Echoes of austerity

Policy, temporality, and public health in South Africa

in Focaal
Author:
Theodore Powers University of Iowa theodore-powers@uiowa.edu

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Abstract

South Africa's post-apartheid era has been marked by the continuation of racialized socioeconomic inequality, a social situation produced by earlier periods of settlement, colonization, and apartheid. While the ruling African National Congress has pursued a transformative political agenda, it has done so within the confines of neoliberal macroeconomic policy, including a period of fiscal austerity, which has had limited impact on poverty and inequality. Here, I explore how policy principles associated with austerity travel across time, space, and the levels of the state in South Africa, eventually manifesting in a public health policy that produced cuts to public health services. In assessing these sociopolitical dynamics, I utilize policy process as a chronotope to unify diverse experiences of temporality relative to austerity-inspired public health policy.

Contributor Notes

Theodore Powers is Assistant Professor of Anthropology at the University of Iowa and Research Associate with the Human Economy Programme at the University of Pretoria. His research focuses on the dynamics of health, politics, and social inequality in post-apartheid South Africa. Building on conceptual approaches from medical anthropology, the anthropology of transnationalism, political economy, and African studies, his work analyzes the socio-spatial pathways of health activists to understand the relationship between people, pathogens, and politics. Email: theodore-powers@uiowa.edu

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Focaal

Journal of Global and Historical Anthropology

  • Abram, Simone. 2014. “The time it takes: Temporalities of planning.” Journal of the Royal Anthropological Institute 20 (S1): 129147.

    • Search Google Scholar
    • Export Citation
  • Aron, Janine, and Ibrahim Elbadawi. 1999. “Reflections on the South African rand crisis of 1996 and its consequences.” CSAE Working Paper Series 1999–13, Centre for the Study of African Economies, University of Oxford.

    • Search Google Scholar
    • Export Citation
  • Bateman, Chris. 2015. “The ‘axe man’ departs, offering hard-won lessons.” South African Medical Journal 105 (4): 245247.

  • Bear, Laura. 2014. “Doubt, conflict, mediation: the anthropology of modern time.” Journal of the Royal Anthropological Institute 20 (S1): 330.

    • Search Google Scholar
    • Export Citation
  • Bear, Laura. 2016. “Time as technique.” Annual Review of Anthropology 45: 487502.

  • Bond, Patrick. 2004. Talk left, walk right: South Africa's frustrated global reforms. Durban: University of KwaZulu-Natal Press.

  • Bryant, Rebecca. 2016. “On critical times: Return, repetition, and the uncanny present.” History and Anthropology 27 (1): 1931.

  • Chowles, Terri. 2014. “The final say: Prof Househam talks about the state of healthcare.” eHealth News, 20 August. http://ehealthnews.co.za/final-say-prof-househam-talks-candidly-state-healthcare-2.

    • Search Google Scholar
    • Export Citation
  • Deedat, Hameda, and Eddie Cottle. 2002. “Cost recovery and prepaid water meters: A case study in Madlebe, KZN.” In Cost recovery and the crisis of service delivery in South Africa. ed. David McDonald, 81100. Cape Town: HSRC Press.

    • Search Google Scholar
    • Export Citation
  • Desai, Ashwin. 2002. We are the poors: Community struggles in post-apartheid South Africa. New York: Monthly Review Press.

  • Ferguson, James. 2015. Give a man a fish: Reflections on the new politics of distribution. Durham, NC: Duke University Press.

  • Gevisser, Mark. 2007. Thabo Mbeki: The dream deferred. Johannesburg: Jonathan Ball.

  • Harvey, David. 1989. The condition of postmodernity: An inquiry into the origins of cultural change. Oxford: Blackwell.

  • Hirsch, Alan. 2005. Season of hope: Economic reform under Mandela and Mbeki. Pretoria: International Development Research Centre.

  • Holmes, Thalia. 2014. “Social grants beneficiaries more than doubled in 10 years.” Mail & Guardian, 19 June. https://mg.co.za/article/2014-06-19-social-grants-beneficiaries-more-than-double-in-10-years.

    • Search Google Scholar
    • Export Citation
  • Househam, Craig. 2005. “From the desk of the Head of Department.” Jonga 1 (5): 3.

  • Kingfisher, Catherine. 2013. A policy travelogue: Tracing welfare reform in Aotearoa/New Zealand and Canada. New York: Berghahn Books.

  • Knight, Daniel M., and Charles Stewart. 2016. “Ethnographies of austerity: temporality, crisis and affect in Southern Europe.” History and Anthropology 27 (1): 118.

    • Search Google Scholar
    • Export Citation
  • Leach, Edmund R. 1961. “Two essays concerning the symbolic representation of time.” In Rethinking anthropology, ed. Edmund R. Leach, 124136. London: Athlone Press.

    • Search Google Scholar
    • Export Citation
  • Leibbrandt, Murray, Eva Wegner, and Arden Finn. 2011. The policies for reducing income inequality and poverty in South Africa. South Africa Labour and Development Research Unit (SALDRU) working paper no. 64.

    • Search Google Scholar
    • Export Citation
  • Mayosi, Bongani M., and Solomon R. Benatar. 2014. “Health and health Care in South Africa: 20 years after Mandela.” New England Journal of Medicine 371 (14): 13441353.

    • Search Google Scholar
    • Export Citation
  • McIntyre, Diane, and Michael Thiede. 2007. “Health care financing and expenditure.” In South African Health Review, ed. Petrida Ijumba and Ashnie Padarath, 3546. Durban: Health Systems Trust.

    • Search Google Scholar
    • Export Citation
  • Mintz, Sidney. 1986. Sweetness and power: The place of sugar in modern history. New York: Penguin.

  • Moroşanu. Roxana, and Felix Ringel. 2016. “Time-tricking: A general introduction.” Cambridge Journal of Anthropology 34 (1): 1721.

    • Search Google Scholar
    • Export Citation
  • Muehlebach, Andrea. 2012. “On precariousness and the ethical imagination.” American Anthropologist 115 (2): 297311.

  • Nattrass, Nicoli. 2007. Mortal combat: AIDS denialism and the struggle for antiretrovirals in South Africa. Scottsville: UKZN Press.

  • Nixon, Rob. 2011. Slow violence and the environmentalism of the poor. Cambridge, MA: Harvard University Press.

  • Rakopoulos, Theodoros, ed. 2018. The global life of austerity: Comparing beyond Europe. New York: Berghahn Books.

  • Rossouw, Jannie. 2017. “Why social grants matter in South Africa: they support 33% of the nation. The Conversation. http://theconversation.com/why-social-grants-matter-in-south-africa-they-support-33-of-the-nation-73087 (accessed 5 January 2019).

    • Search Google Scholar
    • Export Citation
  • Seekings, Jeremy, and Nicoli Nattrass. 2008. Class, race, and inequality in South Africa. New Haven, CT: Yale University Press.

  • Shore, Cris, and Susan Wright. 1997. “Policy: A new field of anthropology.” In Anthropology of policy: Perspectives on governance and power, ed. Chris Shore and Susan Wright, 342. New York: Routledge.

    • Search Google Scholar
    • Export Citation
  • Smith, Laïla. 2008. “Power and the hierarchy of knowledge: A review of a decade of the World Bank's relationship with South Africa.” Geoforum 39 (1): 236251.

    • Search Google Scholar
    • Export Citation
  • Statistics South Africa. 2017. Mid-Year Population Estimates. Statistical Release P0302.

  • Thom, Anso. 2004. “In pretty good shape.” Mail & Guardian, 23 April. https://mg.co.za/article/2004-04-23-in-pretty-good-shape.

  • Thompson, Edward P. 1967. “Time, work-discipline, and industrial capitalism.” Past and Present 38: 5697.

  • Wedel, Janine, Cris Shore, Gregory Feldman, and Stacy Lathrop. 2005. “Toward an anthropology of public policy.” Annals of the American Academy of Political and Social Science 600: 3051.

    • Search Google Scholar
    • Export Citation
  • Zuern, Elke. 2011. The politics of necessity: Community organizing and democracy in South Africa. Madison: University of Wisconsin Press.

    • Search Google Scholar
    • Export Citation

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