title: Out-of-Sync Cancer Care: Health Insurance Companies, Biomedical Practices, and Clinical Time in Colombia.
abstract: I discuss the physical wearing out of low-income cancer patients in the aftermath of the neoliberal restructuring of the Colombian health care system in 1993. The settings for this struggle are the hospitals and the health insurance companies; the actors are bodies with cancer, the physicians who diagnose people with cancer, and the relatives who care for them. I show how most low-income patients, instead of accessing complete anticancer treatments in a timely fashion, have to negotiate and confront health insurance companies and profit-making. This results in a wait, where the time needs of the bureaucracy of the health care system and the time needs of patients' bodies are discordant, at a cost to patients.
authors.affiliation: a Department of Anthropology , University of Michigan , Ann Arbor , Michigan , USA.
authors.forename: Camilo
authors.initials: C
authors.lastname: Sanz
mesh_terms: D060432:Anthropology, Medical; D003105:Colombia / Q000208:ethnology; D006297:Health Services Accessibility; D006801:Humans; D007348:Insurance, Health; D009369:Neoplasms / Q000208:ethnology* / Q000628:therapy*
keywords: Biomedical practices; Colombia; cancer; exhaustion; health insurance companies; time