Governing the Global Clinic : HIV and the Legal Transformation of Medicine / Carol A. Heimer.

Format:

Book

Author/Creator:

Heimer, Carol A., Author.

Series:

Chicago Series in Law and Society Series

Chicago Series in Law and Society

Language:

English

Physical Description:

1 online resource (416 p.) : 13 tables

Edition:

1st ed.

Place of Publication:

Chicago : University of Chicago Press, [2025]

Language Note:

In English.

Summary:

A deep examination of how new, legalistic norms affected the trajectory of global HIV care and altered the practice of medicine. HIV emerged in the world at a time when medicine and healthcare were undergoing two major transformations: globalization and a turn toward legally inflected, rule-based ways of doing things. It accelerated both trends. While pestilence and disease are generally considered the domain of biological sciences and medicine, social arrangements—and law in particular—are also crucial. Drawing on years of research in HIV clinics in the United States, Thailand, South Africa, and Uganda, Governing the Global Clinic examines how growing norms of legalized accountability have altered the work of healthcare systems and how the effects of legalization vary across different national contexts. A key feature of legalism is universalistic language, but, in practice, rules are usually imported from richer countries (especially the United States) to poorer ones that have less adequate infrastructure and fewer resources with which to implement them. Challenging readers to reconsider the impulse to use law to organize and govern social life, Governing the Global Clinic poses difficult questions: When do rules solve problems, and when do they create new problems? When do rules become decoupled from ethics, and when do they lead to deeper moral commitments? When do rules reduce inequality? And when do they reflect, reproduce, and even amplify inequality?

Contents:

Frontmatter

Contents

List of Abbreviations

CHAPTER ONE. Deep Law: Governing the Global Clinic

CHAPTER TWO. Where the Action Is: Taking Standardized Rules to Unstandard Clinics

CHAPTER THREE. The Mushroom Cloud of Rules

CHAPTER FOUR. The Variability of Universals: What HIV Clinics Do with Clinical Guidelines

CHAPTER FIVE. Rules, Credibility Struggles, and Institutionalized Skepticism in Clinical Research: Constructing Trustworthy Data

CHAPTER SIX. Disciplining Medicine: What Happens When Guidelines Are Hardened by Law

CHAPTER SEVEN. Strategic Uses oflgnorance in HIV Clinics

CHAPTER EIGHT. "Wicked" Ethics: Compliance Work and the Practice of Ethics in HIV Clinics

CHAPTER NINE. Moral Worth and the Legal Turn in Medicine: From Scientific Claims to Moral Obligations

Acknowledgments

Appendixes

Notes

References

Index

Notes:

Description based on online resource; title from PDF title page (publisher's Web site, viewed 20. Mar 2025)

Description based on publisher supplied metadata and other sources.

ISBN:

9780226838632

0226838633

OCLC:

1514627056