Modern Colonization By Medical Intervention: U.s. Medicine In Puerto Rico: Studies in Critical Social Sciences, Volume 58(Studies in Critical Social Sciences)

Modern Colonization by Medical Intervention adds to our understanding of the political and economic transformations establishing colonial modernity in Puerto Rico. By focusing on influential physicians' clinical work and their access to a remote and inaccessible rural population, this volume details how rural areas suffered the ravages of social dislocation, unemployment and hunger. The colonial administration's hookworm campaign involved many Puerto Rican physicians in complex struggles with other elites, rural peasants and U.S. colonial administrators for political legitimacy. Puerto Rican physicians did not gain the professional autonomy their counterparts in the United States enjoyed. Instead, they became centrally implicated in the struggle between labor and capital enforcing the island's subordination to a colonial modernity and the development of capitalism on the island. What emerges is a ground breaking-and damning-account of the way that seemingly humanitarian efforts were used to oppress a subject population and maintain colonial rule.

Table of Contents:
List of Tables and Figures 1. A Matter of Life and Death Economy and Social Conditions: Labor and Hunger Medicine: Hookworms Method The Scholarship on Public Health, Tropical Medicine and Hookworm in Puerto Rico Chapter Outline 2. Anemia and Autonomy A “New” Colonial Structure Bread and Butter Issues Party Politics Anemia, Autonomy and the Public Health Administration in Puerto Rico The Changing Meaning of Professional and Political Autonomy 3. Colonial Interventions on Public Health and the Bifurcation of Puerto Rican Medicine The Hookworm-Anemia Campaign as Public Health 4. National Physicians and Professional Prestige Professional Status Status in Urban and “Threatening” Rural Spaces Medical Practitioners in the Late Nineteenth Century: One of Many Municipal Physicians and State Competition: Spain Licensing and State Control Under Spanish Colonial Authority Elite Physicians’ Ideas about their Imagined Community (the Nation) Ideas about the Nation: From Spanish to U.S. colonization Licensing and State Control under U.S. Colonial Authority Municipal Physicians and U.S. State Competition: The Public Health Administration The Asociación Médica de Puerto Rico: Nationalism, Class and Labor Professional Presentation and Status 5. Race, “Progress” and National Identity Professionals and Intellectuals among Liberal Elites Labor as Progress Land as Tropical Environment Social Conditions and the Colonial Relationship Death and Resuscitation in Tropical Medicine Recapitalizing Elites The War Waged in the Utuado Clinic Soiling Land and the Right to Rebel The Medical Men who Shaped a New Medical Discourse 6. Decolonizing Dominant Narratives The Public Interest(s) Colonial Modernity The Colonial Narrative and The Great Man of Puerto Rican Medical Science Puerto Rican Physicians: Double Binds and Messy Realities Tropical Medicine and Global Health Post- and Neo-Coloniality Bibliography Index

About the Author :
Nicole Trujillo-Pagn, Ph.D. (2003), University of Michigan-Ann Arbor, is an Assistant Professor of Sociology and Latina/o Studies at Wayne State University. She has published articles and book chapters on Latinos and state policy.