Michele Rivkin-Fish – författare

"An unparalleled study of a transforming and privatizing Russian health care system, of the promises and perils of prescriptive programs for change, that points to the areas that need change in the change-makers themselves. . . . part of a larger story about the inherent dangers of current neoliberal economic transformations of fragile post-socialist social welfare arrangements. . . . "Rivkin-Fish takes the reader into a new understanding of the fragile and tense relations between state and market transitions, and into the deep and largely silent struggle for gender and health equity in Russia." —Adriana Petryna, author of Life Exposed: Biological Citizens after ChernobylIn the first decade after the collapse of the Soviet Union, deteriorating public health indicators such as below-replacement fertility and high rates of sexually transmitted diseases, abortions, birth traumas, and maternal mortality raised acute anxieties about Russia's future. This study documents the efforts of global and local experts, and ordinary Russian women in St. Petersburg, to explain Russia's maternal health problems and devise reforms to solve them. Examining both official health projects and informal daily practices, Michele Rivkin-Fish draws ethnographic and theoretical insights about the contested processes of interpreting and managing neo-liberal transitions in Russia and explores the challenges of bringing anthropological insights to public health interventions for women's empowerment.

As the predominant form of birth control in Soviet society, abortion reflected key paradoxes of state socialism: women held formal equality but lacked basic needs such as contraceptives. With market reforms, Russians enjoyed new access to Western contraceptives and new pressures to postpone childbearing until economically self-sufficient. But habits of family planning did not emerge automatically—they required extensive physician retraining, public education, and cultural transformation. In Unmaking Russia’s Abortion Culture,Rivkin-Fish examines the creative strategies of Russians who promoted family planning in place of routine abortion. Rather than emphasizing individual rights, they explained family planning’s benefits to the nation—its potential to strengthen families and prevent the secondary sterility that resulted when women underwent repeat, poor quality abortions. Still, fierce debates about abortion and contraceptives erupted as declining fertility was framed as threatening Russia’s demographic sovereignty.Although Russian family planners embraced a culturally meaningful liberalism that would rationalize public policy and re-enchant relations, nationalist opponents cast family planning as suspicious for its association with the individualistic, "child-free" West. This book tells the story of how Russian family planners developed culturally salient frameworks to promote the acceptability of contraceptives and help end routine abortion. It also documents how nationalist campaigns for higher fertility worked to de-fund family planning and ultimately dismantle its institutions. By tracing these processes, Unmaking Russia’s Abortion Culture demonstrates the central importance of reproductive politics in the struggle for liberalizing social change that preceded Russia’s 2022 descent into war, repression, and global marginalization.

As the predominant form of birth control in Soviet society, abortion reflected key paradoxes of state socialism: women held formal equality but lacked basic needs such as contraceptives. With market reforms, Russians enjoyed new access to Western contraceptives and new pressures to postpone childbearing until economically self-sufficient. But habits of family planning did not emerge automatically—they required extensive physician retraining, public education, and cultural transformation. In Unmaking Russia’s Abortion Culture,Rivkin-Fish examines the creative strategies of Russians who promoted family planning in place of routine abortion. Rather than emphasizing individual rights, they explained family planning’s benefits to the nation—its potential to strengthen families and prevent the secondary sterility that resulted when women underwent repeat, poor quality abortions. Still, fierce debates about abortion and contraceptives erupted as declining fertility was framed as threatening Russia’s demographic sovereignty.Although Russian family planners embraced a culturally meaningful liberalism that would rationalize public policy and re-enchant relations, nationalist opponents cast family planning as suspicious for its association with the individualistic, "child-free" West. This book tells the story of how Russian family planners developed culturally salient frameworks to promote the acceptability of contraceptives and help end routine abortion. It also documents how nationalist campaigns for higher fertility worked to de-fund family planning and ultimately dismantle its institutions. By tracing these processes, Unmaking Russia’s Abortion Culture demonstrates the central importance of reproductive politics in the struggle for liberalizing social change that preceded Russia’s 2022 descent into war, repression, and global marginalization.

The need for informed analyses of health policy is now greater than ever. The twelve essays in this volume show that public debates routinely bypass complex ethical, sociocultural, historical, and political questions about how we should address ideals of justice and equality in health care. Integrating perspectives from the humanities, social sciences, medicine, and public health, this volume illuminates the relationships between justice and health inequalities to enrich debates.Understanding Health Inequalities and Justice explores three questions: How do scholars approach relations between health inequalities and ideals of justice? When do justice considerations inform solutions to health inequalities, and how do specific health inequalities affect perceptions of injustice? And how can diverse scholarly approaches contribute to better health policy? From addressing patient agency in an inequitable health care environment to examining how scholars of social justice and health care amass evidence, this volume promotes a richer understanding of health and justice and how to achieve both.The contributors are Judith C. Barker, Paula Braveman, Paul Brodwin, Jami Suki Chang, Debra DeBruin, Leslie A. Dubbin, Sarah Horton, Carla C. Keirns, J. Paul Kelleher, Nicholas B. King, Eva Feder Kittay, Joan Liaschenko, Anne Drapkin Lyerly, Mary Faith Marshall, Carolyn Moxley Rouse, Jennifer Prah Ruger, and Janet K. Shim.

The need for informed analyses of health policy is now greater than ever. The twelve essays in this volume show that public debates routinely bypass complex ethical, sociocultural, historical, and political questions about how we should address ideals of justice and equality in health care. Integrating perspectives from the humanities, social sciences, medicine, and public health, this volume illuminates the relationships between justice and health inequalities to enrich debates.Understanding Health Inequalities and Justice explores three questions: How do scholars approach relations between health inequalities and ideals of justice? When do justice considerations inform solutions to health inequalities, and how do specific health inequalities affect perceptions of injustice? And how can diverse scholarly approaches contribute to better health policy? From addressing patient agency in an inequitable health care environment to examining how scholars of social justice and health care amass evidence, this volume promotes a richer understanding of health and justice and how to achieve both.The contributors are Judith C. Barker, Paula Braveman, Paul Brodwin, Jami Suki Chang, Debra DeBruin, Leslie A. Dubbin, Sarah Horton, Carla C. Keirns, J. Paul Kelleher, Nicholas B. King, Eva Feder Kittay, Joan Liaschenko, Anne Drapkin Lyerly, Mary Faith Marshall, Carolyn Moxley Rouse, Jennifer Prah Ruger, and Janet K. Shim.