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	<title>Stale Wig &#8211; Savage Minds</title>
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	<description>Notes and Queries in Anthropology</description>
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		<title>Watching and wondering: What we can learn from Fredrik Barth</title>
		<link>/2015/05/29/watching-and-wondering-what-we-can-learn-from-fredrik-barth/</link>
		<comments>/2015/05/29/watching-and-wondering-what-we-can-learn-from-fredrik-barth/#comments</comments>
		<pubDate>Sat, 30 May 2015 01:10:12 +0000</pubDate>
		<dc:creator><![CDATA[Rex]]></dc:creator>
				<category><![CDATA[Book review]]></category>
		<category><![CDATA[Invited post]]></category>
		<category><![CDATA[biography]]></category>
		<category><![CDATA[Book]]></category>
		<category><![CDATA[Fredrik Barth]]></category>
		<category><![CDATA[History of Anthropology]]></category>
		<category><![CDATA[Stale Wig]]></category>
		<category><![CDATA[Thomas Hylland Eriksen]]></category>

		<guid isPermaLink="false">/?p=17073</guid>
		<description><![CDATA[(This invited post comes from Ståle Wig, a Ph.D. fellow at the University of Oslo. In the past Ståle has also run an excellent two part interview with Paul Farmer here on Savage Minds, so check that out as well. When asked about his interests, Ståle writes that he &#8220;never became a proper Africanist, and is currently preparing Ph.D. &#8230; <a href="/2015/05/29/watching-and-wondering-what-we-can-learn-from-fredrik-barth/" class="more-link">Continue reading <span class="screen-reader-text">Watching and wondering: What we can learn from Fredrik Barth</span> <span class="meta-nav">&#8594;</span></a>]]></description>
				<content:encoded><![CDATA[<p><b></b><em>(This invited post comes from <a href="http://www.sv.uio.no/sai/english/people/aca/staalewi/index.html">Ståle Wig</a>, a Ph.D. fellow at the University of Oslo. In the past Ståle has also run an excellent <a href="/2014/02/14/divorce-your-theory-a-conversation-with-paul-farmer-part-one/">two</a> <a href="/2014/02/17/divorce-your-theory-a-conversation-with-paul-farmer-part-two/">part</a> interview with Paul Farmer here on Savage Minds, so check that out as well. When asked about his interests, Ståle writes that he &#8220;<i>never became a proper Africanist, and is currently preparing Ph.D. fieldwork in Cuba.&#8221;</i> -R)</em></p>
<p>On an August afternoon in 2008, around 50 first-year students gathered in a dusty old movie-theatre that was turned into a lecture hall, near the University of Oslo. As we came in to find our seats, an elderly man observed us curiously from a wooden chair under the blackboard. I had seen him before, in our assigned textbook, with his engraved features and unmistakable, soft white moustache.</p>
<p>That day I had come to my first lecture in anthropology. Fredrik Barth had come to give his last.</p>
<p>Much like our new subject, there was a mystique to the man by the blackboard. We were told that he was an influential anthropologist. Some of us had heard that in his golden years, his ideas engaged big shots like Giddens and Bourdieu. That he was at times strongly criticized, but also hailed as a reformer of the study of social life. But as we sat there waiting, none of us knew <i>why</i>, and what all that really meant.</p>
<p>Thanks to a new book by Thomas Hylland Eriksen,<a href="http://anthropologyworks.com/index.php/2015/05/01/on-fredrick-barth-hero-of-cultural-anthropology/"> <i>Fredrik Barth &#8211; An Intellectual Biography </i></a>(Pluto Press), the Norwegian veteran will appear less of a mystery – and yet ever more captivating.<span id="more-17073"></span></p>
<p><b>An anthropologists’ anthropologist</b></p>
<p>In 1951, 22-year-old Fredrik was invited to join an archaeological expedition to present-day Iraq. When his colleagues had finished digging and went back home with hammers and brushes, he stayed behind chatting to the Kurds living in the area. Thus began a 60-year long career as an ethnographer. In his new book Hylland Eriksen follows Barth’s journey, from the deserts of the Swat valley to the plains South Persia, from coastal Norway to south Sudan. After a pit stop among his academic tribes, he’s off again, to secret initiation cults in the misty highlands of New Guinea, and onward, to Bali, Oman, China and Bhutan. Most anthropologists agree that ethnographic research is the core of our discipline. But none have hammered the point home quite like Barth. It is said that there are three types of anthropologists: Those who have done fieldwork in one place, those who have done fieldwork in two places, and Barth.</p>
<p><b>The 60s A-team</b></p>
<p>Based on source material from formerly unpublished interviews, as well as some conversations with the main character, Hylland Eriksen paints a sympathetic portrait of Fredrik Barth. The book also gives life to a cast of characters who shaped British social anthropology, and partly also the discipline as it is known today: The arrogant but razor sharp Edmund Leach, who Barth in his own words «fell in love with» at first sight. Evans-Pritchard, who was his antagonist and likely played a part in refuting his doctorate at the University of Oslo. The radical Gluckman of Manchester, the mighty Fortes of Cambridge, and the gang’s diplomatic middleman, Firth, who stayed friends with all without having to take sides.</p>
<p>It was Firth who ensured that Barth gave the first Nuffield lecture at The Royal Society in Britain in 1965, representing social anthropology for the first time among other sciences. In Hylland Eriksen’s words, the Norwegian stepped onto the podium as the «flag bearer» of British social anthropology. Barth has called it the highlight of his career.</p>
<p><b>«Study process, not form»</b></p>
<p>Part of what he argued for at the RSA is today taken for granted. He was skeptical of «deep structures», be they social, cultural or mental, as found in Radcliffe-Brown, Geertz or Levi-Strauss. He was one of the most vocal &#8211; but not the first &#8211; to depart with the notion of culture as a bounded entity. It was, Barth argued, the <i>processes</i> of social life that should be understood, not its hardened form. What meaningful strategies do people follow? What set of concrete opportunities and limitations influence their behavior? And out of this, what aggregate phenomena emerge?</p>
<p>These ideas lay behind his introduction to <a href="http://isites.harvard.edu/fs/docs/icb.topic446176.files/Week_4/Barth_Introduction_Ethnic_Groups_and_Boundaries_.pdf"><i>Ethnic </i></a><i>Groups</i><a href="http://isites.harvard.edu/fs/docs/icb.topic446176.files/Week_4/Barth_Introduction_Ethnic_Groups_and_Boundaries_.pdf"><i> and Boundaries</i></a> (1968), which was for years on the top 100 on the social science citation index. Here, Barth proposed that there is no one-to-one relationship between cultural differences and ethnic differences. It seems so obvious today: Ethnic identity does not grow naturally out some shared cultural mass. It is rather the result of a social process of inclusion and exclusion.</p>
<p>For better or worse, Barth didn’t have much interest in «cultural stuff», and the interpretation of symbols, which so excited Geertz. When Barth became head of the Ethnographic Museum in Oslo, a rumor has it that he suggested that they sell the whole collection of artifacts and rather spend the money on sending anthropologists to the field.</p>
<p><b>Strictly business?</b></p>
<p>For all his inductive reflexes, however, Barth seemed to assume one thing: that most human behavior is based on the same basic logic: we are goal-seeking animals, prone to act as we see best. Hylland Eriksen discusses the critiques that have been leveled at this position. When opponents charge Barth for relying on a formalistic notion of <i>homo economicus, </i>they<i> </i>are wrong, argues Hylland Eriksen. Barth claims not that humans <i>per definition</i> are egoistic and strategic, but rather that «it is strategic behavior, done by persons in some capacity or another, which generates regularity and social form» (p. 202). People will everywhere try to do the best out of their situation. But what makes up «the best» varies immensely, and is for the anthropologist to figure out.</p>
<p>Hylland Eriksen spends little time on the personal aspects of Barth’s life. The book describes briefly the marriage to anthropologist Unni Wikan, which he claims made Barth «less macho, more ambiguous», and directed his curiosity towards knowledge and rituals rather than economy and politics. Hylland Eriksen does not offer any wholehearted account of Barth’s inner life. Which is quite all right. What makes the book a good read is not its scant psychologizing, but the way it narrates – with some of the same adventurous spirit as its protagonist – the bewildering breath of an anthropological career.</p>
<p><b>Lessons to be learnt</b></p>
<p>The biography argues implicitly that there is something important to learn from Fredrik Barth. I agree. For one, he has a refreshing distaste for academics that align themselves too closely with pre-empirical projects. In a seminar in Lund University in Sweden in the 70s, Barth is said to have exclaimed to a self-proclaimed Marxist student: «You don’t need fieldwork, you have the answers already!»</p>
<p>Barth’s inductive attitude is reflected not only in his texts, but also in his reference lists. In an essay collection that sums up his life’s work, there are only <i>five pages</i> of references, many of which are to his own texts. This of course has to do Barth writing in a different time, with different norms for publishing. Besides, he went to places where few had gone, and there were fewer texts to quote. However, it also serves as a reminder: <i>To be theoretically ambitious is not the same as having an endless reference list</i>. Open a monograph today and one encounters 15 to 30 pages with references to other texts. At times, it seems that empirical patterns are in danger of collapsing under the weight of the quotations of fashionable thinkers. As students we are told to «apply» theory on our materials. Barth would have it another way. He trusted his own observations more than established theory.</p>
<p>His attitude was apparent in more than just writing. In the early 60s Barth turned down a professorate at Columbia University in order to build up a new anthropology department in the peripheral Norwegian town of Bergen. Soon, Bergen was no longer peripheral. Hylland Eriksen observes that a much-used textbook from 1968, written by Marvin Harris, holds the two great power centers in current anthropology to be Paris, under the leadership of Claude Lévi-Strauss, and Bergen, under Barth.</p>
<p><b>Watching and wondering</b></p>
<p>86-year-old Barth is now retired from academic life. I visited him some months ago to talk about plans for fieldwork in Southern Africa. «Good luck», he replied, and added friendlily: «But don’t become a ‘proper Africanist’. Remember that it is <i>the general questions</i> that push our discipline forward. And those you can find anywhere».</p>
<p>In the end, I think this is what we can learn from an old-timer like Barth: To be more concerned with watching and wondering than with conceptual fashion walking. To rely more on our observations than the concepts of others. And to define the frontier of anthropology not only by reading new books, but by going to new places.</p>
<p>I can still recall how Barth ended that lecture back in 2008. He had spent two hours telling us about the characteristics of anthropological research: The power of understanding people on their own terms; of regarding every new finding as a provocation, and a call to rethink our assumptions and our models. But beyond this it was an open question as to what social anthropology should be in the future. Barth looked at us freshman students and said: «It is for all of you to find out».</p>
<p><i>Fredrik Barth &#8211; An intellectual biography is already available in Norwegian, and will be published in an English translation by Pluto Press in June 2015.</i></p>
<p>&nbsp;</p>
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		<title>“Divorce your theory” &#8211; A conversation with Paul Farmer (part two)</title>
		<link>/2014/02/17/divorce-your-theory-a-conversation-with-paul-farmer-part-two/</link>
		<pubDate>Mon, 17 Feb 2014 00:34:39 +0000</pubDate>
		<dc:creator><![CDATA[Rex]]></dc:creator>
				<category><![CDATA[Blog post]]></category>
		<category><![CDATA[Invited post]]></category>
		<category><![CDATA[applied anthropology]]></category>
		<category><![CDATA[interview]]></category>
		<category><![CDATA[Jim Yong Kim]]></category>
		<category><![CDATA[Paul Farmer]]></category>
		<category><![CDATA[Stale Wig]]></category>

		<guid isPermaLink="false">/?p=1812</guid>
		<description><![CDATA[(This is the second half of an interview (the first half is here) by Ståle Wig. Ståle Wig has recently completed a research based MA in Social Anthropology at the University of Oslo, with a thesis on development workers in Lesotho. He is affiliated at the Center for Development and the Environment, and teaches a class &#8230; <a href="/2014/02/17/divorce-your-theory-a-conversation-with-paul-farmer-part-two/" class="more-link">Continue reading <span class="screen-reader-text">“Divorce your theory” &#8211; A conversation with Paul Farmer (part two)</span> <span class="meta-nav">&#8594;</span></a>]]></description>
				<content:encoded><![CDATA[<p><em><span style="line-height: 1.5em;">(This is the second half of an interview (the first half is <a href="/2014/02/14/divorce-your-theory-a-conversation-with-paul-farmer-part-one/">here</a>) by Ståle Wig. Ståle Wig has recently completed a research based MA in Social Anthropology at the University of Oslo, with a thesis on development workers in Lesotho. He is affiliated at the </span><a style="line-height: 1.5em;" href="http://www.sum.uio.no/english/">Center for Development and the Environment</a><span style="line-height: 1.5em;">, and teaches a class in Science Outreach and Journalism at the University of Oslo.)</span></em></p>
<p>Last year I got together with Dr. Paul Farmer for a talk. In part two of our conversation, I ask Farmer about the limits of “applied” social science; the reasons for his apparent optimism; and whether, after all these years, he at all considers himself an anthropologist.</p>
<p><span id="more-9877"></span>In terms of attending to the practical needs of the poor, there are few who doubt that Paul Farmer practices what he preaches. In 1987, while still a young anthropology student at Harvard, he co-founded <a href="http://www.pih.org/">Partners in Health</a> with his fellow student <a href="http://en.wikipedia.org/wiki/Jim_Yong_Kim">Jim Yong Kim</a> (today president of the World Bank) <a href="http://www.pih.org/pages/our-founders">among others</a>. Since his ethnographic fieldwork in Haiti in the late 1980s, a whole host of “Paul Farmers” seem to have sprung up: Doctor, Harvard professor, author, infectious-disease specialist, UN special envoi to Haiti, globetrotting Robin Hood.</p>
<p>But when I ask whether he also still considers himself an anthropologist, after all his travels outside the confines of the discipline, he looks surprised.</p>
<p><b>PF:</b> Yes, I do. I mean you don’t have to, but I do, and I always will. I didn’t know that being an anthropologist meant that you had to be, as we say in the US, a card carrying anthropologist.</p>
<p>[…] Here is how I feel: It doesn’t matter if my ideas are not that influential in academic circles. If someone doesn’t like a paper I wrote in an anthropology journal, that’s OK. You know, I’ll try some other time, or maybe try a new idea, right? I am not inside a single institution; I am not inside a single hospital at Harvard, or in Haiti. I admire people who can do that &#8211; enclose themselves – but I can’t.</p>
<p>And I am not offended when people don’t like a paper I wrote. I used to be when I was a graduate student, but I was cured of that by being a physician and working in places like Haiti.</p>
<p style="text-align: center;"><b>The uses of the ivory tower</b></p>
<p><b>SW</b>: I get a sense from what you are saying here that social science has been too concerned these last few decades with deconstruction, or destructive critique.</p>
<p><b>PF: </b>Well,<b> </b>I feel that academia can contribute very constructively through critique and understanding, and partly does so already. For example, a lot of people in NGOs, aid and development work are unable to do social analysis. And that is hurtful to them; because they are not aware of what they are doing can hurt beneficiaries, or doesn’t help them. So I think there is a big role for the weaving together practical policy and social analysis. It has to be an accurate analysis though. Let’s say you write a book about an institution and you don’t do ethnographic work – you wouldn’t do that as an anthropologist.</p>
<p>But I think it comes down to a division of labor. And if there is enough division of labor, people who do critical academic work can perform a valuable service to people living in poverty. But the answer to the question of “<a href="http://books.google.no/books?id=hgXbebNQ918C&amp;printsec=frontcover&amp;source=gbs_ge_summary_r&amp;cad=0#v=onepage&amp;q&amp;f=false">what is to be done</a>” is not always to write a new book.</p>
<p>The people living in poverty are my core constituency. And I have never, in 30 years of engagement, had a patient ask me to write another book. But I write them anyway, so that I can think more clearly. I can’t think clearly without reading a lot of other people’s work and writing. Some people I am told can do that, and I believe it, but not me. But no-one’s ever said to me, “Dr. Paul, we really wish you would stop seeing us as patients and building hospitals, and work more on a book about social theory.” That doesn’t mean I wouldn’t do it, if I had more time. I think I would actually enjoy writing a whole book about a concept like structural violence. But I can’t do that, because I don’t have enough time. But if other people do that, and enjoy it, and I’m cheering them on.</p>
<p><b>SW: </b>There<b> </b>seems to be a core of optimism in your writing, which seems rare to find among scholars working in deprived locations. Where does that come from?</p>
<p><b>PF:</b> “Pessimism of the intellect is appropriate but optimism of the spirit is necessary.” I don’t remember who coined that phrase, but I’ve always liked it.</p>
<p>But part of my optimism comes from working collectively. A lot of academics don’t get to do that. They work by themselves. If you put your energy in a collective movement, say, labor rights in Norway, or racial equality in the 1960s, or fighting against unjust wars – and if you stick with it long enough, and you believe that the arc of history is fundamentally bending towards justice – then it doesn’t seem to be optimism to the point of not understanding realistic and sound analysis.</p>
<p>So, there are several sources of optimism. Getting out there with others is important. That’s what doctors do, not so much academics.</p>
<p><b>SW</b>: Getting out of the ivory tower.</p>
<p><b>PF</b>: Yes, and think of all the ways in which we have ivory towers! Gated communities, monasteries, those are good places to think and write. And at times it is useful to lock yourself in, to think that your ideas are the most important thing on earth, to cut off the rest the world. It is by creating a bubble that you can get deep thinking and writing done.</p>
<p>But I’ve seen a lot of people become in love with their own ideas at the end of that process. And then spend their careers repeating their ideas, and feeling in the end that their ideas are products not to be molded, and shaped and improved but to be maintained. And I don’t that recommend that to my students because it’s a trap. And luckily, ethnographers can get out of that by just going out to a new place.</p>
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		<title>“Divorce your theory” A conversation with Paul Farmer (part one)</title>
		<link>/2014/02/14/divorce-your-theory-a-conversation-with-paul-farmer-part-one/</link>
		<pubDate>Fri, 14 Feb 2014 01:47:25 +0000</pubDate>
		<dc:creator><![CDATA[Rex]]></dc:creator>
				<category><![CDATA[Blog post]]></category>
		<category><![CDATA[Interviews]]></category>
		<category><![CDATA[Invited post]]></category>
		<category><![CDATA[biosocial complexities]]></category>
		<category><![CDATA[Didier Fassin]]></category>
		<category><![CDATA[Haiti]]></category>
		<category><![CDATA[health economics]]></category>
		<category><![CDATA[interview]]></category>
		<category><![CDATA[Linda Green]]></category>
		<category><![CDATA[Nancy Scheper-Huges]]></category>
		<category><![CDATA[Oslo]]></category>
		<category><![CDATA[Paul Farmer]]></category>
		<category><![CDATA[Sidney Mintz]]></category>
		<category><![CDATA[Stale Wig]]></category>
		<category><![CDATA[structural violence]]></category>
		<category><![CDATA[Theory]]></category>
		<category><![CDATA[Unni Wikan]]></category>

		<guid isPermaLink="false">/?p=1723</guid>
		<description><![CDATA[ (This guest post comes from Ståle Wig. Ståle has recently completed a research based MA in Social Anthropology at the University of Oslo, with a thesis on development workers in Lesotho. He is affiliated at the Center for Development and the Environment, and teaches a class in Science Outreach and Journalism at the University of Oslo.) &#8230; <a href="/2014/02/14/divorce-your-theory-a-conversation-with-paul-farmer-part-one/" class="more-link">Continue reading <span class="screen-reader-text">“Divorce your theory” A conversation with Paul Farmer (part one)</span> <span class="meta-nav">&#8594;</span></a>]]></description>
				<content:encoded><![CDATA[<p><i> (</i><em>This guest post comes from Ståle Wig. Ståle has recently completed a research based MA in Social Anthropology at the University of Oslo, with a thesis on development workers in Lesotho. He is affiliated at the <a href="http://www.sum.uio.no/english/">Center for Development and the Environment</a>, and teaches a class in Science Outreach and Journalism at the University of Oslo.)</em></p>
<p>Paul Farmer was never an orthodox anthropologist. As an undergraduate I remember reading his article, <a href="http://www.jstor.org/stable/10.1086/382250"><i>An Anthropology of Structural Violence</i></a>. It took me by surprise.</p>
<p>Not because I was unaccustomed to scholars arguing that we need to link the ethnographically visible to history and political economy – or, in Farmer’s words, “the interpretive project of modern anthropology to a historical understanding of the large scale social and economic structures in which affliction is embedded”. No, my class had already read <a href="http://sidneymintz.net/sugar.php">Sidney Mintz</a>. It was somewhat fascinating to read an anthropologist who at the same time was a doctor committed to heal the sick in his ethnographic surroundings. But that’s not really what got me, either. <span id="more-9873"></span></p>
<p>What startled a young student was Farmer’s unorthodox reply to the comments section of his article. A whole A-Team of academics had come out – Nancy Scheper-Hughes, Linda Green, Didier Fassin and others – giving careful and polite criticisms to the arguably crude concept of “structural violence”. Farmer’s short reply broke the mold. It took no effort to amend the purported weaknesses of his own argument, or to point out inconsistencies among his critics. It made no attempt to elaborate his vision for the discipline. Rather, Farmer remarked that “the concept of structural violence may or may not prove useful, and the criticism offered by my colleagues is instructive and welcome.” He went on to describe how human suffering in Haiti had become increasingly acute since the paper had been published. A recent coup d’état compounded the already stark consequences of a US aid embargo to Haiti. Thus, without excuse, Farmer concluded that</p>
<blockquote><p>These conditions, which directly affect my clinical work, preclude a more extended consideration of my colleagues&#8217; commentaries but do not lessen my gratitude for both the forum in which to air these views and the clarity of these responses.</p></blockquote>
<p>Put otherwise: “As a physician, there are times when academic discussion stops being useful. That time has now come. Kind regards, Paul.” When I recently met with Dr. Farmer, he seemed amused that I remembered his response. “Yes,<b> </b>that’s exactly what I said!” he told me with a smile, as we sat down before his <a href="http://www.uio.no/english/research/interfaculty-research-areas/leve/news-events/news/2013/0320-paul-farmer-seminar.html">guest lecture at the University of Oslo</a>.</p>
<p><b>Paul Farmer</b>: What I said was that <i>structural violence</i>, it’s just a concept. We’ll get another one. I am not wed to it. “I find it useful, and I find your critique useful. Thank you.” That’s how I feel. I feel that critical thinking is always important as a matter. And if a concept isn’t useful to someone, they should find a new concept. We should all find new concepts.</p>
<p>When you say you were surprised in reading my response, I hope you were somewhat pleased? Because the <i>real</i> fight is against poverty and injustice. And there are lots ways to have a clear analysis of it, and to have a strategy to addressing poverty and injustice in lots of different ways. But you know, to be wed to a concept or an academic theory is dangerous. That’s a 19<sup>th</sup> century trap. I wouldn’t recommend it to you as a student.</p>
<p>I hope some of your other teachers are saying that. Because what teachers are usually saying is “I want you to be wed to <i>my</i> theory.” I am saying, “I won’t do that”. It’s a theory! It’s an idea! And it’s important to have ideas. There are a lot of power in ideas and concepts. But that’s not the <i>only</i> thing that we should do. We should also be very concerned with the pragmatic needs of people all around us, and as I have said those are food, food security, basic health services, public safety.</p>
<p style="text-align: center;"><b>Anthropology of Health Economics</b></p>
<p><b>SW: </b>What role do you see for a critical anthropology, or a critical social science, which is able to contribute positively to its surroundings?</p>
<p><b>PF: </b>Well, my favorite anthropologists are all doing that already – Nancy Scheper-Hughes, Arthur Kleinman, Unni Wikan. That is also what I try to do, to say “what is the big picture here, how do institutions work in ways that lift people from poverty or do not?” That is the overall question I am interested in. So that’s a very constructive role to take.</p>
<p><b>SW: </b>Are there particular topics which you would like to see more students address?</p>
<p><b>PF: </b>Yes.<b> </b>What about a critical anthropology of health policy or <a href="http://en.wikipedia.org/wiki/Health_economics">health economics</a>? I am still waiting for that. For example, there should be a lot of people writing PhDs about how notions of cost-effectiveness are deployed in settings of scarcity, and then they should pick apart the notion of “cost” and the notion of “effectiveness”. But I haven’t seen those studies yet.</p>
<p>How can you say something is cost-effective, if you don’t understand “cost” or “effectiveness”? It is two powerful words hung together by a hyphen. We have to be very careful when we claim that something is cost-effective or cost-ineffective, if we haven’t really even understood the cost of something.</p>
<p>In health policy, for example, we seldom hear anyone talking about the cost of <i>inaction</i>. Let us consider how much it costs to do <i>nothing</i> about, say, treating AIDS if it is already the leading infectious killer of young adults in the world, which it was in 1999, when it surpassed tuberculosis. What does it cost <i>not</i> to have a health equity plan? A lot. We need to figure out the cost of <i>inaction</i> – a topic which is much understudied. Action has cost, but so does inaction.</p>
<p>To me it’s urgent that we understand this prevailing ideology of cost-effectiveness, because it has terrifying real-life consequences.</p>
<p style="text-align: center;"><b>Biosocial complexities</b></p>
<p><b>PF: </b>But generally I think some of the critical thinking is not as critical as it thinks it is.</p>
<p><b>SW</b>: In what sense do you mean that?</p>
<p><b>PF</b>: Well, to me the only way to have real critical thought is to understand various forms of outcome. Let’s take an example from Russia. In 1998, on the 50<sup>th</sup> anniversary of the universal declaration of human rights, I was in Moscow. A debate was going on; there were some Human Rights experts, mostly lawyers, and some people from the prison system, generals in uniforms. And there was a big debate going on between them about why a lot of young people were dying in detention. And the experts who thought they were being critical were saying “these young people are dying of starvation”.  And the people in the prison system were saying “no, they are not.” They weren’t. They were dying of multi drug resistant tuberculosis. The self-defined progressives had no clue what was going on bio-socially. And there is a lack of that multi-disciplinary understanding, unfortunately, in much critical thinking. These analyses are weak, superficial and disciplinarily enclosed. They are unable to understand the <a href="http://xserve02.mpiwg-berlin.mpg.de/ringberg/Talks/farmer/Farmer.html">biosocial complexities</a> we face today.</p>
<p>Now, to me, any critical analysis in medical anthropology, which tries to understand the real dynamics of suffering and poverty, needs to understand such things as the workings of drug resistant tuberculosis. That to me is real critical anthropology: It understands political economy, it understands how power works, it understands how embodiment happens, it understands how airborne and waterborne diseases and are actually transmitted – it understands all those things, and is sophisticated in a way that could not have happened without many of the tools that are unconventional in today’s anthropology, such as lab data. All of these things are part of what you need to make any reasonable claim to causality.</p>
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