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When People Come First critically assesses the expanding field of global health. It brings together an international and interdisciplinary group of scholars to address the medical, social, political, and economic dimensions of the global health enterprise through vivid case studies and bold conceptual work. The book demonstrates the crucial role of ethnography as an empirical lantern in global health, arguing for a more comprehensive, people-centered approach. Topics include the limits of technological quick fixes in disease control, the moral economy of global health science, the unexpected effects of massive treatment rollouts in resource-poor contexts, and how right-to-health activism coalesces with the increased influence of the pharmaceutical industry on health care. The contributors explore the altered landscapes left behind after programs scale up, break down, or move on. We learn that disease is really never just one thing, technology delivery does not equate with care, and biology and technology interact in ways we cannot always predict. The most effective solutions may well be found in people themselves, who consistently exceed the projections of experts and the medical-scientific, political, and humanitarian frameworks in which they are cast. When People Come First sets a new research agenda in global health and social theory and challenges us to rethink the relationships between care, rights, health, and economic futures.

World health. --- Public health --- Global health --- International health --- International cooperation. --- POLITICAL SCIENCE / Globalization --- MEDICAL / Public Health --- SOCIAL SCIENCE / Anthropology / Cultural --- International agencies --- Medical assistance --- Public health laws, International --- World health --- Medical geography --- International cooperation --- Global Health. --- International Cooperation. --- Public Health Practice. --- #SBIB:39A9 --- Health Practice, Public --- Health Practices, Public --- Practice, Public Health --- Practices, Public Health --- Public Health Practices --- Treaties --- Foreign Aid --- Aid, Foreign --- Cooperation, International --- Treaty --- International Health --- Worldwide Health --- International Health Problems --- World Health --- Health Problem, International --- Health Problems, International --- Health, Global --- Health, International --- Health, World --- Health, Worldwide --- Healths, International --- International Health Problem --- International Healths --- Problem, International Health --- Problems, International Health --- World Health Organization --- Medische antropologie / gezondheid / handicaps --- SOCIAL SCIENCE --- Santé mondiale --- Santé publique --- Anthropology --- Cultural. --- Coopération internationale --- Global Health --- International Cooperation --- Public Health Practice --- AIDS. --- Botswana. --- Brazil. --- Chile. --- Ghana. --- HIV infection. --- HIV. --- India. --- Mozambique. --- PEPFAR. --- President's Emergency Program for AIDS Relief. --- South Africa. --- Uganda. --- antidepressants. --- antiretroviral drugs. --- asthma. --- biomedical science. --- cancer care. --- case studies. --- childhood. --- chronic diseases. --- clinical care. --- compliance. --- depression. --- developing countries. --- diabetes. --- disease control. --- disease eradication programs. --- domestic relations. --- epidemics. --- epistemology. --- ethnography. --- evidence-based medicine. --- experimental research. --- global health science. --- global health. --- guinea worm. --- health activism. --- health care. --- health policy. --- health research. --- health rights. --- human rights. --- humanitarianism. --- international aid. --- intervention. --- malaria. --- mental health programs. --- micropolitics. --- moral economy. --- neoliberalism. --- obesity. --- palliation. --- psychopharmaceuticals. --- public health care system. --- public health services. --- public health. --- publicаrivate collaborations. --- right to know. --- social factors. --- social networks. --- social theory. --- tuberculosis treatment.

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This book presents an important reflection on the concept and limits of the Fundamental Right to Health as opposed to a supposed "Right to Hope" in the context of the treatment of patients with advanced cancer. The central idea of the work is the question of whether and to what extent patients with advanced cancer have the right to legally demand a palliative treatment whose efficacy has not been proven from the point of view of the desired objectives. The book demonstrates how hope cannot be subject to legal protection and, also, that, even if theoretical-legal reasons were not sufficient for the absence of an abstract right to hope, ethical reasons would be. The work concludes that the best palliative care, rather than palliative treatment, guarantees the best right to health for advanced cancer patients, especially in terminal cases. In addition to this theoretical discussion, the book also presents the results of a qualitative research the author conducted with 48 advanced cancer patients in Brazil and Germany to investigate their expectations towards chemotherapy. This study has confirmed that many patients decide to undergo often toxic and exhausting treatments, unrealistically believing that their cancer is curable or that, as long as they continue with a course of chemotherapy, cancer may be beaten. Palliative Treatment for Advanced Cancer Patients: Can Hope Be a Right? will be of interest to health professionals and social workers working with advanced cancer patients, as well as to researchers in the fields of public health, bioethics, medical ethics and health law, especially those interested in the growing interdisciplinary field of end-of-life decision-making. .

Public health. --- Medical Ethics. --- Palliative treatment. --- Medical laws and legislation. --- Bioethics. --- Oncology. --- Public Health. --- Palliative Care. --- Medical Law. --- Tumors --- Biology --- Biomedical ethics --- Life sciences --- Life sciences ethics --- Science --- Law, Medical --- Medical personnel --- Medical registration and examination --- Medicine --- Physicians --- Surgeons --- Medical policy --- Medical jurisprudence --- Palliation (Medical care) --- Palliative care --- Palliative medicine --- Therapeutics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Community health --- Health services --- Hygiene, Public --- Hygiene, Social --- Public health services --- Public hygiene --- Social hygiene --- Health --- Human services --- Biosecurity --- Health literacy --- Medicine, Preventive --- National health services --- Sanitation --- Moral and ethical aspects --- Legal status, laws, etc. --- Law and legislation --- Palliative Care --- Terminal Care. --- Bioethical Issues. --- Jurisprudence. --- Neoplasms --- mortality. --- Constitutional Law --- Court Decision --- Law --- Legal Aspects --- Legal Obligations --- Legal Status --- State Interest --- Litigation --- Medical Jurisprudence --- Aspect, Legal --- Aspects, Legal --- Constitutional Laws --- Court Decisions --- Decision, Court --- Decisions, Court --- Interest, State --- Interests, State --- Jurisprudence, Medical --- Law, Constitutional --- Laws --- Laws, Constitutional --- Legal Aspect --- Legal Obligation --- Litigations --- Obligation, Legal --- Obligations, Legal --- State Interests --- Status, Legal --- Defamation --- Lawyers --- Bioethical Issue --- Issue, Bioethical --- Issues, Bioethical --- Euthanasia --- Human Experimentation --- Patient Rights --- Animal Experimentation --- End of Life Care --- End-Of-Life Care --- Care, End-Of-Life --- Care, Terminal --- End-Of-Life Cares --- Death --- Advance Care Planning --- Palliative Supportive Care --- Palliative Surgery --- Palliative Therapy --- Surgery, Palliative --- Therapy, Palliative --- Palliative Treatment --- Care, Palliative --- Palliative Treatments --- Supportive Care, Palliative --- Treatment, Palliative --- Treatments, Palliative --- Pain --- Terminal Care --- Hospice and Palliative Care Nursing --- Palliative Medicine --- Cancer --- Mortality. --- Palliative --- Treatment. --- Cancers --- Carcinoma --- Malignancy (Cancer) --- Malignant tumors --- Patients --- Mortality --- Right to Health. --- Health Rights --- Healthcare Rights --- Right to Health Care --- Right to Healthcare --- Healthcare Right --- Healthcare, Right to --- Healthcares, Right to --- Right, Healthcare --- Rights, Healthcare