The Vitality of Practice (Farmer)
“In my first year there, I witnessed preventable deaths from malaria, tuberculosis, and
“The hypocrisies of development are not only morally flimsy but in fact analytically
• World system's theory
• “Aid, I learned through research, brought connections, not discontinuities, into relief
• Medical services for the people I’d come to care about were simply not 'cost effective'
in the increasingly dominant framework of neoliberalism
• World systems theory, perhaps, helped us to see people like ourselves with one foot in
Harvard and another in Haiti, as possible conduits for resources
• Since roughly a third of the world's population carries quiescent tuberculosis infection,
tuberculosis is probably the world's most common AIDS-associated opportunistic
• In rural Haiti, failure to respond to therapies accounts for many of the lows, but there
are just are frequently the result of a lack of something: a medicine, a diagnostic
test, a bit of already published information, or cash for families who need food
and housing more than they need medicines.
• Successes in Haiti: early detection and aggressive therapy for tuberculosis am