Unhealthy Health Policy

Arachu Castro is Assistant Professor of Social Medicine in the Department of Social Medicine at Harvard Medical School in Boston and Director of the Institute for Health and Social Justice at Partners in Health. She has taught at the University of Barcelona and the National School of Public Health in Spain, at the National University at Cordoba, Argentina, and at the Institute of Tropical Medicine in Havana, Cuba. Merrill Singer is Associate Director and Chief of Research at the Hispanic Health Council in Hartford, Connecticut, as well as Assistant Clinical Professor at the University of Connecticut Medical School and a member of the Executive Committee of the Center for Interdisciplinary Research on AIDS at the Yale University School of Public Health.

This collection is an important addition to several relatively recent and highly critical assessments of contemporary development efforts. . . . Recommended. Graduate students/faculty/professionals.

• Chapter 1 Introduction. Anthropology and Health Policy: A Critical PerspectivePart 2 PART I. International Institutions and the Setting of Health PoliciesChapter 3 1. Pearls of the Antilles? Public Health in Haiti and CubaChapter 4 2. The Visible Fist of the Market: Health Reforms in Latin AmericaChapter 5 3. International NGOs in the Mozambique Health Sector: The Velvet Glove of PrivatizationChapter 6 4. Primary Health Care since Alma Ata: Lost in the Bretton Woods?Chapter 7 5. Shifting Policies Towards Traditional Midwives: Implications for Reproductive Health Care in PakistanChapter 8 6. The Contradictions of a Revolving Drug Fund in Post-Soviet Tajikistan: Selling Medicines to Starving PatientsChapter 9 7. Equity in Access to AIDS Treatment in Africa: Pitfalls amongst AchievementsChapter 10 8. Contracepting at Childbirth: The Integration of Reproductive Health and Population Policies in MexicoChapter 11 9. How Healthy are Health and Population Policies? The Indian ExperiencePart 12 PART II. National Health Policies and Social ExclusionChapter 13 10. Happy Children with AIDS: The Paradox of a Healthy National Program in an Unequal and Exclusionary BrazilChapter 14 11. Between Risk and Confession: The Popularization of Syphilis Prophylaxis in Revolutionary MexicoChapter 15 12. Saving Lives, Destroying Livelihoods: Emergency Evacuation and Resettlement Policies in EcuadorChapter 16 13. Social Illegitimacy as a Foundation of Health Inequality: How the Political Treatment of Immigrants Illuminates a French ParadoxChapter 17 14. The Indian Health Transfer Policy in Canada: Toward Self-Determination or Cost Containment?Chapter 18 15. Land and Rural New Mexican Hispanics' Mistrust of Federal Programs: The Unintended Consequences of Medicaid Eligibility RulesChapter 19 16. The Death and Resurrection of Medicaid Managed Care for Mental Health Services in New MexicoChapter 20 17. Sugar Blues: A Social Anatomy of the Diabetes Epidemic in the United StatesChapter 21 18. Syringe Access, HIV Risk, and AIDS in Massachusetts and Connecticut: The Health Implications of Public PolicyChapter 22 19. Why it is Easier to Get Drugs than Drug Treatment in the United States?Chapter 23 20. U.S. Inner City Apartheid and the War on Drugs: Crack among Homeless Heroin AddictsChapter 24 PART III. Impact of Policy on the Practice of MedicineChapter 25 21. United States Health Policy on Alternative Medicine: A Case Study in the Co-optation of a Popular MovementChapter 26 22. Home Birth Emergencies in the United States: The Trouble with TransportChapter 27 23. Why Is Prevention Not the Focus for Breast Cancer Policy in the Unites States Rather than High-Tech Medical Solutions?Part 28 Index