Is Medical Tourism Transcultural Hypogamy?

Studies in History, Volume 39, Issue 1, Page 109-124, February 2023.
This article attempts to make a set of interrelated arguments. It claims that the epithet ‘medical tourism’, which is of recent provenance, tacitly subscribes to a particular and narrow understanding of ‘medicine’, namely, the Anglo-American variant of biomedicine. This variant, unlike its Continental European counterpart, does not countenance the spa (Kur, Kuur, Termas, etc.) as ‘medical’ therapy, a therapy that is part of orthodox biomedicine on the continent, albeit on its fringe and one where pleasure and therapy often coexist. The Anglo-American variant leads to an exclusive focus on what may be called organ-based therapy with an emphasis on surgical and technological intervention, where uninsured and under-insured ‘middle-class’ patients travel from the White world to wog-land. This is a reversal of older forms of medical travel where rich wogs travelled from wog-land to the White world for medical treatment. The reversal results in a binary of White vampires and wog victims and is responsible, in part, for the moral tension of the oxymoron called ‘medical tourism’, with the other part of the oxymoron being constituted by the contradiction between pleasure and therapy. The vampire-victim binary in turn often mutes the mediating virtuosos— doctors, hospitals, medical travel operators, firms, companies, websites and most importantly, medical expertise and technology—in the analytical and explanatory canvas. In light of this, the article not only suggests that the epithet ‘medical tourism’ requires careful scrutiny and needs to be situated as part of a longer genealogy and larger canvas to include all kinds of transnational, transcultural and transregional medical travel, but it also makes a plea for re-examining the kind of morality play that the epithet engenders by asking, among other things, if vampires could also be victims, and what happens to this binary when the biomedical fringe (the Continental spa/Kur/Kuur/Termas) and alternative systems of medicine (e.g., Ayurveda and host of other therapies) are brought into play, or when doctors and therapists undertake travel for medical/therapeutic expertise.

Cooperation on Non-Traditional Security: India–Pakistan and the Locust Attack

India Quarterly, Volume 79, Issue 3, Page 356-369, September 2023.
The two nuclear-armed states of South Asia, India and Pakistan, besides being arch-rivals face common non-traditional security challenges. A recent example indicates that, despite having differences, they cooperated to successfully deal with the locust upsurge of 2019–2020. This study looks at why and how they arrived at joint efforts to thwart this non-traditional security threat. To set the context for this, it also explores the phases of the locust cycle and the reason why it constitutes a potential threat to the food security of both India and Pakistan. The study finds that the chances of cooperation between hostile states may increase if there are mutual threats in the non-traditional security realm. It further concludes that the chances of cooperation between the belligerent states increase if they are part of regional and international mechanisms to deal with the threats.
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Deconstructing the Metanarratives of China’s Engagement with the African Continent: African Agency and Competing Narratives

India Quarterly, Volume 79, Issue 3, Page 318-335, September 2023.
China’s relationship with the African continent has faced extensive critique over the past few decades, with most explanations broadly falling under the umbrella of three metanarratives: a ‘developing partner’, an ‘economic competitor’ or a ‘hegemonic actor’. Although these labels help to make intelligible the broad intentions of China’s interaction on the continent, they unwittingly gloss over the importance of choice and agency that the African nations continue to hold in deciding their future trajectories. Essentially, deconstructing these narratives to uncover the principal characteristics of China’s approach to the African continent is the central puzzle of this study. The study further questions the extent to which the agency of African nations determines their relationship with China. This article essentially proposes that while each of the three descriptions provides an insight into the various facets of the Sino-African relationship, none of them captures the whole picture, and instead, China’s approach to the African continent is best understood by its pragmatism, which is guided by its political aspirations and economic objectives. Furthermore, the study argues that the agency of each African nation also plays a part in shaping how China’s pragmatic approach further translates into one of the three metanarratives. The article relies on an inductive exploration of its central research question and uses a variety of sources, which include data from international institutions and governments, government releases and secondary literature, amongst others.
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