Operating at the Edge of Il/legality: Systemic Corruption in Mexican Health Care.

Through a series of ethnographic vignettes, this article examines how providers contribute to corruption in Mexican health care, how providers are themselves subjected to logics of corruption, and the relationship between patients' and providers' vulnerability within contexts of resource scarcity. D...

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Publicado en:Journal of Latin American & Caribbean Anthropology Vol. 26; no. 1; pp. 46 - 65
Autores principales: Vega, Rosalynn A., Maya, Alfredo Paulo
Formato: Artículo
Publicado: Wiley-Blackwell Mar2021
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Operating at the Edge of Il/legality: Systemic Corruption in Mexican Health Care.
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        au:
          Vega, Rosalynn A.
          Maya, Alfredo Paulo
        affil:
          University of Texas Rio Grande Valley
          National Autonomous University of Mexico
      su:
        Mexico City (Mexico)
        Mexico
        Medical care
        Corruption
        Black market
        Drug marketing
        Hospital personnel
        Institutional repositories
      sug:
        subj:
          Medical care
          Corruption
          Black market
          Drug marketing
          Mexico City (Mexico)
          Mexico
          Drugs and Druggists' Sundries Merchant Wholesalers
          Pharmaceuticals and pharmacy supplies merchant wholesalers
          Pharmaceutical and medicine manufacturing
          Hospital personnel
          Institutional repositories
      keyword:
        asistencia médica
        corrupción
        corruption
        healthcare system
        interseccionalidad
        intersectionality
        México
        medical care
        sistema de salud
        asistencia médica
        corrupción
        corruption
        healthcare system
        interseccionalidad
        intersectionality
        México
        medical care
        sistema de salud
      ab: Through a series of ethnographic vignettes, this article examines how providers contribute to corruption in Mexican health care, how providers are themselves subjected to logics of corruption, and the relationship between patients' and providers' vulnerability within contexts of resource scarcity. Doctors, faced with insecure salaries due to nonpayment of wages by the government, collude with hospital staff to sell state drugs on the black market. Meanwhile, vulnerable patients are used as teaching opportunities for private school students—with horrifying, and fatal, effects. Palancas ("favors" granted by colleagues and higher‐ups to individuals with less authority) and exclusive treatment of recomendados (patients given preferential treatment based on the "recommendation" of personnel with greater authority) signal the importance of hierarchical power in determining how corrupt acts are interpreted. What counts as corruption varies from one context to another; therefore, our method seeks to understand how the actors themselves evaluate the "corrupt" social practices in question. Through transnational collaboration (between two coauthors positioned in the United States and Mexico), we aim to contribute to decolonization of anthropology as a discipline by situating Mexico not only as a repository of ethnographic data but also a site for emerging theoretical intervention.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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