우물 안 개구리

8/7/2011

Politics of Health / Medicine, post 1945

I’ve been thinking again about the broader issue of beginning to approach the South Korean post-colonial state and post-1945 medicine, recognizing the immense problems that this presents.

Even leaving aside lengthy traditons of shamans and religious healers of varying persuasions, if we restrict medicine to two loose clusters–한의학 and biomedicine–then minimally this leaves us with the need to consider at least some of the following:

a) W. Medicine as brought / conveyed by misssionaries;

b) German academic medicine / biosciences of the mid to late 19th century (esp. maybe Virchow?);

c) German academic tradition as conveyed through colonial Japanese medicine, public health, and parasitology (Meiji, Taisho, and Showa);

d) USAMGIK / 미군정 (especially the CATS lectures prepared by Winslow); also here–pre-Korean War visits by Rockefeller in the form of prominent American demographers / social scientists–among them Taeuber, Notestein, Balfour;

e) military medicine and psychiatry (here meaning the ROKA and its own internal public health practice, starts even prior to independence, allegedly);

f) Korean War era aid / efforts–UNKRA, WHO report, NORMASH, MASH, Jutlandia, etc.;

g) post Korean-War medical relief / aid projects / technical assistance: e.g., Minnesota Project, Scandinavian Teaching Hospital, CMB, AKF, KAVA, etc.;

h) Public health efforts tailored to specific endemic diseases;

i) Public health mobilizations of the Park period (FP, KAHP), including assistance from Japan’s OTCA, SIDA, and various university demography centers;

j) Vietnam War and once again ROKA military medicine (esp. 열대의학);

k) The incremental growth / provision of national health insurance (1963-1989).

This is only a partial list, but and within this diversity I have two basic generalizations:

1) Lots of continuity / overlap with previous forms of Japanese practice, especially in public health terms, that is, the large-scale mobilizations of 1960′s and 1970′s (FP, Anti-Parasite eradication).

2) Immense effort to link personal health to national welfare as related themes, especially with international aid in post-Korean War period, but even into the 70′s and 80′s.

More on this later, and for now, just recognizing the immense complexity of one little slice of time on these issues. I don’t work on the colonial period, but I suspect it’s equally complicated on issues of medicine / health, far more complicated than some would have it.

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