Product Description
Pathologies of Power uses harrowing stories of life-and death-in extreme situations to interrogate our understanding of human rights. Paul Farmer, a physician and anthropologist with twenty years of experience working in Haiti, Peru, and Russia, argues that promoting the social and economic rights of the world's poor is the most important human rights struggle of our times. With passionate eyewitness accounts from the prisons of Russia and the beleaguered villages of Haiti and Chiapas, this book links the lived experiences of individual victims to a broader analysis of structural violence. Farmer challenges conventional thinking within human rights circles and exposes the relationships between political and economic injustice, on one hand, and the suffering and illness of the powerless, on the other. Farmer shows that the same social forces that give rise to epidemic diseases such as HIV and tuberculosis also sculpt risk for human rights violations. He illustrates the ways that racism and gender inequality in the United States are embodied as disease and death. Yet this book is far from a hopeless inventory of abuse. Farmer's disturbing examples are linked to a guarded optimism that new medical and social technologies will develop in tandem with a more informed sense of social justice. Otherwise, he concludes, we will be guilty of managing social inequality rather than addressing structural violence. Farmer's urgent plea to think about human rights in the context of global public health and to consider critical issues of quality and access for the world's poor should be of fundamental concern to a world characterized by the bizarre proximity of surfeit and suffering.

CUSTOMER REVIEWS (Average Customer Rating: 4.0 based on 8 reviews)

poorly written book by another reviewer (Denver, CO)

1 Stars
November 19, 2009
I admit I do not write well. But neither does this author. The best part of this book is the first couple chapters when he talks about his life experiences in Haiti, Russia, and Mexico. After that put the book down. The rest of this book isn't really focused. He seems to repeat himself every other chapter. I just didn't get his structure. I didn't really agree with his conclusions... although I don't think he actually had any. He sort of implies what should be done, but I don't think that is the point of this point. To me it seemed like a man who doesn't like what is going on with third world medicine and decided to rant about it. Not really going anywhere with it, just rant. If you agree with his thoughts/conclusions/rants you may love this book, but I don't think it will sway anyone.

This book should change you by K. Kolberg (Indiana)

5 Stars
September 23, 2008
How are we all responsible for each other? This book will bring that connection quite clear.

Review from Branddenotes.blogspot.com by J.P. Franks (New York, NY USA)

4 Stars
September 21, 2008
I liked it best for introducing me to the concept of "structural violence" - essentially whenever the way an economy is set up guarantees that people at the bottom will be victims of violence - whether de jure (rape, murder) or de facto (preventable diseases, hunger). And also for introducing me to some excellent liberation theologians who reminded me that not all religious people are despicable hypocrites, and some top, top poets. Farmer's perspective on countries full of structural violence like Haiti and "shock therapy" Russia is intensely personal, and his entire book comes from one who spends more time curing people than sitting in an office or library and writing. Not to say that is a good or bad thing, but that is the style in which the book is written.

Pathologies of Power by Barbara Collins (Miami, Florida USA)

5 Stars
March 06, 2008
Buy this book! Paul Farmer is a highly effective individual, and shows how one man can and did make a difference. He opens the window on what's going on in Latin America.

Health and survival as human rights by M. A. Krul (Utrecht, Kingdom of the Netherlands)

5 Stars
May 30, 2007
Paul Farmer, perhaps the most famous 'Third World doctor' living today, has written an eloquent and moving plea for a reconsideration of modern approaches toward healthcare in the developing nations in this book, "Pathologies of Power". Based on his personal experiences of care in Haiti, but also his professional visits to Russia, Africa, Central America, Mexico, Cuba and many other places besides, Paul Farmer demonstrates that the problematics of healthcare and those of poverty and inequality are insolubly linked in these nations. Whoever says "heal the sick" must also say "end poverty", for the one is not possible without the other; and whoever says "prevent disease" must also say "destroy socio-economic inequality", for the one is not possible without the other. That is the message of this book. A large part of the work consists of reflections by Farmer on his experiences in Haiti and elsewhere and on the way in which the current worldwide economic structures engender a genuine and systematic violence against the rights of the poor. Strongly inspired by liberation theology (though not necessarily religious), Farmer eloquently and effectively contrasts the heavy importance attached to individual political and legal rights with the way in which the violations of rights done by structural inequalities and injustices is wholly ignored in the same circles that would complain about the former. Rights issues are the domain of jurists, development issues the domain of (liberal) economists; but the way in which the poor and weak are constantly crushed by the systematic repression that is poverty and inequality, at least as real and at least as much a violation as any torture, that seems to be the domain of nobody at all. As Paul Farmer clearly shows, even in the lately so blossoming domain of medical and bioethics the issue of socio-economic structures is completely swept under the carpet. As he says, this really is the "elephant in the room". The same also goes for the oft-invoked importance of efficiency. Callous and counterproductive Western, often American, inspired healthcare policies in the developing nations (among which we must now sadly share Russia as well) generally fail at providing effective treatment against simple preventable disease such as TBC, because those medications that would actually help are considered "not cost-effective". This is in fact just a polite way of saying "we don't care about these people", but then phrased in a manner that will lead to less of an uproar in the newspapers. Farmer however is not fooled so easily, and sees this for what it is - a structural repression of the developing nations by the developed ones, in the name of "efficiency", i.e. efficiency in achieving the aims of the Western states. This book is a very powerful work, and a strong indictment of the prevailing attitude towards healthcare and development issues and the little attention paid to their interrelation. It also demonstrates convincingly how the current worldwide economic system is bad for everybody's health. And what could be a more important thing than that?

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