Regimes of pain: The geopolitics of cancer palliation in Pakistan.

This article examines how militarized regimes of narcotics and price control sustain unpalliated cancer pain in Pakistan. It shows how these regimes of control—reimagined as "regimes of pain"—render morphine, a cheap, effective opiate analgesic, scarce in hospitals. Meanwhile, heroin, morphine's ill...

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Publicado en:Medical Anthropology Quarterly Vol. 38; no. 3; pp. 271 - 285
Autor principal: Hayat, Zahra
Formato: Artículo
Publicado: Wiley-Blackwell Sep2024
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Acceso en línea:Ver este registro en EBSCOhost
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        atl: Regimes of pain: The geopolitics of cancer palliation in Pakistan.
      aug:
        au: Hayat, Zahra
        affil: Department of Anthropology, University of British Columbia, Vancouver British Columbia, , Canada
      su:
        Pakistan
        Poor people
        Drugs of abuse
        Price regulation
        Cancer pain
        Analgesia
      sug:
        subj:
          Poor people
          Drugs of abuse
          Pakistan
          Regulation, Licensing, and Inspection of Miscellaneous Commercial Sectors
          Price regulation
          Cancer pain
          Analgesia
      keyword:
        cancer palliation
        geopolitics
        opiate pain relief
        cancer palliation
        geopolitics
        opiate pain relief
      ab: This article examines how militarized regimes of narcotics and price control sustain unpalliated cancer pain in Pakistan. It shows how these regimes of control—reimagined as "regimes of pain"—render morphine, a cheap, effective opiate analgesic, scarce in hospitals. Meanwhile, heroin, morphine's illegal derivative, proliferates in illicit circuits. The article highlights a devastating consequence of the global wars against drugs and "terror": the consignment of cancer patients to agonizing end‐of‐life pain. Widening the analytic lens upon palliation beyond bodies and their clinical encounters, the article offers a geopolitics of palliation. It shows how narcovigilance targeting illicit drugs has the perverse effect of throttling morphine's licit supply. It shows further how unviably low price ceilings, purported to ensure a poor population's access to morphine, render it scarce on the official market. These mutually reinforcing regimes of control thus thwart their own purported objectives, consigning cancer patients to preventable, yet unpalliated, pain.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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