Ordinary crisis: cancer care, tutelas and the outsourcing of ethics in neoliberal Colombia
DOI:
https://doi.org/10.17533/udea.boan.v36n61a07Palabras clave:
cancer, crisis, health insurance companies, tutela, Colombia, neoliberalismResumen
In this paper I analyze how EPSs financial innerworkings and the massive use of tutela have transformed the national health care crisis into a protracted and ordinary event in neoliberal Colombia. To do so, I build on ethnographic research conducted during 2011-2012 with low-income cancer patients, physicians and EPS’s representatives in the city of Cali. I argue that “anti-crisis” mechanisms such as tutela have paradoxically created the financial and ethical conditions that allow EPSs to systematically delay the provision of “high-cost’” treatments.
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Abadia-Barrero, Cesar (2015a). “The transformation of the value of life: Dispossession as torture”. In: Medical Anthropology, vol. 35, N.° 5, pp. 389-406. https://www.researchgate.net/profile/Cesar_Abadia-Barrero/publication/279628586_The_Transformation_of_the_Value_of_Life_Dispossession_as_Torture/links/55bd208208aed621de10895c.pdf
Abadia-Barrero, Cesar (2015b). “Neoliberal justice and the transformation of the moral: The privatization of the right to health care in Colombia”. In: Medical Anthropology Quarterly, vol. 30, N.° 1, pp. 62-79.
Abadia-Barrero, Cesar and Oviedo, Diana (2009). “Bureaucratic itineraries in Colombia: A theoretical and methodological tool to assess managed-care health care systems”. In: Social Science and Medicine, vol. 68, pp. 1153-1160. https://www.researchgate.net/profile/Cesar_Abadia-Barrero/publication/23959149_Bureaucratic_Itineraries_in_Colombia_A_theoretical_and_methodological_tool_to_assess_managed-care_health_care_systems/links/5a0131990f7e9b62a15869fe/Bureaucratic-Itineraries-in-Colombia-A-theoretical-and-methodological-tool-to-assess-managedcare-health-care-systems.pdf
Adams, Vincanne (2013). Markets of sorrow, labors of faith: New Orleans in the wake of Katrina. Duke University Press, Durham. https://core.ac.uk/download/pdf/276282333.pdf 116 / Boletín de Antropología, Vol. 36 N.º 61, enero-junio de 2021. Universidad de Antioquia
Agamben, Giorgio (1998). Homo Sacer: Sovereign Power and Bare life. [Trans. Daniel Heller-Roazen]. Stanford University Press, Sanford.
Ámbito Jurídico, (2012). Cada dos minutos un colombiano interpone una acción de tutela en salud: Defensoría. Diciembre 21, 2012. [on-line:] https://www.ambitojuridico.com/noticias/general/laboral-y-seguridad-social/cada-dos-minutos-se-interpone-una-accion-de-tutela-en. (Last day accessed, March 20, 2013.)
Biehl, Joao; Amon, Joseph; Socal, Mariana and Petryna Adriana (2012). “Between the Court and the Clinic: Lawsuits for Medicines and the Right to Health in Brazil”. In: Health and Human Rights: An International Journal, vol. 14, pp. 484. http://cdn2.sph.harvard.edu/wp-content/uploads/sites/13/2013/06/Biehl-FINAL21.pdf
Cooper, Melinda (2008). Life as surplus: Biotechnology and capitalism in the Neoliberal era. University of Washington Press, Seattle.
Defensoría del Pueblo (2013). La tutela y el derecho a la salud 2012. Defensoría del Pueblo, Bogotá.
Defensoría del Pueblo (2018). La tutela y los derechos a la salud y la seguridad social. Defensoría del Pueblo, Bogotá.
Defensoría del Pueblo (July 9, 2019). “Cada 34 segundos en Colombia se presenta una tutela por violación al derecho a la salud”. Defensoría del Pueblo, Colombia. [On line:] https://www.defensoria.gov.co/es/nube/comunicados/7985/Cada-34-segundos-en-Colombia-se-presenta-una-tutela-porviolaci%C3%B3n-al-derecho-a-la-salud-tutelas-Defensor%C3%ADa-salud-derechos-informe.htm. (Last day accessed: April 28, 2020).
Derrida, Jacques (1981). Dissemination. [Trans. Barbara Johnson]. University of Chicago Press, Chicago. https://press.uchicago.edu/dam/ucp/books/pdf/course_intro/978-0-226-50347-9_course_intro.pdf
Derrida, Jacques (1993). Aporias. Stanford University Press, Stanford.
Giraldo, Carlos (2007). ¿Protección o Desprotección Social? Ediciones Desde Abajo, Bogotá.
Gonçalves, Telma and Machado, Jose (2010). “Judicialization of Health Policy in the Definition of Access to Public Goods: Individual Rights versus Collective Rights”. In: Brazilian Political Science Review, vol. 5, pp. 433-468. http://socialsciences.scielo.org/scielo.php?script=sci_arttext&pid=S1981-38212010000100002
Graeber, David (2014). Debt: The first 5.000 years. Melville House Publishing, Brooklyn. Graham, Janice (2016). “Ambiguous capture: Collaborative capitalism and the Meningitis vaccine project”. In: Medical Anthropology, vol. 35, N.°5, pp. 419-432. https://www.tandfonline.com/doi/pdf/10.1080/01459740.2016.1167055
Greenhouse, Carol (2006). “Fieldwork on law”. In: Annual Review of Law and Social Science, vol. 2, N.° 1, pp. 187-210. DOI: 10.1146/annurev.lawsocsci.2.081805.105933
Harvey, David (1982). The limits to Capital. Verso, London. http://www.editionsamsterdam.fr/wp-content/uploads/2019/08/Harvey-Les-limites-du-capital-extrait.pdf
Harvey, David (2005). A brief history of neoliberalism. Oxford University Press, Oxford.
Hernández, Mario (2003). “Neoliberalismo en Salud: Desarrollos, supuestos y alternativas”. In: Botero, D. (ed.). La Falacia Neoliberal. Crítica y Alternativas. Universidad Nacional de Colombia, Bogotá, pp. 347-361.
Ho, Karen (2009). Liquidated: An Ethnography of Wall Street. Duke University Press, Durham.
Kaufman, Sharon (2015). Ordinary medicine: Extraordinary treatments, longer lives, and where to draw the line. Duke University Press, Durham. http://www.medanthrotheory.org/index.php/mat/article/download/4650/6363 Ordinary crisis: cancer care, tutelas and the outsourcing of ethics in neoliberal Colombia / 117
Kim, Jim Young; Millen, Joyce V; Irwin, Alec and Gershman, John (eds.). (2000). Dying for Growth. Global Inequality and the Health of the Poor, vol. xix, p. 584. Common Courage Press, Monroe, ME.
Klein, Naomi (2007). The Shock Doctrine. The Rise of Disaster Capitalism. Metropolitan Books, New York. https://great-ideas.org/Rhombus/Encounter222(Spring2009).pdf#page=54
Lamphere, Louise (2005). “Providers and Staff Respond to Medicaid Managed Care: The Unintended Consequences of Reform in New Mexico”. In: Medical Anthropology Quarterly, vol. 19, N.° 1, pp. 3-25.
Marx, Karl (1981). Capital: A critique of political economy, vol. 3. Penguin Press, London.
Marx, Karl (1992). Capital: A critique of political economy, vol. 1. Penguin Classics, New York.
Petryna, Adriana (2003). Life exposed: Biological citizens after Chernobyl. Princeton University Press, Princeton. https://e-libra.me/read/586798-life-exposed.html
Portafolio (June 26, 2013). “Todos los días asignarán citas con médicos especialistas”. Portafolio. [Online:] http://www.portafolio.co/economia/nuevo-sistema-salud-colombia. (Last day accessedOctober 14, 2013).
Ranciere, Jacques (2004). “Who is the subject of the rights of man?”. In: South Atlantic Quarterly, vol. 103, N.° 2/3, pp. 297-310. https://www.academia.edu/download/59535464/Publicacao_Revista20190605-112303-1fpxdwo.pdf
Roitman, Janet (2013). Anti-Crisis. Duke University Press, Durham.
Sanz, Camilo (2017). “Out of sync cancer care: Health insurance companies, biomedical practices and clinical time in Colombia”. In: Medical Anthropology, vol. 23, N.°6, pp. 187-201.
Sanz, Camilo (2019). “Malignant yet benign: The political economy of a skin cancer diagnosis in Colombia”. In: Science, technology and human values, vol. 45, N.° 1, pp. 112-137.
Sismondo, Sergio (2018). Ghost-managed medicine: Big pharma’s invisible hands. Mattering Press, Manchester. https://sciencetechnologystudies.journal.fi/article/download/80052/41379
Tichenor, Marlee (2017). “Data performativity, preforming health work: Malaria and labor in Senegal”. In: Medical Anthropology, vol. 36, N.° 5, pp. 436-448. https://www.academia.edu/download/57199297/Data_Performativity_Performing_Health_Work_Malaria_and_Labor_in_Senegal.pdf
Ticktin, Miriam (2012). Casualties of care: Immigration and politics of humanitarianism in France. University of California Press, Berkeley.
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