Tag: Health Care

Between Cure and Care: Governing Bodies in Türkiye’s Hybrid Medical Landscape

What do you call a practice that is neither traditional nor modern, neither fully inside medicine nor fully outside it? In Türkiye, the answer arrived in the form of an acronym: GETAT (Geleneksel ve Tamamlayıcı Tıp) or Traditional and Complementary Medicine. Officially regulated since 2014, it now encompasses everything from acupuncture and cupping to phytotherapy and leech therapy, all performed legally only by licensed physicians in certified facilities. On paper, it sounds like a tidy administrative solution. In the field, it turned out to be anything but. We began to understand this early, in a clinic in Ankara, when one of the physicians who had helped draft the original regulations leaned back in his chair and said: “GETAT is the best name.”  The term, he explained, had not emerged locally, but was shaped through years of visits to countries known for their traditional medicine systems: China, India, Thailand, Germany. “We looked at how they classify it,” he continued. “What counts as traditional? What counts as complementary, holistic or integrative? You cannot just translate these things. You have to adapt them.” The controversy over the label itself signaled historical and sociological divisions around medical knowledge and expertise. (read more...)

A Technology of Empowerment and Governance: The IUD/IUS and Sexual Health Care in Toronto, Canada

The intrauterine device (IUD) and the intrauterine system (IUS) have a long and complicated history. The IUD is a contraceptive device inserted into the uterus, which serves as a physical barrier to prevent sperm from fertilizing the egg. Its earliest form can be linked to the work of Ernst Gräfenberg, who in 1929 created the ring IUD (Thiery 1997). Over the course of several decades, the IUD was constructed and re-constructed in terms of the materials used, its physical shape, and its promotion to women. Through the development process, some devices, such as the Dalkon Shield, caused irreparable damage. In 1969, the first copper IUD was created by Jaime Zipper and Howard J. Tatum, which took the now easily recognizable T-shape form. While the copper IUD was considered successful in terms of its ability to prevent pregnancy, women commonly had it removed due to increased bleeding during menstruation. Subsequently, the intrauterine system (IUS) was created, first by Antonio Scommegna in the 1960s using progesterone and later by Tapani Luukkainen in 1976 using levonorgestrel; this shift increased its effectiveness from a duration of one year to five years. After over a decade of testing, the Mirena IUS was released in Finland – it would not be approved for sale in the United States until 2001. (read more...)