SIGNS

PROVIDING WOMEN, KEPT MEN: Doing Masculinity in the wake of the African HIV/AIDS epidemic
Mojola SA
This paper draws on ethnographic and interview based fieldwork to explore accounts of intimate relationships between widowed women and poor young men that emerged in the wake of economic crisis and a devastating HIV epidemic among the Luo ethnic group in Western Kenya. I show how the cooptation of widow inheritance practices in the wake of an overwhelming number of widows as well as economic crisis resulted in widows becoming providing women and poor young men becoming kept men. I illustrate how widows in this setting, by performing a set of practices central to what it meant to be a man in this society - pursuing and providing for their partners - were effectively doing masculinity. I will also show how young men, rather than being feminized by being kept, deployed other sets of practices to prove their masculinity and live in a manner congruent with cultural ideals. I argue that ultimately, women's practice of masculinity in large part seemed to serve patriarchal ends. It not only facilitated the fulfillment of patriarchal expectations of femininity - to being inherited - but also served, in the end, to provide a material base for young men's deployment of legitimizing and culturally valued sets of masculine practice.
Complicating common ideas about medical tourism: gender, class, and globality in Yemenis' international medical travel
Kangas B
Three cases of international medical travelers from Yemen, a capital‐poor country in the southwest corner of the Arabian Peninsula, help to counter misconceptions within discussions of medical tourism. These misconceptions include the suggestion of leisure in medical tourism, the role of gender and class, and the ease with which we dismiss the health concerns of wealthy individuals. Instead, this article proposes, we should uncover commonalities and differences within international medical travel while avoiding slipping into generalities and stereotypical portrayals.
Nennu and Shunu: gender, body politics, and the beauty economy in China
Yang J
This essay analyzes recent discourse on two emerging representations of women in China, "tender" women (nennu) and "ripe" women (shunu), in order to examine the relationships among gender, body politics, and consumerism. The discourse of nennu and shunu suggests that older, ripe women become younger and more tender by consuming fashions, cosmetic surgery technologies, and beauty and health care products and services because tender women represent the ideal active consumership that celebrates beauty, sexuality, and individuality. This discourse serves to enhance consumers' desire for beauty and health and to ensure the continued growth of China's beauty economy and consumer capitalism. Highlighting the role of the female body, feminine beauty, and feminine youth in developing consumerism, this discourse downplays the contributions of millions of beauty and health care providers (predominantly laid-off female workers and rural migrant women) and new forms of gender exploitation. Such an overemphasis on gender masks intensified class division. This essay suggests that women and their bodies become new terrains from which post-Mao China can draw its power and enact consumerism. Gender constitutes both an economic multiplier to boost China's consumer capitalism and a biopolitical strategy to regulate and remold women and their bodies into subjects that are identified with the state's political and economic objectives. Since consumerism has been incorporated into China's nation-building project, gender thus becomes a vital resource for both consumer capitalist development and nation building. This essay shows that both gender and the body are useful analytic categories for the study of postsocialism.
The biopower of beauty: humanitarian imperialisms and global feminisms in an age of terror
Nguyen MT
As part of a feminist commitment to collaboration, this article, which appears as a companion essay to Minh-Ha T. Pham's "The Right to Fashion in the Age of Terror," offers a point of departure for thinking about fashion and beauty as processes that produce subjects recruited to, and aligned with, the national interests of the United States in the war on terror. The Muslim woman in the veil and her imagined opposite, the fashionably modern and implicitly Western woman, become convenient metaphors for articulating geopolitical contests of power as human rights concerns, as rescue missions, as beautifying mandates. This essay examines newer iterations of this opposition, after September 11, 2001, in order to demonstrate the critical resonance of a biopolitics of fashion and beauty. After the events of September 11, 2001, George W. Bush's administration launched a military and public relations campaign to promote U.S. national interests using the language of feminism and human rights. While these discourses in the United States helped to reinvigorate a declining economy, and specifically a flagging fashion industry (as Pham addresses in her companion essay), feminism abroad was deployed to very different ends. This article considers the establishment of the Kabul Beauty School by the nongovernmental organization Beauty without Borders, sponsored in large part by the U.S. fashion and beauty industries. Examining troubling histories of beauty's relation to morality, humanity, and security, as well as to neoliberal discourses of self-governance, the author teases out the biopower and biopolitics of beauty, enacted here through programs of empowerment that are inseparable from the geopolitical aims of the U.S. deployment in Afghanistan.
The right to fashion in the age of terrorism
Pham MH
As part of a feminist commitment to collaboration, this article appears as a companion essay to Mimi Thi Nguyen's "The Biopower of Beauty: Humanitarian Imperialisms and Global Feminisms" and offers a point of departure for thinking about fashion and beauty as processes that produce subjects recruited to, and aligned with, the national interests of the United States in the war on terror. The Muslim woman in the veil and her imagined opposite in the fashionably modern - and implicitly Western - woman become convenient metaphors for articulating geopolitical contests of power as a human rights concern, as a rescue mission, as a beautifying mandate. This article examines newer iterations of this opposition, in the wake of September 11, 2001, in order to demonstrate the critical resonance of a biopolitics on fashion and beauty. In "The Right to Fashion in the Age of Terrorism," the author examines the relationship between the U.S. war on terror, targeting persons whose sartorial choices are described as terrorist-looking and oppressive, and the right-to-fashion discourse, which promotes fashion's mass-market diffusion as a civil liberty. Looking at these multiple invocations of the democratization of fashion, this article argues that the right-to-fashion discourse colludes with the war on terror by fabricating a neoliberal consumer-citizen who is also a couture-citizen and whose right to fashion reasserts U.S.exceptionalism, which is secured by private property, social mobility, and individualism.
Medical tourism in the Caribbean
Ramírez de Arellano AB
Although travel for medical reasons has a long history, it has more recently evolved from a cottage industry to a worldwide enterprise. A number of countries are positioning themselves to attract visitors who are willing to travel to obtain health services that are more accessible, less expensive, or more available than in their countries of origin. This has in turn given rise to medical packages that combine tourism with health. Several Caribbean nations - including Cuba, Barbados, Jamaica, and Puerto Rico - hope to expand their revenues in this new market. Each country has selected specific service niches and promotes its services accordingly. While Cuba has been promoting its services to other countries for several decades, medical tourism is just beginning in the other islands. Ultimately, these nations' economic success will hinge on their comparative advantage vis-à-vis other options, while their success in terms of improving their own health care depends on the extent to which the services for tourists are also available to the islands' populations.
Necropolitics, narcopolitics, and femicide: gendered violence on the Mexico-U.S. border
Wright MW
In 1993, a group of women shocked Ciudad Juárez, Chihuahua, with the news that dozens of girls and women had been murdered and dumped, like garbage, around the city during the year. As the numbers of murders grew over the years, and as the police forces proved unwilling and unable to find the perpetrators, the protestors became activists. They called the violence and its surrounding impunity "femicide," and they demanded that the Mexican government, at the local, state, and federal levels, stop the violence and capture the perpetrators. Nearly two decades later, the city's infamy as a place of femicide is giving way to another terrible reputation as a place of unprecedented drug violence. Since 2006, more than six thousand people have died in the city, as have more than twenty-eight thousand across the country, in relation to the violence associated with the restructuring of the cartels that control the production and distribution of illegal drugs. In response to the public outcry against the violence, the Mexican government has deployed thousands of troops to Ciudad Juárez as part of a military strategy to secure the state against the cartels. In this essay, I argue that the politics over the meaning of the drug-related murders and femicide must be understood in relation to gendered violence and its use as a tool for securing the state. To that end, I examine the wars over the interpretation of death in northern Mexico through a feminist application of the concept of necropolitics as elaborated by the postcolonial scholar Achille Mbembe. I examine how the wars over the political meaning of death in relation both to femicide and to the events called "drug violence" unfold through a gendering of space, of violence, and of subjectivity. My objective is twofold: first, to demonstrate how the antifemicide movement illustrates the stakes for a democratic Mexican state and its citizens in a context where governing elites argue that the violence devastating Ciudad Juárez is a positive outcome of the government's war against organized crime; and second, to show how a politics of gender is central to this kind of necropolitics.
Surgeon and Safari: producing valuable bodies in Johannesburg
Mazzaschi A
This essay explores how concepts of value and cheapness circulate around the bodies of clients of the Johannesburg-based cosmetic surgery tourism company Surgeon and Safari. I show how the production of a luxurious experience and the mitigation of risk take place within a transnational network enabled by the presence of medical tourism in multiple locales. By placing Surgeon and Safari's activities within the context of the neoliberalization of health care in South Africa, I explore how the division between private versus public health spaces functions as both a technique of valuing clients' bodies and as a process of racialization.
Aboriginal women and Asian men: a maritime history of color in white Australia
Balint R
In 1901, Broome—a port town on the northwest edge of the Australian continent—was one of the principal and most lucrative industrial pearling centers in the world and entirely dependent on Asian indentured labor. Relations between Asian crews and local Aboriginal people were strong, at a time when the project of White Australia was being pursued with vigorous, often fanatical dedication across the newly federated continent. It was the policing of Aboriginal women, specifically their relations with Asian men, that became the focus of efforts by authorities and missionaries to uphold and defend their commitment to the White Australia policy. This article examines the historical experience of Aboriginal women in the pearling industry of northwest Australia and the story of Asian-Aboriginal cohabitation in the face of oppressive laws and regulations. It then explores the meaning of “color” in contemporary Broome for the descendants of this mixed heritage today.
"Good looks don’t boil the pot": Irish-Newfoundland women as fish(-producing) wives
Keough W
This article explores the historical understanding of maritime womanhood in Newfoundland by examining women in fishing families along the southern Avalon Peninsula from the late eighteenth to the early twentieth centuries. It does not talk about fishwives in any popular sense of the word, for these women did not market fish; rather, they produced salt fish for market. And while middle-class observers may have perceived them as coarse and bold, within their own families and fishing communities they were seen as essential partners who contributed equally to family economies. Within a sexual division of labor that assigned vital and complementary tasks to both men and women, Newfoundland fish(-producing) wives carried out hard physical labor at public sites of production. This contributed significantly to the construction of “woman” as essential worker, which in turn had broader repercussions for their status and authority within fishing communities. The participation of fish(-producing) wives changed significantly from the 1950s onward, as the fishery moved from household production to a modernized, and discursively masculinized, industry. Yet the iconic image of the fish(-producing) wife in traditional household production remains undisrupted in the early twenty-first century.
Relations between people, relations about things: gendered investment and the case of the Lake Victoria fishery, Tanzania
Medard M
Using the example of one of the African fisheries that has been most significantly transformed from family based to commercialized—that on Lake Victoria in Tanzania—this article considers the social nexus of decision making and focuses on analyzing women’s place. It is true that women have never been more than a minority in fisheries due to traditional inheritance patterns and new market structures, both of which bypass women in questions of ownership and decision making. We look in vain for fishwives, if this means female fish producers acting with a highly visible degree of economic and social autonomy. There is no vernacular term to identify women who work with fish or those rare women who own fishing vessels. And yet the absence of derogatory representation suggests that there have been few attempts to detract from women who are active in the fishery. Should we thus be aiming at more subtlety in our analytical approaches to fishing relations on Lake Victoria? The article unveils the ways in which women’s relations with fishermen are negotiated and how agreements are reached on behalf of their families. It explores for women’s empowerment via the customary social relations and management arrangements that exist in these riparian communities. The lake fishery has a basis for development, but its potential for the kind of growth that will have returns for future generations rests on an appreciation of how fisher-wives conceive of, and respond to, the opportunities, constraints and risks of investing in this fishery.
Unruly women and invisible workers: the shrimp traders of Mazatlán, Mexico
Cruz-Torres ML
During the 1980s, a group of women from rural communities in the Mexican state of Sinaloa organized a grassroots social movement in order to gain legal access to the sale of shrimp. The movement reached its peak in 1984, with the formation of a shrimp traders union and the establishment of a shrimp marketplace in the tourist city of Mazatlán. Despite the long trajectory of the movement and the success of the shrimp market, these women and their work have been completely ignored by government agencies in charge of the development and management of the fishing industry. For the most part, one gets to read about the shrimp traders only in tourist-oriented brochures depicting them as a “local attraction,” something to be seen while one is touring the city on a private charter bus en route to the Archaeological Museum or to the upscale jewelry shops in the Golden Zone. In this article, I examine how women used their gender and their identity as rural workers to defy the state and its policies, overcome poverty, and take control of the local marketing of shrimp. Another objective of this article is to show why and how women engaged in collective action so they could be legitimized as workers and how gender shaped their individual experiences.
Entrepreneurial Women and the Business of Self-Development in Global Russia
Mazzarino A
Medical tourism in the backcountry: alternative health and healing in the Arkansas Ozarks
Nolan JM and Schneider MJ
Tourists travel to Arkansas' mountain regions to experience, appreciate, and consume multiple aspects of otherness, including sacred sites and pristine and authentic peoples and environments. A largely unexplored aspect of this consumption of authenticity is alternative medicine, provided to tourists and day travelers in search of physical and emotional restoration. Traditional forms of medicine are deeply rooted in women's social roles as community healers in the region and are perpetuated in part because of the lack of readily accessible forms of so-called modern medicine. Contemporary medical tourism in Arkansas has promoted access to folk health systems, preserving them by incorporating them into tourists' health care services, and also has attracted new and dynamic alternative medical practices while encouraging the transformation of existing forms of traditional medicine. Ultimately, the blend of alternative, folk, and conventional medicine in the Arkansas highlands is evidence of globalizing forces at work in a regional culture. It also serves to highlight a renewed appreciation for the historic continuity and the efficacy of traditional knowledge in the upper South.
The environmental account of obesity: a case for feminist skepticism
Kirkland A
There is an emerging consensus among public health advocates that combating obesity is best done by restructuring the environment rather than by stigmatizing individuals. Although feminist scholars have not been major participants in debates over antiobesity policy, recently there has been a move toward adopting the environmental account of obesity as a feminist solution because of its potential to respond to health inequalities along race, class, and gender lines. This article aims to trouble the embrace of the environmental approach by feminist scholars, however, and to resurrect and redirect feminist criticism toward attendant problems of moralism, backlash, and the surveillance and rehabilitation of poor women of color. Despite its overwhelming popularity among policy elites and health researchers, I argue that the environmental account of obesity is not likely to promote structural change and broad redistributions. Rather it makes problematic assumptions about the relationship between health and fat and about the efficacy of intervention strategies, masks moralism with health discourse, and legitimizes punitive, ineffective, and patronizing interventions.
Medical tourism: reverse subsidy for the elite
Sengupta A
The medical tourism sector in India has attracted global attention, given its phenomenal growth in the past decade. India is second only to Thailand in the number of medical tourists that it attracts every year. Estimates indicate that the medical tourism market in India could grow from $310 million in 2005 to $2 billion by 2012. These figures are significant when contrasted with India's overall health care expenditure - $10 billion in the public sector and $50 billion in the private sector. Factors that have contributed to this growth include the relative proficiency in English among health care providers and the cost effectiveness of medical procedures in India. Generally, most procedures in Indian hospitals cost a quarter (or less) of what they would cost in developed countries. The expansion of medical tourism has also been fueled by the growth of the private medical sector in India, a consequence of the neglect of public health by the government. India has one of the poorest records in the world regarding public financing and provisioning of health care. A growing driver of medical tourism is the attraction of facilities in India that offer access to assisted reproductive care technologies. Ironically, this is in sharp contrast with the acute neglect of the health care needs of Indian women. The Indian government is vigorously promoting medical tourism by providing tax concessions and by creating an environment enabling it to thrive. However, there is a distinct disjunction between the neglect of the health care needs of ordinary Indians and public policy that today subsidizes the health care of wealthy foreigners.
"We don't forget the old rice pot when we get the new one": discourses on ideals and practices of women in contemporary Cambodia
Brickell K
Drawing on microlevel research with men and women of differing ages living in rural and urban Siem Reap (home to the global heritage and tourist site of Angkor), this article focuses on the key discourses and practices that men and women draw on to (de)stabilize putatively traditional ideals of Cambodian womanhood and to (re)situate them in the contemporary period. Mapping the complex ways that people represent, make sense of, and respond to prerevolutionary cultural norms of female behavior in a very different era (with particular, though not exclusive, attention paid to mobility and education), the article demonstrates how deeper ideological changes concerning women’s relationship to Khmer tradition will have to accompany the surface reordering of Cambodian gender relations if equality between women and men is to be achieved. Until then, the ideal woman in contemporary Cambodian society is ultimately one who can creatively negotiate and balance the multiple demands placed on her by society, family, and self.
“Almost invisible scars”: medical tourism to Brazil
Edmonds A
Along with a handful of other nations in the developing world, Brazil has emerged as a top destination for medical tourism. Drawing on the author's ethnographic fieldwork in plastic surgery wards, this article examines diverse factors - some explicitly promoted in medical marketing and news sources, others less visible - contributing to Brazil's international reputation for excellence in cosmetic plastic surgery. Brazil's plastic surgery residency programs, some of which are housed within its public health system, attract overseas surgeons, provide ample opportunities for valuable training in cosmetic techniques, and create a clinical environment that favors experimentation with innovative techniques. Many graduates of these programs open private clinics that, in turn, attract overseas patients. High demand for Brazilian plastic surgery also reflects an expansive notion of female health that includes sexual realization, mental health, and cosmetic techniques that manage reproduction. Medical tourism is sometimes represented as being market-driven: patients in wealthier nations travel to obtain quality services at lower prices. This article ends by reflecting on how more complex local and transnational dynamics also contribute to demand for elective medical procedures such as cosmetic surgery.
Moving, sensing intersectionality: a case study of Miss China Europe
Chow YF
Every year, Miss China Europe, a transnational beauty pageant organized for the Chinese diaspora, is held in the Netherlands. The hypervisuality of Chinese diasporic women at the event stands in painful contrast to their everyday invisibility, whether in the Netherlands, China, or elsewhere in the world. Informed by intersectional and transnational feminist scholarship, this empirical study zooms in on one group of women, ethnic Chinese born and/or growing up in the Netherlands, to identify and recuperate their neglected lived experience in a particular historical-cultural context. It takes their own voices as central, hopefully to contribute to their visibility. It aims to provide an understanding of diasporic Chinese women as living in the dynamics not only of their multiple subordinations but also of their subjective consciousness, experienced autonomy, and agency. Drawing insights from the subjective accounts of both contestants and audiences of Miss China Europe, I suggest that one way to foreground marginalized women's agency is to understand their intersectionality in terms of movements and sensory experiences. On the one hand, while the contestants articulated a readiness to perform their modern and yet Chinese selves, they were making movements along two intersecting axes of inequality and power relations - Chineseness and Dutchness - precisely to negotiate their sense of inequality and power relations. On the other hand, among the audiences, two major topics - the blood issue (or whether Chineseness should be defined by ancestry) and the language problem (or whether Chineseness should be defined by the ability to speak Chinese) - were raised regularly, underscoring a complex viewing experience of seeing and hearing, of the tension between visual and audio identifications.
Fertility tourism: circumventive routes that enable access to reproductive technologies and substances
Bergmann S
“Fertility tourism” is a journalistic eye‐catcher focusing on the phenomenon of patients who search for a reproductive treatment in another country in order to circumvent laws, access restrictions, or waiting lists in their home country. In Europe, the reasons why people seek reproductive treatments outside their national boundaries are quite diverse, in part because regulations differ so much among countries. Beginning with four examples of people who crossed borders for an in vitro fertilization (IVF) treatment with gamete donation, this article provides some insight into these transnational circumvention practices based on material from ethnographic fieldwork and interviews in Spain, Denmark, and the Czech Republic. In all three countries, gamete donation is made strictly anonymous. Clinical practices such as egg donor recruitment and phenotypical matching between donors and recipients serve to naturalize the substitution of gametes and to install social legitimacy through resemblance markers with the prospective child. In comparison to other areas of medical tourism, which are subjects of debate as a consequence of neoliberal health politics and international medical competition, mobility in the area of reproductive technologies is deeply intertwined with new forms of doing kinship. For prospective parents, it holds a promise of generating offspring who could pass as biogenetically conceived children. Therefore, IVF with gamete donation is mostly modeled after conceptions of nature. Through anonymity and concealment it creates forms of nonrelatedness that leave space for future imaginings and traces of transnational genetic creators.
Building infrastructures of abortion care in an un-caring state: acompañante's carework and abortion access in Peru
Duffy D, Freeman C and Rodríguez S
For abortion seekers, Peru is an uncaring state where legal and policy interventions have resulted in violence, persecution, and neglect. This state of abortion uncare is set within historic and ongoing denials of reproductive autonomy, coercive reproductive care, and the marginalisation of abortion. Abortion is not supported, even where legally permissible. Here we explore abortion care activism within the Peruvian context, foregrounding a key mobilisation that has emerged against a state of un-care - carework. Through interviews with people involved in abortion access and activism in Peru, we argue that have constructed an infrastructure of abortion care in Peru through the bringing together of actors, technologies, and strategies. This infrastructure is shaped by a feminist ethic of care that differs from minority world care assumptions regarding high quality abortion care in three key ways: (i) care is provided beyond the state; (ii) care is holistic; and (iii) care is collective. We argue that US feminist debates relating to the emerging hyperrestrictive state of abortion un-care as well as broader research on feminist care can learn from activism strategically and conceptually.