Global Pharmaceuticals: Ethics, Markets, Practices

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Adriana Petryna, Arthur Kleinman, Andrew Lakoff
Duke University Press, Feb 22, 2006 - Business & Economics - 310 pages
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In some parts of the world spending on pharmaceuticals is astronomical. In others people do not have access to basic or life-saving drugs. Individuals struggle to afford medications; whole populations are neglected, considered too poor to constitute profitable markets for the development and distribution of necessary drugs. The ethnographies brought together in this timely collection analyze both the dynamics of the burgeoning international pharmaceutical trade and the global inequalities that emerge from and are reinforced by market-driven medicine. They demonstrate that questions about who will be treated and who will not filter through every phase of pharmaceutical production, from preclinical research to human testing, marketing, distribution, prescription, and consumption.

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, Joćo 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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Global pharmaceuticals: ethics, markets, practices

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Petryna (anthropology, The New Sch.), Andrew Lakoff (sociology & science studies, Univ. of California, San Diego), and Arthur Kleinman (medical anthropology & psychiatry, Harvard) have edited a ... Read full review

Contents

The Pharmaceutical Nexus
1
Globalizing Human Subjects Research
33
The New Medical Oikumene
61
The Adoption of SSRIs in Japan
85
Gifts and Surveillance in Argentina
111
The Case of HighDose Buprenorphine in France
136
The Register of the Local
171
Pharmaceutical Governance
206
Dilemmas of Unequal Access in Uganda
240
References
263
Contributors
289
Index
291

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About the author (2006)

Adriana Petryna is Associate Professor of Anthropology and Associate Fellow, Center for Bioethics, University of Pennsylvania. She is the author of Life Exposed: Biological Citizens after Chernobyl.

Andrew Lakoff is Assistant Professor of Sociology and Science Studies at the University of California, San Diego. He is the author of Pharmaceutical Reason: Knowledge and Value in Global Psychiatry.

Arthur Kleinman is the Esther and Sidney Rabb Professor and Chair of Anthropology, Professor of Medical Anthropology, and Professor of Psychiatry at Harvard University. Among his books are Writing at the Margin: Discourse between Anthropology and Medicine and The Illness Narratives: Suffering, Healing, and the Human Condition.

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