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Lecture 4

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University of Toronto Scarborough
Michelle Majeed

Lecture 4 Notes Ehrenreich & Hochschild 2003 -Women migrate out of countries to work as nannies or other positions and send money back home -Some only visit their families about once a year for a month -Example is Josephine who lives in sri lanka - Youngest children tend to show most distress -Unlike the first world employers most mothers can't live with their family and support it so they migrate somewhere else to make money -many women who have no male partners succeeded in a tough male world careers only by turning over the care of their children, elderly parents and homes to women from the third world. -Sometimes younger daughter is drawn out of school to take care of younger siblings if no one else is around to take care of them -Pattern of female migrations could be consider worldwide gender revolution -in American women were the sole, primary or coequal earners in American families - many women take jobs as nannies from Philippines, sri lanka and India they are able to provide material wealth for their children -others are blocked by criminal employers who get them to work in sex labour and unsafe conditions -unlike factory workers nannies and maids are often hidden away, one or two at a time, behind closed doors in private homes. Sex workers are been more sealed away from public view -They remain in the background until company comes -services associated with wife's traditional role and sex from poor counties to rich ones -The women from poor countries bring a lot of emotion that is greatly affecting the place they work for, it is as if the wealthy parts of the world are running short on precious emotional and sexual resources and have turn to poorer regions for fresh supplies -Black slaves brought to North America were used as concubines or domestic servants -most women like men migrate from south to north and from poor to rich countries -Eventually most types of women workers get replaced by another set from a different country -some country governments even sponsor programs for women to learn things they need to know to work in a developed nation - Americans don't get child care for working mothers, nor does it ensure paid family and medical leave -Any view of the globalization of domestic work as simply an arrangement among women completely omits the role of men -Numerous studies, including some of our own, have shown that as American women took on paid employment, the men in their families did little to increase their contribution to the work of the home -The men in wealthier countries are also of course directly responsible for the demand for immigrant sex workers as well as for the sexual abuse of many migrant women who work as domestics -they are sought after as sexual partners because they have traditional feminine qualities of nurturance, docility and eagerness to please -Many women are trafficked out of their countries -Many women from places like Mexico are actually educated and hold degrees and diplomas -making men of poor countries less desirable as husbands -Sometimes the men use the money on alcohol and gambling - rich countries on the role of the old fashioned male pampered and unable to do anything -poor countries take the role of the traditional woman within the family patient, nurturing and self denying -sort of like a marriage -but it is a secret affair conducted in plain view of the children. Little is children may learn more than ABC's from a loving surrogate parent Farmer Chapter 1 The vitality of practice (you may need to reread this particularly the last few pages) -Haiti also strengthened farmer's interest in social theory, particularly in the relationship between structural constraints and personal agency. -Accordingly lack of access to effective biomedical services was the most salient feature of Haitian health system -Country had only one medical school and its graduates usually sought to remain in port-au prince after graduation or better yet leave Haiti altogether -They don't understand research and only want hospitals to treat health related issues -Within opening the clinic the first of AIDS in a young man who presented with disseminated tuberculosis was there -People in Haiti were hungry, sick and were completely absent from consideration and so of course their plight -critics suggest investment in more prevention then treatment -world system approach was a challenge to ferret out connections -Poverty is the central fact of life for people of Haiti, so too is it central fact of our lives as their physicians and their advocates -Living with HIV and poverty is brutally painful -MDRTB needs to be detected early so that the appropriate measures can be taken to get through it -An conflation of structural violence and cultural difference inhabits the reasoning of this debate over medical ethics Packard 2000 Post Colonial Medicine - Post colonial signifies more than a period of time that post dates the period of European and American domination of non western people -is about attempts to resurrect indigenous modes of thought and representation, not a pristine entities, but as forms of knowledge that are shaped by and reflective of the legacy of the colonial era -raises important questions for the history of medicine in the post colonial era - Most centrally what is the meaning of post in post colonial medicine, or put more directly have post colonial medical system broken free from colonial forms of knowledge, practice and representation? Colonial medicine -In order to understand the extent to which post colonial medical systems have reproduced forms of knowledge and practice which developed during the colonial era, it is necessary to begin by outlining essential characteristics of colonial medicine -First they were closely linked to economic interest of colonizers -Health was not an end in itself, but rather pre-requisite for development. Colonial or tropical medicine was concerned primarily with maintain the health of Europeans living in the tropics, since these imperial agents were viewed as essential to the success of the colonial project -two consequences: first the success or failure of health interventions was measured in terms of their ability to maintain or increase levels of production rather than in terms of levels of health among the native population -production losses, defined in terms of days or shifts lost, served as a surrogate measure for the health of the native work force -Secondly health services for native populations were located near areas of European settlements and sites of production and thus primarily in or near urban centers -The second characteristic of Colonia medical services was that they tended to be narrowly technical in their design and implementation. -Health defined as the absence of disease and could be achieved by understanding and developing methods for attacking diseases was shaped by the emergence of the sub-field of tropi
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