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Republic of Therapy Triage and Sovereignty in West Africa's Time of AIDS

ISBN-10: 0822348748
ISBN-13: 9780822348740
Edition: 2010
Authors: Vinh-Kim Nguyen
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Description: The Republic of Therapytells 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  More...

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Book details

List price: $19.99
Copyright year: 2010
Publisher: Duke University Press
Publication date: 11/1/2010
Binding: Paperback
Pages: 256
Size: 6.00" wide x 9.00" long x 0.75" tall
Weight: 0.792
Language: English

The Republic of Therapytells 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 Cocirc;te-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. He describes how in the intervening years, when antiretrovirals were scarce in Africa, triage decisions were made determining who would receive lifesaving treatment. He explains too 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.

Acknowledgments
Introduction C�te-d'Ivoire and Triage in the Time of AIDS
Testimonials That Bind: Organizing Communities with HIV
Confessional Technologies: Conjuring the Self
Soldiers of God: Together and Apart
Life Itself: Triage and Therapeutic Citizenship
Biopower: Fevers, Tribes, and Bulldozers
The Crisis: Economies, Warriors, and the Erosion of Sovereignty
Uses and Pleasures: The Republic Inside Out
Conclusion Who Lives? Who Dies?
Notes
References
Index

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