extent to which the poor suffer and die from curable diseases Li mouri bet, Paul bemoans in Creole at the death of a young man from an infection, what a stupid death The poor live Hobbesian lives nasty, brutish, and short partially because of our market based approach to medicine in which health is the exclusive privilege of those wealthy enough to afford it Instead, Paul calls for a far different approach to medicine based on human rights, in which the benefits of medical knowledge developed collectively by the human race are made available to all as their birthright Health, Paul argues is not a privilege of the rich man, but the right of every person In particular, Paul rails against the aid and development community obsessed with cost effectiveness who mark the price of a Haitian life shockingly low less than the cost of a round of antibiotics necessary to treat multi drug resistant tuberculosis Complacent in the charity model of health care, the global heath community timidly seeks only to provide the low quality care afforded by the castoffs of the rich rather than call into question the structural violence that keeps the poor in poverty.Drawing heavily from liberation theology, Paul argues for a reorientation of societal values toward the preferential option for the poor From the diabetes of Americas urban slums to the HIV of sub Saharan Africa, the poor bear the majority of the disease burden, and so Paul calls especially on physicians to lead this priority shift to the poor by focus their efforts on those that need their care, not just those that can afford it.More than some nominal increase in the American aid budget, what is called for is the recognition of the inherent rights of every human being regardless of nationality This entails the coordinated effort to secure those rights not merely through the charity of the rich, but through the profound alteration of those structures which deprive people of these rights in the first place.It s a bold challenge, to be sure, but one of the first that actually has hope to establish a just global society.Paul s style of writing is sometimes meandering and disjointed which is why I can t give the book 5 stars, but all in all this book is a must read for anyone interested in global health or human rights. My main takeaways from this book were an appreciation for the lyrics of Bertold Brecht and some additional knowledge about tuberculosis in Russia and AIDS in Haiti from around the year 2000 That is not without value It is easy to see how the structural violence is turned against the poor on the matter of health, and to see the importance of health, and how it is tied in with access to food and clean water and all of the obvious things And maybe that s the problem, is that it is kind of obvious An eloquent essay could have done just as well Actually, I don t remember, but an eloquent essay that referenced this book might be how it ended up on my reading list Of course, I am someone willing to believe that healthcare is a human right, and that the structural inequities need to be fixed Someone who was not on board with that would probably not find the additional detail helpful.That made it harder to ignore the flaws of the book Incidentally, there are no solutions offered The point is to convince people about the importance of prioritizing the health of the poor, and I think people who need the book will not be convinced by it.Beyond that, the books starts out with some criticism of neoliberal policies That can be valid, but that wasn t explored, as that was not the topic of the book Instead, it was brought up as a criticism and kept, and years later it is hard to not read that as the words of someone who will tell you that both parties are the same, after years of devastating evidence that they aren t Maybe it just hasn t aged well.Because of the points mentioned, every time the author mentioned being an anthropologist as well as a doctor , I kept flashing back to very colorful criticisms of anthropologists that I have read from Native American authors.Still, Brecht seems great. This probably isn t most people s idea of recreational reading, but Farmer s view of the aid community and how first world powers use aid and don t aid when they should really resonated with me It s an angry book from one who knows just how angry we all should be This has me looking for of what he has written I am particularly interested in about Haiti It wasn t always comfortable We are all complicit in this and I could feel my own complicity as I read it I thought about parallels between the situations he describes in health and my own work in education. It s books like this that make me temporarily enraged with America, its obscene affluence, and hypocritical Christian support of it, and that make me want to abandon my trek toward academia and do something useful, like helping the oppressed.Edit I should add that I m not actually sure whether I should give this book 4 stars From a Christian and theoretical standpoint, it s very lacking He is not himself a Christian, and though he claims to draw on the insights of liberation theology to formulate his argument against structural violence, he evacuates liberation theology of anything theological in the process, leaving his resources for combatting the evil he sees very vague and limited indeed In particular, the notion of structural violence could be much developed within a Christian framework of sins of omission the neglect of responsibility, at individual and corporate levels.But I ll keep it at 4 stars, since he gives a very powerful portrait of the problems out there, and so succeeds well at his primary objective If his primary objective were to articulate a solution, he would have failed rather badly. This book by the brilliant physician and human rights activist, Dr Paul Farmer, is the single most trenchant analysis of our global human rights crisis I have ever read Weaving together the inescapable links between poverty, food, shelter and healthcare, Dr Farmer s book is a damning indictment of the international aid community. Efficiency cannot trump effective treatment When capitalism infused with racism is in charge of healthcare, people die from preventable diseases Farmer is a modern prophet in this field and shines light on structural issues of poverty As he says, deaths of poverty are crimes against humanity This is fixable we just have to care Also, he s a great writer. This book is every human rights activist s dream come true, because Farmer documents his efforts to provide quality health services in poor communities around the world, and he shows how the struggle for adequate health care is unavoidably connected to the struggle for other human rights Through various case studies, Farmer demonstrates that, contrary to the claims of most governments and international agencies, public health crises in poor communities can in fact be avoided Most governments and international agencies primarily concern themselves with the cost effectiveness of addressing health crises in poverty stricken areas Farmer demonstrates how small things like providing patients with a small stipend to buy nutritious food, giving out mosquito nets, or providing transportation to health clinics can prevent disease and increase patients chances of recovery He shows that rather than treating a disease or an individual patient, investments must made in the whole community Much of his discussion focused on foreign countries, but I was glad to see that he also addressed the U.S s denial of adequate health care to the poor Throughout the book, he stresses that structural violence is the root cause of premature deaths among the poor, and therefore structural violence must be addressed if human rights are to be protected I appreciated his observation that the human rights movement is also partially to blame for public health crises, because it has largely failed to adequately fight for the recognition of health care as a human right.Since I don t have a medical background, I found his case study on multi drug resistant tuberculosis particularly informative, because he explains how governments and well meaning international aid organizations can actually make things worse by only partially funding efforts to control TB Treatment of TB requires intensive and expensive drug therapy, but if patients get the wrong type of drugs, or receive them at the wrong time or in insufficient quantities, their symptoms worsen and the virus becomes even resistant to drugs, thus further endangering the patient and the public Farmer uses this to illustrate his main argument that only substantial, long term community investments can truly protect the health and human rights of the poor Overall, I found Farmer to be incredibly well informed, eloquent, and thoughtful Oh yeah, and one of things I appreciated most nearly all the books I read are downers, ie, they talk about all the depressing problems that plague humanity without really proposing any solutions Farmer not only discusses solutions, but his case study of Haiti demonstrates how he s actually been able to make a difference in people s lives by tying the struggle for health care into the struggle for other economic rights access to nutritious food, clean water, transportation, etc Unlike most books of this genre, it didn t make me feel like giving up in despair instead, I pulled out my checkbook, and have been donating regularly to his org ever since, because I find their work incredibly admirable and important.The only reason I m giving it 4 instead of 5 stars is because I found it a bit dry and hard to get through I also felt his chapter on the Zapatistas didn t flow well with the rest of the book.