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Published on: April 23, 2019
How Pharmaceuticals Mask Health and Social Inequity
Enrico G Castillo1, Joel Tupper Braslow2
1Assistant professor in the Jane and Terry Semel Institute for Neuroscience and Human Behavior in the David Geffen School of Medicine at the University of California, Los Angeles.
Abstract:
Medications, like all interventions, shape the ways in which physicians see disease, provide care, define successful outcomes, and organize health care systems. Pharmaceuticals make symptoms and biological drug targets more visible while rendering individuals and their social suffering invisible, thereby focusing our profession on the intracellular effects of an unequal society. This article uses psychopharmacology as a probe to trace a more general problem within contemporary medicine: the pervasive influence of biomedical narratives and therapeutic rationales extending from clinical practice, to medical education, to health care finance.
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