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You are here > Home > Reading Lists > Healthcare Policy & Politics > Pathologies of Power: Health, Human Rights, and the New War on the Poor

Pathologies of Power: Health, Human Rights, and the New War on the Poor
Paul Farmer, Amartya Sen

Hardcover: 419 pages
ISBN 0520235509
978-0520235502
University of California Press
April 2003
(click the button below for the very best currently available price for this important resource)

Softcover: 438 pages
ISBN 0520243269
978-0520243262
University of California Press
November 2004
(click the button below for the very best available price)

Pathologies of Power uses harrowing stories of life and death to argue that the promotion of social and economic rights of the poor is the most important human rights struggle of our times.

 

"This is an angry and a hopeful book, and, like everything Dr. Farmer has written, it has both passion and authority. Pathologies of Power is an eloquent plea for a working definition of human rights that would not neglect the most basic rights of all: food, shelter and health. This plea has special potency because it comes from Dr. Farmer, a person who has proven that the dream of universal and comprehensive human rights is possible, and who has brought food, shelter, health, and hope to some of the poorest people on this earth." --Tracy Kidder, author of The Soul of a New Machine and Home Town

"Farmer's brilliance and charisma leap from the pages of his book. He challenges us to face the urgent theoretical and political challenges of the twenty-first century by linking structural violence to embodied social suffering and in the process calls for a new definition of human rights. Once this book is out, we will no longer be able to remain complacently -- or rather, complicitly--on the sidelines." --Philippe Bourgois, author of In Search of Respect: Selling Crack in El Barrio

"A passionate critique of conventional biomedical ethics by one of the world's leading physician-anthropologists and public intellectuals. Farmer's on-the-ground analysis of the relentless march of the AIDS epidemic and multi-drug resistant tuberculosis among the imprisoned and the sick-poor of the world illuminates the pathologies of a world economy that has lost its soul." --Nancy Scheper-Hughes, author of Death without Weeping: the Violence of Everyday Life in Brazil

 

"Paul Farmer is a great doctor with massive experience working against the hardest of diseases in the most adverse circumstances, and at the same time he is a proficient and insightful anthropologist. Farmer's knowledge of maladies such as AIDS and drug-resistant tuberculosis, which he fights on behalf of his indigent patients, is hard to match. But what is particularly relevant in appreciating the contribution of this powerful book is that Farmer is a visionary analyst who looks beyond the details of fragmentary explanations to seek an integrated understanding of a complex reality." --Amartya Sen, Nobel Laureate, Economics

 

"In his compelling book, Farmer captures the central dilemma of our times--the increasing disparities of health and well-being within and among societies. While all member countries of the United Nations denounce the gross violations of human rights perpetrated by those who torture, murder, or imprison without due process, the insidious violations of human rights due to structural violence involving the denial of economic opportunity, decent housing, or access to health care and education are commonly ignored. Pathologies of Power makes a powerful case that our very humanity is threatened by our collective failure to end these abuses." --Robert S. Lawrence, President of Physicians for Human Rights and Edyth Schoenrich Professor of Preventive Medicine at the Bloomberg School of Public Health, Johns Hopkins University

 

"There are many kinds of gifted physicians: clinicians, researchers, and those who build institutions. Paul Farmer is the rarest of all: a prophet. Pathologies of Power is a jeremiad on how the 'structural violence' of denied opportunities, economic deprivation, violent despots (and the powers supporting them), and international financial organizations harm the health of billions of people who are so distant that they are glibly and uncomprehendingly referred to as living in a "third world." This summary does not do justice to the richness of the book. Farmer deftly weaves personal stories from his work with the dispossessed, careful academic notes, and well-chosen quotations from intellectuals, poets, and proponents of liberation theology.... Health itself, rather than technical compliance with laws or accords, must be the standard for evaluating governments, foreign policy, and the national restructuring plans of such organizations as the International Monetary Fund. Expanding health services and democratizing information must be central to the global agenda of all physicians... Pathologies of Power is a profound work; it deserves the widest possible audience." -  Steven Miles, M.D., Massachusetts Medical Society, The New England Journal of Medicine

Table of Contents:

  Foreword  
1 On suffering and structural violence : social and economic rights in the global era 29
2 Pestilence and restraint : Guantanamo, AIDS, and the logic of quarantine 51
3 Lessons from Chiapas 91
4 A plague on all our houses? : resurgent tuberculosis inside Russia's prisons 115
5 Health, healing, and social justice : insights from liberation theology 139
6 Listening for prophetic voices : a critique of market-based medicine 160
7 Cruel and unusual : drug-resistant tuberculosis as punishment 179
8 New malaise : medical ethics and social rights in the global era 196
9 Rethinking health and human rights : time for a paradigm shift 213

Paul Farmer is Professor of Medical Anthropology at Harvard Medical School and Founding Director of Partners In Health. Among his books are Infections & Inequalities: The Modern Plagues (California, 1999), The Uses of Haiti (1994), and AIDS and Accusation: Haiti and the Geography of Blame (California, 1992). Farmer is the winner of a MacArthur Foundation "genius" award and the Margaret Mead Award for his contributions to public anthropology. He recently held the Blaise Pascal International Chair at the College de France.

Amartya Sen, whose work challenges conventional market-driven economic paradigms, is the winner of the 1998 Nobel Prize in economics. He teaches at Trinity College, Cambridge University.

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