
Blind Spot
Description
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A vivid illustration of the infiltration of neoliberal ideology into the design and implementation of development programs, this case study, set in post-Soviet Tajikistan's remote eastern province of Badakhshan, draws on extensive ethnographic and historical material to examine a "revolving drug fund" program-used by numerous nongovernmental organizations globally to address shortages of high-quality pharmaceuticals in poor communities. Provocative, rigorous, and accessible, Blind Spot offers a cautionary tale about the forces driving decision making in health and development policy today, illustrating how the privatization of health care can have catastrophic outcomes for some of the world's most vulnerable populations.
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Person
Salmaan Keshavjee is a physician and anthropologist with more than two decades of experience working in global health. He is the Director of the Program in Infectious Disease and Social Change in the Department of Global Health at Harvard Medical School, where he is also Associate Professor of Global Health and Social Medicine and Associate Professor of Medicine. He also serves on the faculty of the Division of Global Health Equity (DGHE) at Boston's Brigham and Women's Hospital, and is a physician in the Department of Medicine.
Paul Farmer is cofounder of Partners In Health and Chair of the Department of Global Health and Social Medicine at Harvard Medical School. His most recent book is Reimagining Global Health. Other titles include To Repair the World; Pathologies of Power: Health, Human Rights, and the New War on the Poor; Infections and Inequalities: The Modern Plagues; and AIDS and Accusation: Haiti and the Geography of Blame, all by UC Press.
Content
Foreword
Paul Farmer
Preface
Acknowledgments
1. Introduction: A World Transformed
Part I. The Beginning of the Encounter: The Soviet World Meets Its Global Counterparts
2. Health in the Time of the USSR: A Window into the Communist Moral World
3. Seeking Help at the End of Empire: A Transnational Lifeline for Badakhshan
Part II. Life at the End of Empire: The Crisis and the Response
4. The Health Crisis in Badakhshan: Sickness and Misery at the End of Empire
5. Minding the Gap? The Revolving Drug Fund
Part III. Transplanting Ideology: Village Health Meets the Global Economy
6. Bretton Woods to Bamako: How Free-Market Orthodoxy Infiltrated the International Aid Movement
7. From Bamako to Badakhshan: Neoliberalism's Transplanting Mechanism
Part IV. The Aftermath: Neoliberal Success, Global Health Failure
8. Privatizing Health Services: Reforming the Old World
9. Revealing the Blind Spot: Outcomes That Matter
10. Epilogue: Reframing the Moral Dimensions of Engagement
Notes
Bibliography
Index
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