global pharmaceuticals ethics markets practices

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Global Pharmaceuticals

Author : Adriana Petryna
ISBN : 9780822387916
Genre : Business & Economics
File Size : 33. 42 MB
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In some parts of the world spending on pharmaceuticals is astronomical. In others people do not have access to basic or life-saving drugs. Individuals struggle to afford medications; whole populations are neglected, considered too poor to constitute profitable markets for the development and distribution of necessary drugs. The ethnographies brought together in this timely collection analyze both the dynamics of the burgeoning international pharmaceutical trade and the global inequalities that emerge from and are reinforced by market-driven medicine. They demonstrate that questions about who will be treated and who will not filter through every phase of pharmaceutical production, from preclinical research to human testing, marketing, distribution, prescription, and consumption. Whether considering how American drug companies seek to create a market for antidepressants in Japan, how Brazil has created a model HIV/AIDS prevention and treatment program, or how the urban poor in Delhi understand and access healthcare, these essays illuminate the roles of corporations, governments, NGOs, and individuals in relation to global pharmaceuticals. Some essays show how individual and communal identities are affected by the marketing and availability of medications. Among these are an exploration of how the pharmaceutical industry shapes popular and expert understandings of mental illness in North America and Great Britain. There is also an examination of the agonizing choices facing Ugandan families trying to finance AIDS treatment. Several essays explore the inner workings of the emerging international pharmaceutical regime. One looks at the expanding quest for clinical research subjects; another at the entwining of science and business interests in the Argentine market for psychotropic medications. By bringing the moral calculations involved in the production and distribution of pharmaceuticals into stark relief, this collection charts urgent new territory for social scientific research. Contributors. Kalman Applbaum, João Biehl, Ranendra K. Das, Veena Das, David Healy, Arthur Kleinman, Betty Kyaddondo, Andrew Lakoff, Anne Lovell, Lotte Meinert, Adriana Petryna, Michael A. Whyte, Susan Reynolds Whyte

When Experiments Travel

Author : Adriana Petryna
ISBN : 1400830826
Genre : Social Science
File Size : 58. 22 MB
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The phenomenal growth of global pharmaceutical sales and the quest for innovation are driving an unprecedented search for human test subjects, particularly in middle- and low-income countries. Our hope for medical progress increasingly depends on the willingness of the world's poor to participate in clinical drug trials. While these experiments often provide those in need with vital and previously unattainable medical resources, the outsourcing and offshoring of trials also create new problems. In this groundbreaking book, anthropologist Adriana Petryna takes us deep into the clinical trials industry as it brings together players separated by vast economic and cultural differences. Moving between corporate and scientific offices in the United States and research and public health sites in Poland and Brazil, When Experiments Travel documents the complex ways that commercial medical science, with all its benefits and risks, is being integrated into local health systems and emerging drug markets. Providing a unique perspective on globalized clinical trials, When Experiments Travel raises central questions: Are such trials exploitative or are they social goods? How are experiments controlled and how is drug safety ensured? And do these experiments help or harm public health in the countries where they are conducted? Empirically rich and theoretically innovative, the book shows that neither the language of coercion nor that of rational choice fully captures the range of situations and value systems at work in medical experiments today. When Experiments Travel challenges conventional understandings of the ethics and politics of transnational science and changes the way we think about global medicine and the new infrastructures of our lives.

Drugs For Life

Author : Joseph Dumit
ISBN : 9780822348719
Genre : Business & Economics
File Size : 59. 41 MB
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Joseph Dumit argues that underlying Americans' burgeoning consumption of prescription drugs and the skyrocketing cost of healthcare is a relatively new perception of ourselves as inherently ill and in need of chronic treatment.

Pharmaceutical Reason

Author : Andrew Lakoff
ISBN : 1139447637
Genre : Social Science
File Size : 44. 86 MB
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Andrew Lakoff argues that a new 'pharmaceutical' way of thinking about and acting upon mental disorder is coming to reshape not only the field of psychiatry, but also our very notions of self. Drawing from a comprehensive ethnography of psychiatric practice in Argentina (a country which boasts the most psychoanalysts per capita in the world) Lakoff looks at new ways of understanding and intervening in human behaviour. He charts the globalization of pharmacology, particularily the global impact of US psychiatry and US models of illness, and further illustrates the clashes, conflicts, alliances and reformulations that take place when psychoanalytic and psychopharmacological models of illness and cure meet. Highlighting the social and political implications that these new forms of expertise about human behaviour and human thought bring, Lakoff presents an arresting case-study that will appeal to scholars and students alike.

An Anthropology Of Biomedicine

Author : Margaret Lock
ISBN : 9781405110723
Genre : Medical
File Size : 58. 49 MB
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"By convincingly articulating critical medical anthropology and social studies of science, analyzing questions emerging from the most recent technologies in medicine and reflecting on public health issues in developing countries, this book will become a reference for social scientists and more broadly for all those interested in contemporary changes and challenges." Didier Fassin, Institute for Advanced Study, Princeton, and Ecole des Hautes Eludes en Sciences Sociales, Paris "An Anthropology of Biomedicine is a magisterial review of the knowledge claims of biomedicine that establishes the salience of local biologies in the field of global health. Original and compelling - it is a stunning achievement." Veena Das, Johns Hoplcins University "Because Lock and Nguyen take seriously the ongoing co-constitution of diverse biological and social bodies-human, microbial, and more-they have written a timely, densely ethnographic, theoretically astute, and necessary book. This book proposes an anthropology of biomedicine as technology that can better contribute to actually realizing health as a basic human right globally." Donna Haraway, University of California, Santa cruz "An Anthropology of Biomedicine introduces biomedicine from an anthropological perspective, exploring the entanglement of material bodies with history, environment, culture, and politics. Focusing on the ways in which the application of biomedical technologies bring about radical changes to societies at large, medical anthropologist Margaret Lock and physician and medical anthropologist Vinh-Kim Nguyen advance the theory that the human body in health and illness is not an ontological given but a moveable, malleable entity that is the elusive product of nature and culture. Tracking the historic global application of biomedical technologies, the authors reveal the intended and unintended local consequences and the exacerbation of global inequalities and health disparities that such technologies bring about.

Life Exposed

Author : Adriana Petryna
ISBN : 9781400841004
Genre : Social Science
File Size : 70. 94 MB
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On April 26, 1986, Unit Four of the Chernobyl nuclear reactor exploded in then Soviet Ukraine. More than 3.5 million people in Ukraine alone, not to mention many citizens of surrounding countries, are still suffering the effects. Life Exposed is the first book to comprehensively examine the vexed political, scientific, and social circumstances that followed the disaster. Tracing the story from an initial lack of disclosure to post-Soviet democratizing attempts to compensate sufferers, Adriana Petryna uses anthropological tools to take us into a world whose social realities are far more immediate and stark than those described by policymakers and scientists. She asks: What happens to politics when state officials fail to inform their fellow citizens of real threats to life? What are the moral and political consequences of remedies available in the wake of technological disasters? Through extensive research in state institutions, clinics, laboratories, and with affected families and workers of the so-called Zone, Petryna illustrates how the event and its aftermath have not only shaped the course of an independent nation but have made health a negotiated realm of entitlement. She tracks the emergence of a "biological citizenship" in which assaults on health become the coinage through which sufferers stake claims for biomedical resources, social equity, and human rights. Life Exposed provides an anthropological framework for understanding the politics of emergent democracies, the nature of citizenship claims, and everyday forms of survival as they are interwoven with the profound changes that accompanied the collapse of the Soviet Union.

The Law And Ethics Of The Pharmaceutical Industry

Author : M.N.G. Dukes
ISBN : 0080459366
Genre : Medical
File Size : 36. 77 MB
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As one of the most massive and successful business sectors, the pharmaceutical industry is a potent force for good in the community, yet its behaviour is frequently questioned: could it serve society at large better than it has done in the recent past? Its own internal ethics, both in business and science, may need a careful reappraisal, as may the extent to which the law - administrative, civil and criminal - succeeds in guiding (and where neccessary contraining) it. The rules of behavior that may be considered to apply to today's pharmaceutical industry have emerged over a very long period and the process goes on. Even the immensely detailed standards for quality, safety and efficacy laid down in drug law and regulation during the second half of the twentieth century have their limitations as tools for ensuring that the public interest is well served. In particular, national and regional regulatory agencies are heavily dependent on industrial data for their decision-making, their standards and competence vary, and even the existing network of agencies does not cover the entire world. What is more there are many areas of law and regulation affecting the industry, concerning for example the pricing of medicines, the conduct of clinical studies, the health protection of workers and concern for the environment. In some fields it is indeed hardly possible to maintain standards through regulation. Professor N.M. Graham Dukes, a physician and lawyer with long term experience in industrial research management, academic study and international drug policy, provides here a powerfully documented analysis into the way this industry thinks, acts, and is viewed, and examines the current trends pointing to change. *Provides a balanced picture of the current role of the pharmaceutical industry in society *Includes indices of conventions, laws, and regulations; as well as judicial and disciplinary cases *This is the only book addressing the legal implications of big pharma activities and ethical standards

Health Geographies

Author : Tim Brown
ISBN : 9781118739020
Genre : Medical
File Size : 65. 14 MB
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Health Geographies: A Critical Introduction explores health and biomedical topics from a range of critical geographic perspectives. Building on the field’s past engagement with social theory it extends the focus of health geography into new areas of enquiry. Introduces key topics in health geography through clear and engaging examples and case studies drawn from around the world Incorporates multi-disciplinary perspectives and approaches applied in the field of health geography Identifies both health and biomedical issues as a central area of concern for critically oriented health geographers Features material that is alert to questions of global scale and difference, and sensitive to the political and economic as well sociocultural aspects of health Provides extensive pedagogic materials within the text and guidance for further study

Reimagining Bio Medicalization Pharmaceuticals And Genetics

Author : Susan E. Bell
ISBN : 9781317643630
Genre : Social Science
File Size : 24. 77 MB
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In recent years medicalization, the process of making something medical, has gained considerable ground and a position in everyday discourse. In this multidisciplinary collection of original essays, the authors expertly consider how issues around medicalization have developed, ways in which it is changing, and the potential shapes it will take in the future. They develop a unique argument that medicalization, biomedicalization, pharmaceuticalization and geneticization are related and co-evolving processes, present throughout the globe. This is an ideal addition to anthropology, sociology and STS courses about medicine and health.

Global Political Ecology

Author : Richard Peet
ISBN : 9781136904332
Genre : Nature
File Size : 83. 66 MB
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The world is caught in the mesh of a series of environmental crises. So far attempts at resolving the deep basis of these have been superficial and disorganized. Global Political Ecology links the political economy of global capitalism with the political ecology of a series of environmental disasters and failed attempts at environmental policies. This critical volume draws together contributions from twenty-five leading intellectuals in the field. It begins with an introductory chapter that introduces the readers to political ecology and summarizes the books main findings. The following seven sections cover topics on the political ecology of war and the disaster state; fuelling capitalism: energy scarcity and abundance; global governance of health, bodies, and genomics; the contradictions of global food; capital’s marginal product: effluents, waste, and garbage; water as a commodity, a human right, and power; the functions and dysfunctions of the global green economy; political ecology of the global climate, and carbon emissions. This book contains accounts of the main currents of thought in each area that bring the topics completely up-to-date. The individual chapters contain a theoretical introduction linking in with the main themes of political ecology, as well as empirical information and case material. Global Political Ecology serves as a valuable reference for students interested in political ecology, environmental justice, and geography.

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