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, Joao 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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