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Enveloped Lives: Practicing Health and Care in Lithuania
Author(s) -
Praspaliauskiene Rima
Publication year - 2016
Publication title -
medical anthropology quarterly
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.855
H-Index - 55
eISSN - 1548-1387
pISSN - 0745-5194
DOI - 10.1111/maq.12291
Subject(s) - payment , health care , rationality , coping (psychology) , database transaction , nursing , sociology , public relations , psychology , business , medicine , political science , law , psychiatry , finance , computer science , programming language
This article analyzes informal medical payments that the majority of Lithuanians give or feel compelled to give to doctors before or after treatment. It focuses on how patients and their caretakers encounter, practice, and enact informal payments in health care and how these payments create a reality of health care that is not limited to an economic rationality. Within such a frame, rather than being considered a gift or bribe, it conceptualizes these little white envelopes as a practice of health and care. The article shows how an envelope of money given to a doctor transcends the material patient–doctor transaction and emerges as a productive force for coping with illness, medical encounters, and misfortunes.