11 Valued Matter: Anthropological Insights ... 283Notes
- See the Special Edition of HAU discussing the value concept within
anthropology edited by Giovanni ( 2013 ). - Roughly 20% of kidneys originate from deceased donors, the remain-
der coming from living-related donors, a fact that places the donation of
organs firmly within the context of family rather than the state, creating
additional pressures for the poor and the uninsured (Rios et al. 2010 ). - Peritoneal dialysis (PD) is a form of dialysis, where the inside lining of
the stomach acts as a natural filter to remove waste products from the
blood. Continuous Ambulatory Peritoneal Dialysis (CAPD) is a com-
mon form of PD practiced in Mexico. It is machine-free and is claimed
to be capable of being performed while the patient goes about their nor-
mal, everyday activities, therefore “continuous”. - In haemodialysis, blood is pumped out of the body through a tubing
system into an artificial kidney machine, by virtue of a connection to the
body (a fistula) usually placed in the wrist. It is then returned cleansed to
the body via the same connection. - In 2001, a much criticised package of reforms was introduced as a
response to the deficiencies of the healthcare system. Known as Seguro
Popular (Popular Health Insurance), its aim is to universalize public
health access for the poor by shifting the federal budget to demand-
based allocation, separating purchaser and provider, and integrating sub-
sidies by federal and state governments, along with premiums paid for by
families, to insure against risk and medical impoverishment. Designed in
accordance with neoliberal, market principles rather than a social rights
agenda, it was initiated by Julius Frenk, Health Minister for Partido
Accion Nacional (PAN). Seguro Popular has been controversial. With lit-
tle independent analysis, claims have been made that Mexico now enjoys
universal healthcare coverage, claims that few with any direct experience
of the system would support (Eibenschutz et al. 2008 ; Laurell 2011 ). - See Burstrom ( 2015 ) and Dahlgren ( 2014 ) for a discussion on mar-
ket-driven health care in Sweden and the rise of inequalities; Beatty
and Fothergill ( 2016 ) for a discussion on the uneven impact of welfare
reform in the UK; and Hacker and Pierson ( 2010 ) on the pathologies of
the ‘winner-takes-all’ system in the USA. - A number of authors, myself included, have drawn on the gendered
character of organ donation, particularly in Mexico (Crowley-Matoka
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