Ciara Kierans – författare

Chronic Failures: Kidneys, Regimes of Care and the Mexican State is about Chronic Kidney Disease (CKD) and the relentless search for renal care lived out in the context of poverty, inequality and uneven welfare arrangements. Based on ethnographic research conducted in the state of Jalisco, this book documents the routes uninsured Mexican patients take in order to access resource intensive biotechnical treatments, that is, different modes of dialysis and organ transplantation. It argues that these routes are normalized, bureaucratically, socially and epidemiologically, and turned into a locus for exploitation and profit.  Without a coherent logic of healthcare access, negotiating regimes of renal care has catastrophic consequences for those with the least resources to expend in that effort. In carrying both the costs and the burden of care, the practices of patients without entitlement offer a critical vantage point on the interplay between the state, markets in healthcare and the sick body.

Chronic Failures: Kidneys, Regimes of Care and the Mexican State is about Chronic Kidney Disease (CKD) and the relentless search for renal care lived out in the context of poverty, inequality and uneven welfare arrangements. Based on ethnographic research conducted in the state of Jalisco, this book documents the routes uninsured Mexican patients take in order to access resource intensive biotechnical treatments, that is, different modes of dialysis and organ transplantation. It argues that these routes are normalized, bureaucratically, socially and epidemiologically, and turned into a locus for exploitation and profit.  Without a coherent logic of healthcare access, negotiating regimes of renal care has catastrophic consequences for those with the least resources to expend in that effort. In carrying both the costs and the burden of care, the practices of patients without entitlement offer a critical vantage point on the interplay between the state, markets in healthcare and the sick body.

Developments in health, science and technology have long provided fertile analytical ground for social science disciplines. This book focuses on the critical and enduring importance of core concepts in anthropology and sociology for interrogating and keeping pace with developments in the life sciences. The authors consider how transformations in medical and scientific knowledge serve to reanimate older controversies, giving new life to debates about relations between society, culture, knowledge and individuals. They reflect on the particular legacies and ongoing relevance of concepts such as ‘culture’, ‘society’, ‘magic’, ‘production’, ‘kinship’, ‘exchange’ and ‘the body’. The chapters draw on the work of key historical and contemporary figures across the social sciences and include a range of illustrative case studies to explore topics such as transplant medicine, genetic counselling, cancer therapy, reproductive health and addiction. Of particular interest to students and scholars of anthropology, sociology, and science and technology studies, this volume will also be a valuable resource for those working in the fields of health and medicine.