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Oncopolitics of deferral and tempora...

Sanz, Camilo.

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Oncopolitics of deferral and temporal urgency: Health insurances, biomedical practices and cancer in Colombia.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Oncopolitics of deferral and temporal urgency: Health insurances, biomedical practices and cancer in Colombia./
Author:	Sanz, Camilo.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2016,
Description:	222 p.
Notes:	Source: Dissertation Abstracts International, Volume: 78-03(E), Section: A.
Contained By:	Dissertation Abstracts International78-03A(E).
Subject:	Cultural anthropology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10165909
ISBN:	9781369202854

Oncopolitics of deferral and temporal urgency: Health insurances, biomedical practices and cancer in Colombia.
Sanz, Camilo.

Oncopolitics of deferral and temporal urgency: Health insurances, biomedical practices and cancer in Colombia. - Ann Arbor : ProQuest Dissertations & Theses, 2016 - 222 p.

Source: Dissertation Abstracts International, Volume: 78-03(E), Section: A.

Thesis (Ph.D.)--University of California, Davis, 2016.

My dissertation reveals the relationship between time, cancer care, and social class, following the neoliberal restructuring of the Colombian health care system in 1993. Drawing on a 17-month ethnographic fieldwork with health insurance agents, oncologists, palliative caregivers and cancer patients in two hospitals in the city of Cali (Colombia), my dissertation shows how "Universal" access to medical services in the new liberal era has not countered the socio-economic conditions of patients. On the contrary, when cancer patients are poor and prescribed treatments classified as 'high cost', they endure a contradictory temporality between the time needed by the insurance company to get a financial return to its investments, and the time when accessing chemotherapy would be beneficial. I have followed 'timing' through two joint bureaucratic-medical processes: one of them is 'deferral' (the insurance company temporary denial of health provision) and therapeutic disjunctures . The latter concept describes the consequences of deferrals in cancer treatment. Ethnographically tracking this contradictory relationship between the time of cancer medical practices and economic practices, my dissertation discusses the ways in which insurance practices influence a physician's decision and its consequences. Tumors that could have been effectively reduced by chemotherapy, become resistant to drugs, and patients die sooner and experience greater, often unbearable pain as a result of the untimeliness in the delivery of the treatment.

ISBN: 9781369202854Subjects--Topical Terms:

2122764
Cultural anthropology.

Oncopolitics of deferral and temporal urgency: Health insurances, biomedical practices and cancer in Colombia.
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