In the years since the end of apartheid, South Africans have enjoyed a progressive constitution, considerable access to social services for the poor and sick, and a booming economy that has made their nation into one of the wealthiest on the continent. At the same time, South Africa experiences extremely unequal income distribution, and its citizens suffer the highest prevalence of HIV in the world. As Archbishop Desmond Tutu has noted, “AIDS is South Africa’s new apartheid.”

In Ancestors and Antiretrovirals, Claire Laurier Decoteau backs up Tutu’s assertion with powerful arguments about how this came to pass. Decoteau traces the historical shifts in health policy after apartheid and describes their effects, detailing, in particular, the changing relationship between biomedical and indigenous health care, both at the national and the local level. Decoteau tells this story from the perspective of those living with and dying from AIDS in Johannesburg’s squatter camps. At the same time, she exposes the complex and often contradictory ways that the South African government has failed to balance the demands of neoliberal capital with the considerable health needs of its population.

Claire Laurier Decoteau is assistant professor of sociology at the University of Illinois at Chicago, where she teaches courses in social theory, the sociology of knowledge, and health and medicine. She is also a research associate in the Department of Sociology at the University of the Witwatersrand in Johannesburg, South Africa. She lives in Chicago.

— Adam Ashforth, author of Witchcraft, Violence, and Democracy in South Africa

— Isaac Ariail Reed, author of Interpretation and Social Knowledge: On the Use of Theory in the Human

— Transcriptions

— Choice

— USAID

— Medical Anthropology Quarterly

— International Journal of African Historical Studies