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Fighting for BreathLiving Morally and Dying of Cancer in a Chinese Village$
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Anna Lora-Wainwright

Print publication date: 2013

Print ISBN-13: 9780824836825

Published to Hawaii Scholarship Online: November 2016

DOI: 10.21313/hawaii/9780824836825.001.0001

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PRINTED FROM HAWAII SCHOLARSHIP ONLINE (www.hawaii.universitypressscholarship.com). (c) Copyright Hawaii University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in HSO for personal use.date: 01 December 2021

Perceived Efficacy, Social Identities, and the Rejection of Cancer Surgery

Perceived Efficacy, Social Identities, and the Rejection of Cancer Surgery

Chapter:
(p.200) Chapter 7 Perceived Efficacy, Social Identities, and the Rejection of Cancer Surgery
Source:
Fighting for Breath
Author(s):

Anna Lora-Wainwright

Publisher:
University of Hawai'i Press
DOI:10.21313/hawaii/9780824836825.003.0008

This chapter examines perceptions of cancer surgery from a social, cultural, and historical standpoint by focusing on Gandie's rejection of surgery. After reviewing some developments in health care provision since the founding of the People's Republic of China (1949) at the national, provincial, county, and village level, the chapter looks at some early reactions to the implementation of the rural cooperative medical system (a collective health insurance program) and how it has influenced perceptions of health care as well as patterns of health care access. It also considers the importance of social relations and social identities involved in decision making, suggesting that economic reductionism does not fully explain the complex negotiations surrounding illness and care. It argues that Gandie's rejection of surgery reflects a moral response to the commodification of health care and thus constitutes an active engagement both with the healing process and with values of the Maoist past and the reformist present.

Keywords:   cancer, surgery, health care, cooperative medical system, health care access, health care commodification, healing, social relations, social identities

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