A trenchant analysis of the dark side of regulatory life-making today

In their seemingly relentless pursuit of life, do contemporary U.S. “biocultures”—where biomedicine extends beyond the formal institutions of the clinic, hospital, and lab to everyday cultural practices—also engage in a deadly endeavor? Challenging us to question their implications, Deadly Biocultures shows that efforts to “make live” are accompanied by the twin operation of “let die”: they validate and enhance lives seen as economically viable, self-sustaining, productive, and oriented toward the future and optimism while reinforcing inequitable distributions of life based on race, class, gender, and dis/ability. Affirming life can obscure death, create deadly conditions, and even kill.

Deadly Biocultures examines the affirmation to hope, target, thrive, secure, and green in the respective biocultures of cancer, race-based health, fatness, aging, and the afterlife. Its chapters focus on specific practices, technologies, or techniques that ostensibly affirm life and suggest life’s inextricable links to capital but that also engender a politics of death and erasure. The authors ultimately ask: what alternative social forms and individual practices might be mapped onto or intersect with biomedicine for more equitable biofutures?

The role of American hospital expansions in health disparities and medical apartheid

Health Colonialism considers how U.S. urban development policies contribute to the uneven and unjust distribution of health care in this country. Here, Shiloh Krupar investigates the racially inequitable effects of elite U.S. hospitals on their surrounding neighborhoods and their role in consolidating frontiers of land primed for redevelopment.

Naming this frontier “medical brownfields,” Krupar shows how hospitals leverage their domestic real estate empires to underwrite international prospecting for patients and overseas services and specialty clinics. Her pointed analysis reveals that decolonizing health care efforts must scrutinize the land practices of nonprofit medical institutions and the liberal foundations of medical apartheid perpetuated by globalizing American health care.