What is our way out of this dominant “control-over-care approach,” which permeates all aspects of global health?
In many low and middle-income countries (LMICs), even oxygen is not available to treat people with Covid-19, let alone ventilators. We see that with Covid-19, where emphasis was placed on measures such as self-isolation, hand-washing, social distancing and quarantine, with little serious investment in rapid testing and treatment of sick individuals. Since global health is the newest iteration of colonial and tropical medicine, it seems global health experts still push the hygiene/control model, even today. This public health approach emphasized isolation and outbreak containment, but failed to ensure adequate clinical care to sick individuals.
Madhukar Pai: You spend a lot of time explaining the “control-over-care approach” and its historical, colonial origins in your book.
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