Doctors and retribution: the hospitalisation of compensation claims in the Highlands of Papua New Guinea.
The cultures in the Papua New Guinea Highlands are characterised by a tradition of retribution. Compensation is part of an elaborate system of exchanging gifts, goods and services. Compensation is paid to those who have suffered some kind of loss for which others are held responsible. Such incidents include death or injury caused by fighting, a road accident or domestic violence, theft, rape, gossip, and property damage. Fear of revenge is an important motive for paying compensation. The hospital has become an increasingly important institution for retribution. It provides medical reports to support compensation claims of physical damage in cases involving violence or an accident. Case material, collected by one of the authors who conducted fieldwork in a hospital in the Southern Highlands, shows that the hospital has established itself as an authoritative actor in the local compensation culture. Doctors spend about one afternoon per week writing medical reports for compensation claims. These reports have become an attractive extra source of income for the hospital. The article describes and analyses a number of cases to illustrate the hospital's role in the production and legitimisation of retribution.
van Amstel
Hans
H
Stichting Huisartsen Dienstenposten, Amsterdam, The Netherlands.
van der Geest
Sjaak
S
D000884:Anthropology, Cultural; D001294:Attitude to Health / Q000208:ethnology*; D035881:Compensation and Redress; D005260:Female; D006739:Hospital Administration; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D019300:Medical Errors; D008505:Medical Staff, Hospital; D015279:Organizational Culture; D010219:Papua New Guinea; D012962:Sociology, Medical