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Health care and independence: “Trickery” and “deviation”

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Chapter Summary

Throughout this chapter, the author plays with the international aspects of the political economy of health care in Senegal. Within the context of a political economic history, underdevelopment theory—and of course, development theory—relies heavily on the argument of intervening powers from beyond the borders of the given nation-state to illustrate the ways in which both international and national class interests combine to promote dependency in the “underdeveloped” state. In the case of Senegal, certainly the notions of “center-periphery” dynamics can be extended and illustrated. Yet, even here, they, along with terms like “dependency,” “development”/“underdevelopment,” and even “independence” need to be redefined and re-contextualized. The chapter addresses dynamics of international intervention in Senegal and brings together examples of, and allusions to that intervention that are cited throughout the work. It also highlights “deviant” activity—activity that moves in contrast— in opposition—to conventional definitions.

Keywords: deviant activity; health care; independence; international intervention; political economy; Senegal; underdevelopment theory



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