1st Edition

Discretionary Medicine in Pakistan Poverty, Coloniality and Health

By Sanaullah Khan Copyright 2025
180 Pages 11 B/W Illustrations
by Routledge

180 Pages 11 B/W Illustrations
by Routledge

180 Pages 11 B/W Illustrations
by Routledge

This book uses the notion of “discretionary medicine” to explore the landscape of contemporary healthcare in Pakistan. It considers how patients frequently experience health interventions as out of touch with the suffering of everyday life and how healthcare provisions are viewed as intrusive, corrupted, and lacking in empathy towards the sick. The study focuses on mental health, acknowledging... Read more

Introduction

1 Medicine, coloniality and social difference

2 Cold War Politics, bureaucracies and the birth of Pakistani Public Health

3 Prisons, Bureaucratic violence and the Uses of Psychiatry in Pakistan

4 Public health, punishment and chronicity

5 Displacement, Criminalization and Health

6 Transitory Health

Conclusion

Biography

Sanaullah Khan is an assistant professor of medical anthropology at the University of Akron.

“This book is a collection of essays addressing varied historical and ethnographic contexts of health governance in Pakistan, governance in the sense of state control as well as control exercised by communities and kin groups. [...] Khan addresses a lengthy historical panorama, enabling him to draw out colonial legacies and inheritances in the present and enfold the evolving neo-colonial geopolitics of development assistance to Pakistan as a poor country. [...] Amid a medical anthropology that often feels overdetermined by Foucault, and amid the pressing real-world health injustices Khan canvasses in Pakistan but also, familiar to other South Asian settings and beyond, this is an important project.”  - Kaveri Qureshi, University of Edinburgh