Andrew Lakoff – författare
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The origins and development of the modern American emergency stateFrom pandemic disease, to the disasters associated with global warming, to cyberattacks, today we face an increasing array of catastrophic threats. It is striking that, despite the diversity of these threats, experts and officials approach them in common terms: as future events that threaten to disrupt the vital, vulnerable systems upon which modern life depends.The Government of Emergency tells the story of how this now taken-for-granted way of understanding and managing emergencies arose. Amid the Great Depression, World War II, and the Cold War, an array of experts and officials working in obscure government offices developed a new understanding of the nation as a complex of vital, vulnerable systems. They invented technical and administrative devices to mitigate the nation’s vulnerability, and organized a distinctive form of emergency government that would make it possible to prepare for and manage potentially catastrophic events.Through these conceptual and technical inventions, Stephen Collier and Andrew Lakoff argue, vulnerability was defined as a particular kind of problem, one that continues to structure the approach of experts, officials, and policymakers to future emergencies.
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Whether considering how American drug companies seek to create a market for antidepressants in Japan, how Brazil has created a model HIV/AIDS prevention and treatment program, or how the urban poor in Delhi understand and access healthcare, these essays illuminate the roles of corporations, governments, NGOs, and individuals in relation to global pharmaceuticals. Some essays show how individual and communal identities are affected by the marketing and availability of medications. Among these are an exploration of how the pharmaceutical industry shapes popular and expert understandings of mental illness in North America and Great Britain. There is also an examination of the agonizing choices facing Ugandan families trying to finance AIDS treatment. Several essays explore the inner workings of the emerging international pharmaceutical regime. One looks at the expanding quest for clinical research subjects; another at the entwining of science and business interests in the Argentine market for psychotropic medications. By bringing the moral calculations involved in the production and distribution of pharmaceuticals into stark relief, this collection charts urgent new territory for social scientific research.
Contributors. Kalman Applbaum, João Biehl, Ranendra K. Das, Veena Das, David Healy, Arthur Kleinman, Betty Kyaddondo, Andrew Lakoff, Anne Lovell, Lotte Meinert, Adriana Petryna, Michael A. Whyte, Susan Reynolds Whyte
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The fractious and disorganized governmental response to the coronavirus pandemic in the United States prompted many observers to ask why the country ‒ which had the knowledge, resources, and plans to deal with such an event ‒ was caught so unprepared when the crisis struck.
In fact, as Andrew Lakoff shows, US officials had been planning for a pandemic for more than two decades, and many of these plans were implemented in the early stages of the pandemic. As authorities responded to the crisis, they relied on an already formulated set of concepts and tools that had been devised for managing a future emergency. These preexisting tools enabled officials to make sense of the event and to rapidly implement policies in response, but they also led to significant blind spots.
What did these planning tools allow officials to see, and what did they hide from view? And, as we assess the failures in our response to the pandemic and attempt to prepare for “the next one,” to what extent should we take for granted the capacity of these tools to guide future interventions effectively?