Transnational medicine in public arenas: AIDS treatments in the South.
This article looks at the AIDS-related controversy surrounding the experiments on and the availability of medicines in southern countries. It situates these debates in a longer-term history of transnational medicine. It highlights the rise of international therapeutic modernity at the beginning of the 1990s, based on the strict regulation of clinical trials and on the formalization of the international ethical rules governing experiments. This rise helped to change radically the reception of experiments conducted in southern countries around AIDS. With regard to this new ethics applied to clinical trials in southern countries, this article goes on to demonstrate the confrontation at the end of the 1990s between two different approaches to the universalization of healthcare. Finally, it shows how new laws on international trade have reinitiated this confrontation. Through this story, the article suggests in what sense the study of the political transformations of transnational medicine could offer a new field of investigation for the social sciences.
Dodier
Nicolas
N
Inserm-Ehess, Groupe de Sociologie Politique et Morale, 10 Rue Monsieur le Prince, 75006, Paris, France. dodier@vjf.cnrs.fr
D000163:Acquired Immunodeficiency Syndrome / Q000188:drug therapy* / Q000517:prevention & control; D000353:Africa, Southern; D019380:Anti-HIV Agents / Q000600:supply & distribution*; D003695:Delivery of Health Care / Q000639:trends; D019049:Developed Countries; D003906:Developing Countries / Q000191:economics; D004345:Drug Industry / Q000941:ethics* / Q000639:trends; D018954:Drugs, Essential / Q000600:supply & distribution*; D005602:France; D006291:Health Policy / Q000191:economics* / Q000639:trends; D006297:Health Services Accessibility / Q000941:ethics / Q000639:trends*; D006805:Human Experimentation / Q000941:ethics; D006801:Humans; D007390:International Agencies / Q000941:ethics* / Q000639:trends; D016032:Randomized Controlled Trials as Topic / Q000941:ethics; D012922:Social Change; D012935:Social Justice; D014944:World Health Organization
D019380:Anti-HIV Agents; D018954:Drugs, Essential