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margauxf

The Global Burden of Disease (GBD) study that the authors reference and model their call to action around is the worlds' largest scientific effort to quantify trends in health. It is lead by the Institute foe Health Metrics and Evaluation (IHME) at the University of Washington. It began in 1990 as a World Bank-commissioned study and is known for having introduced the disability-adujusted life year (DALY) as a new metric to quantify the burden of disease, injuries, and risk factors (or determinants), and enable comparisons. 

The 1990s were  a turning point for global health structures of governance and knowledge production, which the GBD study exemplifies. Global health experts began increasingly reframing health and healthcare in technical terms like DALY, removing health from public governance in ways that complemented and bolstered structural adjustment policies that were introduced in the 1980s (Janes 2004). As a result of these policies, the size, scope and reach of healthcare delivery and public health services were steadily reduced and downgraded. Anthropologists have been critical of these processes and other perceived failures in global health: the collapse of primary care initiatives fostered at Alma Ata in 1978, the resurgence of selective forms of primary care and vertical public health programs, and the ascendency of the World Bank as the principal health policymaking institution (Janes 2004, 2009).

Janes, Craig R (2004). "Going global in century XXI: medical anthropology and the new primary health care." Human Organization 63, no. 4: 457-471.

Janes, C. R., & Corbett, K. K. (2009). Anthropology and global health. Annual Review of Anthropology, 38, 167–183. doi:10.1146/annurev-anthro-091908-164314

theatresofvirtue5

lucypei

Enforcing consensus: Credibility and viability to compete for funding of your NGO is gone if you protest or dissent → performed consensus by silencing “stone throwing” NGOs or irrational opposition because you’re “actually trying to do something”, so the new unethical is the NGO who is just being stubborn or petty; 

Creating ads to educate consumers or communities on how to live responsibly [responsibilization]: flow of ethical expertise, from business/govt thru media to community/consumer 

Awards for CSR accomplishment is like moral capital; it also is ritualized like gift giving, reciprocal gratitude; circuit of exclusive events generates and legitimates this discourse, celebrity speakers, positive vibes

Confession of past sins plus highly visible partnerships with well-known NGOs, a very branded activity

 

theatresofvirtue4

lucypei

To the extent that corporations genuinely believe that market access is going to end poverty... They seem to genuinely believe that the “third world” governments are corrupt and incompetent, in the way like in Orientalism colonialists seemed to genuinely believe that they were saving the nonwhite people from themselves. And they genuinely believe their resources are better and greater and their distribution networks etc. are better. 

NGOs have their back against the wall - they have to silently accept the language of the corporations and do it their way because they depend on the corporations for funding. So they may not see it as helpful but have to participate anyway

 

theatresofvirtue3

lucypei

Redefined: New unethical is the NGO who doesn’t support CSR - they are bitter, unprogressive. Legitimate action - ethical - “partnership with business for the common cause”; Illegitimate action - unethical - “misguided, anti corporate campaigning” p17

Proof of the ethical is in rigorously calculated indices of corporate responsibility and awards presented by orgs that supposedly represent civil society

Money funneled thru well-known NGOs who have to do what they say

 

theatresofvirtue2

lucypei

blame/displacement of scrutiny onto “Southern” i.e. previously colonized governments; pretty blatant language of colonialism (needing to save people from their own corrupt and incompetent governments) cast as “good governance” that corporations can do to lift people out of poverty with market access/inclusion

“Market comes to stand for social system as a whole” -p12

 

theatresofvirtue1

lucypei

Business-led development becomes development orthodoxy

Reconfigured to appear as a double market competition - corporations competing for awards/ moral capital with their CSR actions, and NGOs as enterprises competing for corporate money to execute social good programs (but of course here the power is with corps to drive what is a social good program)

Public-private partnerships, defining development as market access, making it about scrutiny of “3rd world” government incompetence instead of corporate irresponsibility