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Health care workers are burned out. Health care leaders know that workers are burned out but do not yet have the right tools to fix the problem. Called to Care? argues that we can mitigate burnout by examining what is most meaningful about health care work. Using interviews and observation of a wide range of health care workers, Cain shows that workers who care for our most vulnerable adults find their work to be meaningful when they are able to connect to the work and make progress on something that matters. In most cases, these meaningful experiences are also consistent with better care for patients. And yet organizational practices, policy environments, and cultural meanings get in the way of meaningful work, creating burnout. But it doesn’t have to be this way. Called to Care? illustrates that workplaces can and should align meaningful work experiences with quality care for patients.

The transformational possibilities of everyday hygiene and care practices

 

In order to mitigate the worst forecasts of climate change, many of us need to make drastic adjustments to how we live and what we consume. For Kelly Dombroski, these changes must also happen in the home: in rethinking routines of care and hygiene that still rely on disposable and plastic products. Caring for Life examines the remarkable evolution in Asia-Pacific hygiene practices and amplifies the creative work of ordinary people guarding human and more-than-human life in their everyday practices of care.

Dombroski develops the concept of “guarding life,” a viewpoint that counters homogenous cultural practices and imposed sanitation standards and instead embraces diverse hygiene practices that are networked across varying wisdoms and bodies. She traces how the Chinese diaper-free infant toilet training practice of baniao has traveled to Australia and New Zealand, and she explores the practice of elimination communication, in which babies learn to communicate to their caregivers when they need to eliminate, thus removing the need for diapers. A mother herself, Dombroski conducted ethnographic research while mothering to examine how collectives of mothers draw on Chinese knowledge and their own embodied practices of childcare to create new hybrid forms of infant care. 

Caring for Life is a call to action, a theory of change, and a fascinating account of the transformational possibilities of care practices. It shows how experiments in personal care can lead to collective, widespread change, ultimately providing a practical and hopeful vision for environmental action.

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How global health practices can end up reorganizing practices of care for the people and communities they seek to serve 

Commodities of Care examines the unanticipated effects of global health interventions, ideas, and practices as they unfold in communities of men who have sex with men (MSM) in China. Targeted for the scaling-up of HIV testing, Elsa L. Fan examines how the impact of this initiative has transformed these men from subjects of care into commodities of care: through the use of performance-based financing tied to HIV testing, MSM have become a source of economic and political capital. 

In ethnographic detail, Fan shows how this particular program, ushered in by global health donors, became the prevailing strategy to control the epidemic in China in the late 2000s. Fan examines the implementation of MSM testing and its effects among these men, arguing that the intervention produced new markets of men, driven by the push to meet testing metrics. 

Fan shows how men who have sex with men in China came to see themselves as part of a global “MSM” category, adopting new selfhoods and socialities inextricably tied to HIV and to testing. Wider trends in global health programming have shaped national public health responses in China and, this book reveals, have radically altered the ways health, disease, and care are addressed.