Julie Livingston

inside an African oncology ward

Improvised medicine

Keith Wailoo

Peter Joseph Guarnaccia

In February 2003, an undocumented immigrant teen from Mexico lay dying in a prominent American hospital due to a stunning medical oversight—she had received a heart-lung transplantation of the wrong blood type. In the following weeks, Jesica Santillan's t

Jesica Santillan, the Bungled Transplant, and Paradoxes of Medical Citizenship

A Death Retold

Under capitalism, economic growth is seen as the key to collective wellbeing. In Self-Devouring Growth Julie Livingston upends this notion, showing that while consumption-driven growth may seem to benefit a particular locale, it produces a number of unacknowledged, negative consequences that ripple throughout the wider world. Structuring the book as a parable in which the example of Botswana has lessons for the rest of the globe, Livingston shows how fundamental needs for water, food, and transportation become harnessed to what she calls self-devouring growth: an unchecked and unsustainable global pursuit of economic growth that threatens catastrophic environmental destruction. As Livingston notes, improved technology alone cannot stave off such destruction; what is required is a greater accounting of the web of relationships between humans, nonhuman beings, plants, and minerals that growth entails. Livingston contends that by failing to understand these relationships and the consequences of self-devouring growth we may be unknowingly consuming our future.

A Planetary Parable As Told from Southern Africa

Self-Devouring Growth

In the rush to development in Botswana, and Africa more generally, changes in work, diet, and medical care have resulted in escalating experiences of chronic illness, debilitating disease, and accident. Debility and the Moral Imagination in Botswana documents how transformations wrought by colonialism, independence, industrialization, and development have effected changes in bodily life and perceptions of health, illness, and debility. In this intimate and powerful book, Julie Livingston explores the lives of debilitated persons, their caregivers, the medical and social networks of caring, and methods that communities have adopted for promoting well-being. Livingston traces how Tswana medical thought and practice have become intertwined with Western bio-medical ideas and techniques. By focusing on experiences and meanings of illness and bodily misfortune, Livingston sheds light on the complexities of the current HIV/AIDS epidemic and places it in context with a long and complex history of impairment and debility. This book presents practical and thoughtful responses to physical misfortune and offers an understanding of the complex dynamic between social change and suffering.

Debility and the Moral Imagination in Botswana

Julie Livingston shows how the global pursuit of economic and resource-driven growth comes at the expense of catastrophic destruction, thereby upending popular notions that economic growth and development is necessary for improving a community's wellbeing.

Peter Guarnaccia

In February 2003, an undocumented immigrant teen from Mexico lay dying in a prominent American hospital due to a stunning medical oversight--she had received a heart-lung transplantation of the wrong blood type. In the following weeks, Jesica Santillan's tragedy became a portal into the complexities of American medicine, prompting contentious debate about new patterns and old problems in immigration, the hidden epidemic of medical error, the lines separating transplant "haves" from "have-nots," the right to sue, and the challenges posed by "foreigners" crossing borders for medical care. This volume draws together experts in history, sociology, medical ethics, communication and immigration studies, transplant surgery, anthropology, and health law to understand the dramatic events, the major players, and the core issues at stake. Contributors view the Santillan story as a morality tale: about the conflicting values underpinning American health care; about the politics of transplant medicine; about how a nation debates deservedness, justice, and second chances; and about the global dilemmas of medical tourism and citizenship. Contributors: Charles Bosk, University of Pennsylvania Leo R. Chavez, University of California, Irvine Richard Cook, University of Chicago Thomas Diflo, New York University Medical Center Jason Eberl, Indiana University-Purdue University Indianapolis Jed Adam Gross, Yale University Jacklyn Habib, American Association of Retired Persons Tyler R. Harrison, Purdue University Beatrix Hoffman, Northern Illinois University Nancy M. P. King, University of North Carolina at Chapel Hill Barron Lerner, Columbia University Mailman School of Public Health Susan E. Lederer, Yale University Julie Livingston, Rutgers University Eric M. Meslin, Indiana University School of Medicine and Indiana University-Purdue University Indianapolis Susan E. Morgan, Purdue University Nancy Scheper-Hughes, University of California, Berkeley Rosamond Rhodes, Mount Sinai School of Medicine and The Graduate Center, City University of New York Carolyn Rouse, Princeton University Karen Salmon, New England School of Law Lesley Sharp, Barnard and Columbia University Mailman School of Public Health Lisa Volk Chewning, Rutgers University Keith Wailoo, Rutgers University

Zoë H. Wool

This issue moves beyond the binary of life and death to explore how the gray areas in between--precarious life, slow death--call into question assumptions about the social in social theory. In these "collateral afterworlds," where the line between life and death is blurred, the presumed attachments of sociality to life and solitude to death are no longer reliable. The contributors focus on the daily experiences of enduring a difficult present unhinged from any redeeming future, addressing topics such as drug treatment centers in Mexico City, solitary death in Japan, Inuit colonial violence, human regard for animal life in India, and intimacies forged between grievously wounded soldiers. Engaging history, film, ethics, and poetics, the contributors explore the modes of intimacy, obligation, and ethical investment that arise in these spaces. Contributors. Anne Alison, Naisargi N. Dave, Angela Garcia, Fady Joudah, Julie Livingston, Elizabeth A. Povinelli, Solmaz Sharif, Lisa Stevenson, Zo� H. Wool

Julie Livingston

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