Authors:Jorge Castillo-Sepúlveda (University of Santiago de Chile)
María Isabel Reyes Espejo (Pontificia Universidad Católica de Valparaíso)
Paper short abstract:
This paper discusses some implications of the Explicit Health Guarantees Regime (GES) in Chile as an epidemiological surveillance system and biopolitical vector. From a material-semiotic approach it analyses the biopolitical effects of the protocols for the management of time in health scenarios.
Paper long abstract:
In the last decade it has been enacted a complex relationship diagram between epistemic, regulatory and economic entities, constituent of a new surveillance and treatment system for population longevity in Chile. The Regime of Explicit Health Guarantees (GES) consists of a cumulus of health problems (currently 80) for which it has been established activities, technologies and temporalities that guide their diagnosis and treatment. This regime is considered as a special case to examine emerging modes of relationship between epidemiology, life technologies and governmentality, which are based on: (a) the production of evidence for disease processes that is poured into the development of protocols; (B) the coordination between services traditionally differentiated by modes of economic management; and (c) the generation of technologies to manage all this process, specifically those that deal with materials and temporalities. This paper discusses some biopolitical implications of protocols about time on the regime from a material-semiotic approach. The background of GES and empirical elements associated with ethnographic observations and interviews around the time monitoring and self-monitoring in diseases processes, specifically in relation to SIGGES software (System Management for Explicit Health Guarantees), are presented. We conclude around three axes associated to biopolitical acceleration in the regime: (1) temporary control system is constituted as a vector of actions distributed in different spaces; (2) the temporality surveillance sets certain subjectification effects; (3) time control acquires the property of assigning values to biological processes and also distribute the value of certain organs and functions rather than others.
Biorisk Intelligence otherwise: Scenarios, Visual Knowledge and new Mechanisms of Surveillance