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The empire of speculation: medicine, markets, and nation in India’s Pan-African e-Network
BioSocieties ( IF 1.615 ) Pub Date : 2020-08-24 , DOI: 10.1057/s41292-020-00198-1
Vincent Duclos

In September 2004, former president of India Abdul Kalam proposed to connect Africa with India through a network aimed at providing healthcare services. Five years later, the Pan-African e-Network (PAN) was launched. PAN is a digital infrastructure connecting doctors and patients across the African continent with tertiary care hospitals in India. It is integrated solution to care for patients at a distance. But beyond everyday medical care, this article suggests that PAN exists primarily as a state of desire. Drawing upon ethnographic research, it explores PAN as a speculative project which makes present uncertain futures. The argument laid out is threefold. First, I suggest that PAN speculates on the South as a market and medical formation, emerging not in response but in blatant indifference to Euro-American spaces, assumptions, or priorities—including those dominant in global health spheres. Second, I argue that PAN acts a medium for the Indian nation to perform itself as an ascendant global healthcare provider, and power. As a gift, the network remakes the identities of the giver and receiver. Third, I examine PAN’s distinctive infrastructural qualities, showing how their imaginative, material, and territorializing effects are critical in shaping both market and nationalist speculation.

中文翻译:

投机帝国:印度泛非电子网络中的医药、市场和国家

2004 年 9 月,印度前总统阿卜杜勒·卡拉姆提议通过旨在提供医疗保健服务的网络将非洲与印度联系起来。五年后,泛非电子网络 (PAN) 推出。PAN 是一个数字基础设施,将非洲大陆的医生和患者与印度的三级医院联系起来。它是远程护理患者的综合解决方案。但在日常医疗之外,这篇文章表明 PAN 主要是作为一种欲望状态存在的。借鉴人种学研究,它探索 PAN 作为一个投机项目,它使当前的未来变得不确定。提出的论点是三重的。首先,我建议 PAN 将南方作为一个市场和医疗机构进行推测,其出现不是为了回应,而是对欧美空间、假设、或优先事项——包括在全球卫生领域占主导地位的那些。其次,我认为 PAN 是印度民族作为新兴的全球医疗保健提供者和力量发挥作用的媒介。作为礼物,网络重塑了赠送者和接受者的身份。第三,我考察了 PAN 独特的基础设施品质,展示了它们的想象力、物质性和地域化效果如何在塑造市场和民族主义投机方面发挥关键作用。
更新日期:2020-08-24
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