Cancer Intersections: Biomedicine, Health Insurance, and the Paradoxes of Health Care Reform in Neoliberal ColombiaA free ebook version of this title is available through Luminos, University of California Press's Open Access publishing program. Visit www.luminosoa.org to learn more. Cancer Intersections is an ethnographic analysis of the complex and paradoxical efforts to access neoliberal, market-based oncological treatments in Colombia, a country where all patients are legally guaranteed access to medical services, including high-cost ones. Drawing on years of fieldwork in the city of Cali, Camilo Sanz explores the deep entanglements between medical, legal, and policy practices that share a common goal of treating and curing cancer but are hindered by bureaucratic procedures, pernicious financial interests, and class politics. Cancer Intersections shows how the interplay of these hurdles dictates the rhythm at which patients access treatment and how even in resource-rich settings, patients suffer because of market imperatives that shape how cancer treatments unfold. Through careful and measured observation, Sanz unveils how a neoliberal universal health care regime delays access to care for those reliant on public assistance, which means that some patients will start expensive treatments only after it is unlikely to change the course of the disease. |
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Cancer Intersections: Biomedicine, Health Insurance, and the Paradoxes of ... Camilo Sanz Limited preview - 2024 |
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Abadía-Barrero access to medical aggressive anti-cancer Artesano asked become biomedical biomedicine biopsy bodies Bogotá brand-name branded drugs bureaucratic Cali cancer patients cells chapter chemo chemotherapy cisplatin clinical Colombia crisis Defensoría del Pueblo diagnosis disease docetaxel doctors drug samples Duke University Duke University Press Durham dysplastic nevus ekekos EPSs ethics of exhaustion ethnographic explained fieldwork file tutelas frustration health care system health insurance health insurance companies Herceptin high-cost Horacio instance interventions Jairo Juana look low-income patients manage Masa Masa’s Medical Anthropology medical services medicine melanoma ment metastatic mole neoliberal No-POS oncologists oncology pain palliative palliative care pathologists Pepe pharma reps pharmaceutical physicians policies potential prepaid insurance prescribed prescription prostate cancer protocols public hospitals Rayo right to health salud skin social therapeutic tissue transformed trastuzumab treatments tropel tumors universal health universal health care Valle del Lili vueltas waiting