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Sobre la producción de certidumbre en salud pública: biopolítica y objetos especulativos
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Sobre la producción de certidumbre en salud pública: biopolítica y objetos especulativos
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Journal Article
Sobre la producción de certidumbre en salud pública: biopolítica y objetos especulativos
2022
Overview
Resumen En este trabajo, analizamos la producción de certidumbre en una política en salud configurada desde el esquema epistémico de la medicina basada en la evidencia: el régimen de Garantías Explícitas en Salud en Chile. Con base en los estudios de ciencia y tecnología, el análisis de material producido mediante etnografías focalizadas en escenarios ministeriales, y considerando entrevistas a expertos y profesionales, exponemos cómo en estos escenarios los objetos vinculados con la evidencia llegan a servir para tres propósitos: reducir la complejidad de procesos globales, conectar lo local con lo global y, fundamentalmente, generar un nuevo continuo que vincula la verdad con la incertidumbre. Caracterizamos a estas entidades como “objetos especulativos”, destacando su importante papel en la articulación de retóricas que permiten la configuración local de la biopolítica. Abstract This article analyzes the production of certainty in a health policy shaped by the epistemic scheme of evidence-based medicine: the Regime of Explicit Health Guarantees in Chile. Based on studies on science and technology, the analysis of material produced through focused ethnographies in ministry settings, and interviews with experts and professionals, this study exposes how objects linked to the evidence serve for three purposes in these scenarios: to reduce the complexity of global processes, to connect the local with the global, and to generate a new continuum that links truth with uncertainty. These objects are characterized here as “speculative objects,” highlighting their important role in the articulation of rhetoric that allows the local configuration of biopolitics.
Publisher
Universidade de Sao Paulo, Faculdade de Saude Publica,Faculdade de Saúde Pública, Universidade de São Paulo. Associação Paulista de Saúde Pública,Universidade de São Paulo
