In the present paper a research has been done on the essay ‘Can the Subaltern Speak’ by’ Gayatri Chakravorty Spivak’. It has been explained into much simpler language about what the author conveys for better understanding and further references. Also the criticism has been done by various critiques from various sources which is helpful from examination point of view. The paper has been divided into various contexts with an introduction and the conclusions. Also the references has been written that depicts the sources of criticism.

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Can the Subaltern Speak

www.mobilehealthmap.org 617‐442‐3200 New research shows that mobile health clinics improve health outcomes for hard to reach populations in cost‐effective and culturally competent ways . A Harvard Medical School study determined that for every dollar invested in a mobile health clinic, the US healthcare system saves $30 on average. Mobile health clinics, which offer a range of services from preventive screenings to asthma treatment, leverage their mobility to treat people in the convenience of their own communities. For example, a mobile health clinic in Baltimore, MD, has documented savings of $3,500 per child seen due to reduced asthma‐related hospitalizations. The estimated 2,000 mobile health clinics across the country are providing similarly cost‐effective access to healthcare for a wide range of populations. Many successful mobile health clinics cite their ability to foster trusting relationships. Qualitative research in such mobile health clinics has found that patients value the informal, familiar environment in a convenient location, with staff who “are easy to talk to,” and that the staff’s “marriage of professional and personal discourses” provides patients the space to disclose information themselves. A communications academic argued that mobile health clinics’ unique use of space is important in facilitating these relationships. Mobile health clinics park in the heart of the community in familiar spaces, like shopping centers or bus stations, which lend themselves to the local community atmosphere.

Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care

The biological existence of human beings has become political in novel ways. The object, target and stake of this new 'vital' politics are human life itself. The contemporary state does not 'nationalize' the corporeality of its subjects into a body politic on which it works en masse, in relation to the body politics of other states competing in similar terms. Biopolitics addresses human existence at the molecular level: it is waged about molecules, amongst molecules, and where the molecules themselves are at stake. Human beings in contemporary Western culture are increasingly coming to understand themselves in somatic terms – corporeality has become of the most important sites for ethical judgements and techniques. Biopolitics was inextricably bound up with the rise of the life sciences, the human sciences, clinical medicine. It has given birth to techniques, technologies, experts and apparatuses for the care and administration of the life of each and all, from town planning to health services.

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The Politics of Life Itself

The first social transformation of American medicine institutionally established medicine by the end of World War II. In the next decades, medicalization-the expansion of medical jurisdiction, authority, and practices into new realms-became widespread. Since about 1985, dramatic changes in both the organization and practices of contemporary biomedicine, implemented largely through the integration of technoscientific innovations, have been coalescing into what the authors call biomedicalization, a second transformation of American medicine. Biomedicalization describes the increasingly complex, multisited, multidirectional processes of medicalization, both extended and reconstituted through the new social forms of highly technoscientific biomedicine. The historical shift from medicalization to biomedicalization is one from control over biomedical phenomena to transformations of them. Five key interactive processes both engender biomedicalization and are produced through it: (1) the political economic reconstitution of the vast sector of biomedicine; (2) the focus on health itself and the elaboration of risk and surveillance biomedicines; (3) the increasingly technological and scientific nature of biomedicine; (4) transformations in how biomedical knowledges are produced, distributed, and consumed, and in medical information management; and (5) transformations of bodies to include new properties and the production of new individual and collective technoscientific identities.

Biomedicalization: Technoscientific transformations of health, illness, and U.S. biomedicine.

Anthropologists have been committed, at least since Franz Boas, to investigating relationships between nature and culture. At the dawn of the 21st century, this enduring interest was inflected with some new twists. An emergent cohort of “multispecies ethnographers” began to place a fresh emphasis on the subjectivity and agency of organisms whose lives are entangled with humans. Multispecies ethnography emerged at the intersection of three interdisciplinary strands of inquiry: environmental studies, science and technology studies (STS), and animal studies. Departing from classically ethnobiological subjects, useful plants and charismatic animals, multispecies ethnographers also brought understudied organisms—such as insects, fungi, and microbes—into anthropological conversations. Anthropologists gathered together at the Multispecies Salon, an art exhibit, where the boundaries of an emerging interdiscipline were probed amidst a collection of living organisms, artifacts from the biological sciences, and surprising biopolitical interventions.

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The emergence of multispecies ethnography

Rich with the voices and stories of participants, these touching, firsthand accounts examine how women of diverse racial, ethnic, class and religious backgrounds perceive prenatal testing, the most prevalent and routinized of the new reproducing technologies. Based on the author's decade of research and her own personal experiences with amniocentesis, Testing Women, Testing the Fetus explores the "geneticization" of family life in all its complexity and diversity.

Testing women, testing the fetus

This groundbreaking volume provides a dramatic investigation of the dynamics of reproduction In an unusually broad spectrum of essays, a distinguished group of international feminist scholars and activists explores the complexity of contemporary sexual politics around the globe Using reproduction as an entry point in the study of social life and placing it at the center of social theory, the authors examine how cultures are produced, contested, and transformed as people imagine their collective future in the creation of the next generation The studies encompass a wide variety of subjects, from the impact of AIDS on reproduction in the United States to the aftereffects of Chernobyl on the Sami people in Norway and the impact of totalitarian abortion and birth control policies in Romania and China The contributors use historical and comparative perspectives to illuminate the multiple and intersecting forms of power and resistance through which reproduction is given cultural weight and social form They discuss the ways that seemingly distant influences shape and constrain local reproductive experiences such as the international flows of adoptive babies and childcare workers and the Victorian and imperial legacy of eugenics and family planning

Conceiving the new world order : the global politics of reproduction

PIP: The topic of human reproduction encompasses events throughout the human and especially female life-cycle as well as ideas and practices surrounding fertility, birth, and child care. Most of the scholarship on the subject, up through the 1960s, was based on cross-cultural surveys focused on the beliefs, norms, and values surrounding reproductive behaviors. Multiple methodologies and subspecialties, and fields like social history, human biology, and demography were utilized for the analysis. The concept of the politics of reproduction synthesizes local and global perspectives. The themes investigated include: the concept of reproduction, population control, and the internationalization of state and market interests (new reproductive technologies); social movements and contested domains; medicalization and its discontents; fertility and its control; adolescence and teen pregnancy; birth; birth attendants; the construction of infancy and the politics of child survival; rethinking the demographic transition; networks of nurturance; and meanings of menopause. The medicalization of reproduction is a central issue of studies of birth, midwifery, infertility, and reproductive technologies. Scholars have also analyzed different parts of the female life-cycle as medical problems. Other issues worth analysis include the internationalization of adoption and child care workers; the crisis of infertility of low-income and minority women who are not candidates for expensive reproductive technologies; the concerns of women at high risk for HIV whose cultural status depends on their fertility; questions of reproduction concerning, lesbians and gay men (artificial insemination and discrimination in child rearing); the study of menopause; and fatherhood. New discourse analysis is used to analyze state eugenic policies; conflicts over Western neocolonial influences in which women's status as childbearers represent nationalist interests; fundamentalist attacks on abortion rights; and the AIDS crisis.

The politics of reproduction.

In trying to portray my son in the literary model known as a novel, I have passed through . . . stages. In the case of a person like him with a mental disability, it isn’t the individual himself but rather his family that has to pass from the “shock phase” to the “acceptance phase.” In a sense, my work on this theme has mirrored that process. I have had to learn through concrete experience to answer such questions as how a handicapped person and his family can survive the shock, denial, and confusion phases and learn to live with each of those particular kinds of pain. I then had to find out how we could move beyond this to a more positive adjustment, before finally reaching our own “acceptance phase”— in effect coming to accept ourselves as handicapped, as the family of a handicapped person. And it was only then that I felt the development of my work itself was at last complete. (Oe 1995: 46, emphasis added)

Enabling Disability: Rewriting Kinship, Reimagining Citizenship

Amniocentesis is one of the new reproductive technologies, and a new health profession, the genetic counselor, has been developed to communicate medical information to patients about its risks and benefits. In this article I examine the language of genetic counseling as it communicates and miscommunicates not only medical information but also structural power arrangements, social knowledge, and popular meanings about medically defined disability. The analysis—based on two years of field-work in New York City hospitals observing amniocentesis intake interviews, interviewing 30 genetic counselors, and visiting scores of pregnant patients at home—focuses on the multiple understandings that arise at the intersection of professional and popular knowledge in contemporary American life.

Rayna Rapp

Papers

Testing women, testing the fetus

Conceiving the new world order : the global politics of reproduction

The politics of reproduction.

Enabling Disability: Rewriting Kinship, Reimagining Citizenship

Chromosomes and Communication: The Discourse of Genetic Counseling