Waiting for “Good Care”. Biomedicine and the Elderly in North Sulawesi, Indonesia

Older persons in North Sulawesi (Indonesia) shared a long experience with biomedical health interventions during Soeharto’s New Order administration. These vertically and top-down structured development activities in health no longer fit current demographic, epidemiological, and social transformatio...

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Autor principal:	Peter van Eeuwijk
Formato:	article
Lenguaje:	EN FR
Publicado:	Université de Provence 2021
Materias:	Indonesia aging health eldercare appropriation biomedicine History of Asia DS1-937 Social Sciences H
Acceso en línea:	https://doaj.org/article/68caa499285b4430b5ec745750728ff3
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spelling	oai:doaj.org-article:68caa499285b4430b5ec745750728ff32021-12-02T11:35:11ZWaiting for “Good Care”. Biomedicine and the Elderly in North Sulawesi, Indonesia1620-32242262-836310.4000/moussons.7957https://doaj.org/article/68caa499285b4430b5ec745750728ff32021-11-01T00:00:00Zhttp://journals.openedition.org/moussons/7957https://doaj.org/toc/1620-3224https://doaj.org/toc/2262-8363Older persons in North Sulawesi (Indonesia) shared a long experience with biomedical health interventions during Soeharto’s New Order administration. These vertically and top-down structured development activities in health no longer fit current demographic, epidemiological, and social transformations in Indonesia. The rapidly aging communities, the sharp increase in non-communicable diseases, and aging impairments along with rapidly changing household assemblages call for a biomedical public health that ideally covers cure and care in equal shares. This understanding and vision of “good care” leads to a dynamic appropriation of biomedical services initiated by older persons. Here the monthly local health post sessions for elderly people occupy center stage of this appropriative process: a highly formalized and ritualized medical check-up based on the administration of drug which covers basic curative needs. In addition, the local cadres for aged persons play a significant role as intermediary and broker between an elderly patient, his/her caregiver(s), and the health professionals. Yet, except for the cadres’ home visits, the existing biomedical health system is not very concerned with eldercare (or social care) at household level—for ill older persons fully dependent on kin care truly a “missing link.” Biomedicine in turn increasingly attempts to appropriate elder health as its new market commodity. Thereby, the four fields of pharmaceuticalization, national health insurance scheme, biomedicalization as control and exercise of power in care, and commercialization of elder health support biomedicine in its pursuit of the hegemonic appropriation of older persons’ health and illness. However, dislocations and disjunctures due to the Covid-19 pandemic clearly reveal the structural vulnerability of this biomedical health system: Its sudden unreliability and unsustainability leads not only to a loss of trust in it, but also to a higher degree of vulnerability on the side of older persons in need of cure and care.Peter van EeuwijkUniversité de ProvencearticleIndonesiaaginghealtheldercareappropriationbiomedicineHistory of AsiaDS1-937Social SciencesHENFRMoussons, Vol 38, Pp 29-56 (2021)
institution	DOAJ
collection	DOAJ
language	EN FR
topic	Indonesia aging health eldercare appropriation biomedicine History of Asia DS1-937 Social Sciences H
spellingShingle	Indonesia aging health eldercare appropriation biomedicine History of Asia DS1-937 Social Sciences H Peter van Eeuwijk Waiting for “Good Care”. Biomedicine and the Elderly in North Sulawesi, Indonesia
description	Older persons in North Sulawesi (Indonesia) shared a long experience with biomedical health interventions during Soeharto’s New Order administration. These vertically and top-down structured development activities in health no longer fit current demographic, epidemiological, and social transformations in Indonesia. The rapidly aging communities, the sharp increase in non-communicable diseases, and aging impairments along with rapidly changing household assemblages call for a biomedical public health that ideally covers cure and care in equal shares. This understanding and vision of “good care” leads to a dynamic appropriation of biomedical services initiated by older persons. Here the monthly local health post sessions for elderly people occupy center stage of this appropriative process: a highly formalized and ritualized medical check-up based on the administration of drug which covers basic curative needs. In addition, the local cadres for aged persons play a significant role as intermediary and broker between an elderly patient, his/her caregiver(s), and the health professionals. Yet, except for the cadres’ home visits, the existing biomedical health system is not very concerned with eldercare (or social care) at household level—for ill older persons fully dependent on kin care truly a “missing link.” Biomedicine in turn increasingly attempts to appropriate elder health as its new market commodity. Thereby, the four fields of pharmaceuticalization, national health insurance scheme, biomedicalization as control and exercise of power in care, and commercialization of elder health support biomedicine in its pursuit of the hegemonic appropriation of older persons’ health and illness. However, dislocations and disjunctures due to the Covid-19 pandemic clearly reveal the structural vulnerability of this biomedical health system: Its sudden unreliability and unsustainability leads not only to a loss of trust in it, but also to a higher degree of vulnerability on the side of older persons in need of cure and care.
format	article
author	Peter van Eeuwijk
author_facet	Peter van Eeuwijk
author_sort	Peter van Eeuwijk
title	Waiting for “Good Care”. Biomedicine and the Elderly in North Sulawesi, Indonesia
title_short	Waiting for “Good Care”. Biomedicine and the Elderly in North Sulawesi, Indonesia
title_full	Waiting for “Good Care”. Biomedicine and the Elderly in North Sulawesi, Indonesia
title_fullStr	Waiting for “Good Care”. Biomedicine and the Elderly in North Sulawesi, Indonesia
title_full_unstemmed	Waiting for “Good Care”. Biomedicine and the Elderly in North Sulawesi, Indonesia
title_sort	waiting for “good care”. biomedicine and the elderly in north sulawesi, indonesia
publisher	Université de Provence
publishDate	2021
url	https://doaj.org/article/68caa499285b4430b5ec745750728ff3
work_keys_str_mv	AT petervaneeuwijk waitingforgoodcarebiomedicineandtheelderlyinnorthsulawesiindonesia
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Waiting for “Good Care”. Biomedicine and the Elderly in North Sulawesi, Indonesia

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