Dying in the City of Blues: Sickle Cell Anemia and the Politics of Race and Health, Keith Wailoo
Through the lens of a controversial disease, sickle cell anemia, author Keith Wailoo traces important developments in mid-twentieth century American health, in race relations, and in state and federal politics. He shows how diseases can take on varied meanings in different political, cultural, and medical environments, and he analyzes how these meanings affect the people closest to the disease — the sufferers and their families. Especially prominently featured are the ways in which the disease influenced (and was influenced by) the turbulent racial politics of Memphis, Tennessee from 1940s through the 1990s — from a disease under the radar, overshadowed by malaria, to an embodiment of African American suffering and disadvantage, to a condition that evoked suspicion and anger, sickle cell anemia, like those it afflicted, was directly affected by the cultural and political environment in which it was situated.
Wailoo’s method — using a disease to elucidate the politics of a time period, and showing how diseases are active political players — is almost identical to that of Leslie J. Reagans’ in Dangerous Pregnancies. Both authors spend a lot of time discussing the political and cultural context in which their diseases arise, and they go on to explain how their chosen diseases stimulate conversations that end in major alterations in cultural values and, more concretely, in changes in medical law. Wailoo briefly discusses the commodification of the disease, which he defines as; “the process by which bodily experiences such as pain are assigned value (monetary and otherwise) by physicians, patients, insurance companies, and others.” This method of analysis is reminiscent of Warwick Anderson’s in Collectors of Lost Souls, where brains are commodified in the international scientific community studying Kuru. Wailoo’s focus is more on domestic commodification in the form of sick bodies as “clinical material” for learning medical students, but both authors address the propensity for scientists to objectify the sick body and use it to their financial or reputational ends. Both studies focus on the twentieth century; I wonder if body commodification is a relatively new phenomenon, perhaps linked to the rise of the clinic in early nineteenth century Paris, or if it existed in different capacities much earlier (as objects of anatomical specimens, for example).
The conclusion, like that of Dangerous Pregnancies, offered up “lessons” that could be learned from the history of sickle cell anemia. I have noticed that some historical works’ final chapter (the conclusion, coda, etc.) often contain similar content. The historian takes what he or she has gathered from their study and applies it to more modern-day problems; sickle cell anemia, for instance, has taught us (hopefully) that eradication is not a simple process, and that when diseases take on cultural meaning, institutional methods of treatment/cure are not always viewed as beneficial by those afflicted by the illness. In the future, therefore, we should be careful when dealing with culturally-affected disease. I think this is a valuable lesson, but it led me to reflect on what exactly a historian’s job is. Is it within our realm of practice to take the arguments we make and extend them to encompass contemporary issues? Should it not be left up to our readers to decide how to apply our insights to their lives? I think this tendency to proselytize based on what an author felt he or she learned by conducting the research tends to bring in contemporary biases, and I feel including it takes away from a book’s merit.