Caring and Relating in Lithuanian Health Care
Published by: Cornell University Press
162 pages, 152.00 x 229.00 mm, 3 b&w halftones
- ISBN: 9781501766114
- Published: November 2022
Rima Praspaliauskiene uses the envelope to explore complex doctor-patient interactions that go beyond notions of the gift or the bribe. Handing envelopes containing money or gifts to doctors in public health care is often seen as a remnant of socialism that continues as an integral part of the Lithuanian health care system. Praspaliauskiene reshapes our definition of corruption and encourages seeing these practices as emerging forms of care that impede the neoliberal health care reforms effected in the post-Soviet era.
Enveloped Lives extends the analytical categories of gift, care, money, and transparency, shifting attention away from material transactions by prioritizing relations and practices that transcend economic rationality. At a time when healthcare reforms and the costs of care are being debated widely, this book is a contribution to the larger debates about the ethics and futures of healthcare around the world.
Introduction: Enveloped Care
Interlude 1: The Circulating Chocolate Box
1. From Bribes to Copayments: Transforming Health Care in Lithuania
Interlude 2: The Surprise
2. Being Caught: Envelopes and Illness
Interlude 3: Of Envelopes and Greedy Doctors
3. "I Am a Doctor": Caught in Ambivalence
4. Collective Care: Relations of Obligation
Epilogue: From Litai to Euros