Democratic transition is changing the nature of health care systems in Russia and Africa. Unfortunately, as these systems transform, they retain and reinvent patterns of structural violence, inbuilt properties that privilege the wealthy and powerful and disenfranchise the poor. Yet the poor often need health care most. Thus, citizens in the new Russia and new South Africa must find ways to make do within systems stacked against them. This thesis explores the myriad of ways Russian and South African doctors, nurses, and patients attempt to get by in societies that are unable or unwilling to guarantee them the care or pay they need.
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