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Privatization and the New Medical Pluralism is the first collection
of its kind to explore the contemporary terrain of healthcare in
Guatemala through reflective ethnography. This volume offers a
nuanced portrait of the effects of healthcare privatization for
indigenous Maya people, who have historically endured numerous
disparities in health and healthcare access. The collection
provides an updated understanding of medical pluralism, which
concerns not only the tensions and exchanges between ethnomedicine
and biomedicine that have historically shaped Maya people's
experiences of health, but also the multiple competing biomedical
institutions that have emerged in a highly privatized,
market-driven environment of care. The contributors examine the
macro-structural and micro-level implications of the proliferation
of non-governmental organizations, private fee-for-service clinics,
and new pharmaceuticals against the backdrop of a deteriorating
public health system. In this environment, health seekers encounter
new challenges and opportunities, relationships between the public,
private, and civil sectors transform, and new forms of inequality
in access to healthcare abound. This volume connects these themes
to critical studies of global and public health, exposing the
strictures and apertures of healthcare privatization for
marginalized populations in Guatemala.
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