
Contents
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Infrastructures of Primary Care Infrastructures of Primary Care
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Bridging Care in a Multicultural Community Bridging Care in a Multicultural Community
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Bicultural Capital and the Latinization of Health Care Bicultural Capital and the Latinization of Health Care
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From Transcultural Care to a Transcultural Perspective From Transcultural Care to a Transcultural Perspective
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Negotiating Change Negotiating Change
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3 Culture Brokers: The Political Economy of Culturally Appropriate Care
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Published:November 2022
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Abstract
This chapter examines an experiment in health care delivery known as the “Culture Broker Project” in 1970s Miami. The project involved mediation of care by so-called culture brokers, which promised to bring about a form of “transcultural” or “culturally appropriate” healthcare. Its history helps to illuminate the possibilities and limits of liberal multiculturalism as an intellectual project and an institutional policy. Medical social scientists launched the project amid certain political and economic conditions in Miami, which shaped a broader—albeit momentary—embrace of bilingualism and biculturalism. The chapter argues that notions of culturally appropriate care were rooted in an ascendant neoliberal economy that ascribed value to the maintenance of health and the efficient coordination of care. As the Culture Broker Project unfolded, formerly unregulated “clínicas” were transforming into newly designated “Health Maintenance Organizations.” Indeed, the language of brokering offered more than an anthropological metaphor; it signaled the ongoing marketization of medicine and the commodification of both “health” and “culture” in the late twentieth century.
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