Everything changes to stay the same: persistent global health inequalities amidst new therapeutic opportunities and mobilities for Filipino nurses

ABSTRACT

The global migration of Filipino nurses has received significant attention, yet little is known of these healthcare workers’ experiences and mobilities within the Philippines. I explore the experiences and narratives of Filipino nurses living in Manila, some of whom have no desires to migrate. I uncover the often novel forms of therapeutic mobilities undertaken by these nurses, focusing on call centre nursing and entrepreneurship as key alternative career pathways within the realms of ‘therapeutics’. Through interrogating the various mobilities undertaken by nurses – physical mobilities and migration, socioeconomic mobilities and occupational mobilities in the form of a career change – it becomes clear that international physical mobility is no longer key. Nevertheless, Filipino nurses continue to provide care in global contexts in novel ‘therapeutic’ industries and doing so allows them to increase their socioeconomic mobility.     

The im/mobilities of ‘sometimes-migrating’ for abortion: Ireland to Great Britain

ABSTRACT

This paper furthers the concept of im/mobilities through an investigation of the reproductive mobilities of women migrating for abortion from Ireland (north and south) to Great Britain. Where more often the focus of reproductive mobilities concerns the movement of people and matter in order to reproduce, there is less (although some) attention to movement aligned with the prevention of reproduction. We consider the variegated im/mobilities of conception not brought to birth, in the frictional movement of people, things, ideologies and imaginations in staying with and moving beyond the dichotomy of mobility and immobility. We engage in transdisciplinary dialogue between mobilities and migration studies. Hence, underlying this exploration is the concept of the ‘sometimes-migrant’, used to challenge binary oppositions between mobility and immobility, broader conceptualisations of ‘migrants’ as ‘exceptional’, and more specifically the notion of travelling for abortion as ‘abortion-tourism’. We adopt the call to focus on different incarnations of the ‘sometimes-migrant’ in the form of women travelling temporarily across national borders of intermittent porosity in order to seek care that is not available in their own country. Intersections of migration and mobilities reveal the ways women are im/mobilised through geopolitical and cultural practices at local and global scales.     

Intertwined therapeutic mobilities: knowledge,plants, healers on the move between Laos and the U.S.

ABSTRACT

We investigate the notion of therapeutic mobilities through the case study of transnational health care practices and medicinal flows within the Hmong diaspora between Laos and the U.S. Drawing upon narratives of traditional healers, pickers, and plant sellers, as well as a collection of postal registers, we highlight how therapeutic mobilities follow the routes of migration and organize the practices of healing among Hmong in receiving countries, particularly in the U.S. Through the different and multidirectional aspects of therapeutic mobilities, we illustrate how transnational healing touches upon questions of cultural identity within the Hmong diaspora. Therapeutic mobilities not only involve border-crossing, they also strengthen existing bonds within the Hmong diaspora. Similarly, herbal treatments not only achieve a therapeutic function, they also represent a range of meanings and values for patients. We explore the fabric of therapeutic mobilities through the prism of translocality and medical pluralism.     

Reproductive mobilities

ABSTRACT

This special issue brings reproduction into a critical mobilities framework. We extend scholarship in cross-border reproductive care and medical mobilities into new theoretical and empirical directions. Reproductive mobilities articulates the mutual constitution of reproduction and mobilities. Human (and nonhuman) movement not only shapes reproduction but produces reproductive imaginaries, desires, futures, trajectories, as well as the subjectivities and ‘becoming-ness’ of diverse reproductive subjects. Through the lens of reproduction, we examine how contemporary mobilities—and immobilities—intersect with gendered, racialized, sexually expressive, nation-inscribed, fertile, infertile, young, aging, pregnant, surrogate, and/or otherwise non/reproductive bodies and persons. Can human reproduction be analyzed without noticing all things mobile and immobile that converge to construct reproductive (and non-reproductive) desires and practices? Can mobility and immobility be considered without thought to how worlds and worlding comes about? Mobility facilitates reproduction, and new possibilities for reproduction; reproduction is mobile at scales from the molecular to the transnational. This effort to bring the fields of reproduction and mobilities into dialogue does not introduce a new sub-field but rather creates the opening for a trajectory of empirical work and theoretical ideas that invigorates mobilities with newfound attention on the matter and becoming-ness of reproduction.     

Multiple mobilities in Mexico’s fertility industry

ABSTRACT

How can we conceptualize travel in search of fertility treatment? While current research on transnational reproduction mostly conceptualizes mobility as horizontal movement from A to B, this article shows how horizontal mobilities converge, contradict, and are interdependent with other forms of mobility; namely vertical mobilities in terms of social upward and downward mobility, representational mobilities in form of imaginative geographies, and the actual embodied experiences of mobility. Based on ethnographic research on the reproductive tourism industry in Mexico, the article explores the multiplicity of mobilities that constitute transnational reproduction. The article evaluates how the concept of multiple mobilities contributes to the study of medical tourism from a critical mobilities’ perspective.     

Parent–child mobility practices: revealing ‘cracks’ in the automobility system

ABSTRACT

Many commentators are concerned about automobility’s ill-effects and seek a shift away from auto dependence towards more sustainable transport. Little research, however, considers the ways that parent–child mobilities are linked to such a transition. Through the lens of social practice theory, this paper explores how parents travelling with young children preserve and challenge automobility as they enact auto dependency, multimodality and altermobility. The paper argues that it is vital to understand these practices for identifying ‘cracks’ in automobility and the possibility of more sustainable and equitable daily mobilities. The research is based on qualitative parent interviews undertaken in Vancouver (British Columbia).     

Reproductive vibes: therapeutic atmospheres and the reproductive force of tourism mobilities

ABSTRACT

Drawing on a conceptual framework of therapeutic atmospheres, I explore the question of how a tourist destination reverberated with reproductive potentiality or a ‘reproductive vibe.’ I draw on ethnographic fieldwork attentive to the ‘charged atmosphere of everyday life’, to consider how reproductive possibilities unfolded in the Costa Rican Caribbean for some tourist women. Moving away from the autonomous, liberal, mobile subject as only ever a rational agent in reproductive decision-making, this article introduces new actors into the analytical and empirical framework of reproductive mobilities and cross-border reproductive care. I look at destination branding entangled with therapeutic ‘life affirming’ possibilities that emanated from local spaces and relations with the environment. In doing so, I trouble the irrational/rationality binary that dominates notions of reproductive decision-making to consider the role of affect, feelings, and bodies in reproductive subjectivities.     

Potential Mobilities

Abstract

The objective of this article is to highlight the issue of potential mobilities, by first presenting some possible basic terminology, followed by a critical review of motility as potential mobility, and continuing with an attempt to put forward elements for potential mobilities at times of wide availabilities of mobility technologies. These elements include definitions and meanings for potential mobilities, a discussion of active and passive potential mobilities, and an examination of potential mobilities in light of practiced ones. These discussions permit to suggest a simple model for potential mobilities focusing on the accumulation of mobility needs, access and competences, all of which lead to an appropriation process. This process may bring about various modes of practiced mobilities which on their part may reshape future potential mobilities.     

Asymmetrical therapeutic mobilities: masculine advantage in nurse migration from India

ABSTRACT

This paper examines masculinity, migration and the changing occupational status of nursing through the lens of therapeutic mobilities; health related mobilities of people (nurses) and products (credentials). Indian men have become increasingly interested in nursing as a career, and this interest is strongly associated with the profession’s international motility—its mobility potential. The research reported in this paper traces the migration trajectory across time (2008–2016) and over space (India to Canada) and reveals an overrepresentation of male nurses in international migration contexts (Canada), compared to the Indian context. Male nurses also disproportionally benefit from these mobilities in terms of their occupational success post-migration. Mobilities can be therapeutic for the status of nursing in India, which rises in line with the degree of international motility the profession offers, but gendered distinctions in the outcomes of the migration process illustrate the importance of highlighting uneven mobilities. International mobilities are also deeply implicated in ongoing transformations occurring in the ‘moorings’ of nursing educational, employment and regulatory structures in India.     

Canada’s forced birth travel: towards feminist indigenous reproductive mobilities

ABSTRACT

The mandatory travel for birth experienced by Indigenous women living in rural and remote areas of Canada is examined using an emergent lens of Indigenous reproductive mobilities. Current evacuation practices are contextualized within the historic and ongoing systems of oppression experienced by Indigenous people in Canada. Indigenous feminist and decolonial theoretical approaches are used to outline one way in which Indigenous women counter settler colonialism to assert sovereignty over their birth experiences – through the resurgence of culturally-based doulas or birth workers. A further contribution of these analyses is the inclusion and centering of the voices and experiences of those previously neglected within this particular body of scholarship, shifting the power relations underpinning reproductive mobilities.     

Sociality and transnational social space in the making of medical tourism: local actors and Indonesian patients in Malaysia

ABSTRACT

We investigate international medical travel between Indonesia and Malaysia through the conceptual lens of sociality, transnational social space and therapeutic mobilities. Drawing upon narratives of local persons, medical traveller-patients, accompanying family members, hospital staff and medical travel facilitators, we illustrate how multifaceted linkages and processes generate and sustain the flow of patients across the border. In these narratives, we see multiple mobilities articulate and cross-cut in the building of transnational connections. This paper stretches the concept of transnational social space to apply to medical travel and contributes to the literature framing of international medical travel as a complex and multifaceted arena.     

The reproduction of reproduction: theorizing reproductive (im)mobilities

ABSTRACT

Through a reading of the articles gathered in this special issue, this commentary seeks to assess how critical research on reproductive processes, spatialities, temporalities, and assemblages can push mobilities theory towards rethinking the politics of (im)mobilities, which can also give us a new lens on the reproduction of reproduction. It begins with questions of scale, and the power relations involved in the heterogeneous mobile embodiments and bodily entanglements of reproduction, including mobilities involved in fertility, assisted conception, surrogacy, abortion, egg freezing, or traveling to give birth. It then draws on process theories and relational ontologies within mobilities theory to think about multiple kinds of becoming as crucial to temporal processes of reproduction, involving both molar and molecular politics. Lastly, it elucidates the kinopolitics of reproduction and broadens the field of critical mobility studies to better take into account the material assemblages and affective entanglements of reproductive politics.     

Driven to Care: The Car,Automobility and Social Work

Abstract

Welfare practices are invariably represented in static and sedentary ways and their mobilities ignored. This paper corrects for this by examining the car and auto‐mobility in social work. The car is not just a means to reaching vulnerable children and other service users quickly, and a mobile office, but a space where significant casework goes on and deeply meaningful ‘therapeutic journeys’ happen. The car carries similar emotional meanings and possibilities for workers as a space within which to contain the anxieties and emotions they routinely confront in their work. Drawing on mobile social science and psychoanalytic theory, the paper shows how the power and meanings of auto‐mobility in ‘car therapy’ are products of the design of cars and the distinct rhythms and mobilities they produce in themselves. The car in social work is conceptualised as a ‘fluid container’ for the processing of personal troubles, emotion and key life changes. The theoretical implications of this argument for the social science of mobilities are drawn out.     

Methodological Challenges and Innovations in Mobilities Research

Abstract

This article introduces a collection of methodological reflections on mobilities research, and additionally discusses the general status of methodology in the scholarship. Fast advancements on empirical and conceptual levels of mobilities studies have not been equivalently matched by efforts on the methodological front. While microsociological and phenomenological approaches are predominant in the scholarship, large‐scale studies on mobility tend not to systematically analyse research frameworks used in the process of knowledge production. The articles featured in this special section examine some of the methodological challenges and innovations arising within several topical strains of mobilities studies. This introductory article argues that multi‐scalar and critical methodologies are necessary for further expanding the analytical and interventional possibilities of a mobilities research agenda.     

Urban nomadism: everyday mobilities of waste recyclers in Beijing

ABSTRACT

This paper investigates everyday mobilities through an account of the waste industry in Beijing. It suggests the analysis of livelihood strategies of waste traders as a productive domain of enquiry to foster our understanding of the connection between labour and mobility. Existing literature on China pays little attention to the everyday mobilities of marginal urban actors. Yet these practices tell an insightful story about the political, economic, and ecological transformations of the country. Through their analysis, this paper develops the idea of ‘urban nomadism’ as a tool to analyse practices that rework oppressive circumstances dictated by capital and produce new dimensions of living.     

Blood drones: using utopia as method to imagine future vital mobilities

ABSTRACT

How might we undertake life-saving vital mobilities, like moving blood, in future? Specifically, how might blood transfusion and drone technology – both war dividends – intersect? We explore four scenarios based on eclectic influences including cross-pollination between co-authors, a futures design workshop and exposure to science fiction. The scenarios are ‘ethnographic fragments’ from fictional futures, or conversely, imaginative time travel to possible futures. These are informed by and loosely correlate with established future-building scenario on the theme of carbon constraint: low-carbon society, digital lives, magic bullet technology and resource fights. Through the scenarios – Blood Bikes, HemoIkea, O Magic and Bloody Battles – we experiment with mobilizing utopia and dystopia as method to theorize vital mobilities. This experimental approach raises questions about possible and preferable futures of societal blood circulation and provokes a wider cultural imaginary surrounding blood and drone mobilities specifically, and vital mobilities generally.     

Development and Gendered Mobilities: Narratives from the Women of Mardin,Turkey

Abstract

This paper addresses gendered mobilities in Mardin in the context of the implications of transport investments for the female labour market. I seek to illustrate that the relationship between infrastructure provision and gendered mobilities is entangled in a wider context which encompasses politics and cultural geographies. Drawing on theories of mobilities, I argue that a lack of understanding of the complementary and contradictory impacts of local context and physical infrastructure investments may undermine social and cultural conditions within communities, resulting in misguided development policies.     

People and Technologies as Resources in Times of Uncertainty

Abstract

This paper is concerned with people’s decision‐making and communication practices when moving around the world in uncertain situations. It examines how people acted when flights were grounded in Europe for one week in April 2010 as a result of the ash cloud from a volcano in Iceland. The paper focuses on the communication practices of a group of people travelling from Norway to Britain in a hired coach. Drawing on the approaches of literacy studies along with broader work on new technologies, it covers a range of issues including: how people integrate languages and technologies as global resources for local decision making; how they deploy networks of support in different ways; and how they evaluate knowledge in a rapidly changing situation of rumour and counter‐claim. The paper enriches understanding of people using technologies and acting within complex networks. It emphasises the need for literacy studies, and sociolinguistics more generally, to develop richer notions of networked interaction and mediated language use in a mobile world. And it highlights for mobilities research the importance of language issues in a multilingual world.     

Invisible mobilities: stigma,immobilities, and female sex workers’ mundane socio-legal negotiations of Dhaka’s urban space

ABSTRACT

Drawing on ethnography, this paper conceptualizes invisible mobilities by exploring the linkages between mobility, invisibility and hotel and residence based sex work in Dhaka, Bangladesh. Since both are illegal in Bangladesh, hotel and residence based sex workers (HRSWs) become targets of the different laws and sex work related social stigma. We show, in this paper, how invisible mobilities is used to strategize and counter-enact against the existing exploitative gendered socio-political-legal regimes and practices involved in sex work. Invisible mobilities refers to the way HRSWs move in order to hide their occupation from society and the law. Invisibility is at the core of all these connections: It enables HRSWs to continue sex work and avoid exclusion from family and members of their communities. While making themselves invisible permits them to continue their daily ways to earn a living, it also reinforces the same social stigma they are constantly trying to avoid. In doing so, this paper reveals the political economy of sex work in the city and provides a new theoretical window to understand the connections between gender, mobility and the city, constructing a bridge between mobility and sex work studies literature.     

Mobilities in Finland’s Information Society Strategies from 1995 to 2010

Abstract

The article explores Finland’s national information society strategies and uses the Finnish case as an example to identify the limitation of the so-called ‘methodological nationalism’ and to explicate the advantages of the mobility paradigm. The research material consists of the Finnish national strategies published between 1995 and 2010. The article identifies two trends from the studied strategies; a further intermingling of physical movement of objects and virtual mobility, and a tendency to reduce corporeal mobility. The study also shows that most mobility-related challenges require international cooperation and multinational solutions, although state-centred thinking was prevalent in the studied strategies. In addition, it provides evidence that the various modes of mobility operate differently in micro and macro level analyses and that the mobilities paradigm could be enriched by studying policies of mobility.