In this dissertation I examine the influence and impact of consumer politics in the first five years of the AIDS epidemic. Using historical methodologies and leveraging a range of archival materials alongside scholarly and journalistic accounts of the era, I argue that gay men and People with AIDS deployed critical medical consumerism in their earliest responses to the disease. The politics of People with AIDS challenged the normative understanding of the sick by the medical and public health professions that claimed authority to shape the response to the AIDS epidemic. In the context of AIDS, this authority was shared with the gay and lesbian organizations that responded to the epidemic on behalf of the gay and lesbian community. People with AIDS wanted more power in each of these encounters. Living with AIDS involved numerous complex networks of medical, clinical, and care service relationships. In the context of America’s for-profit healthcare and service system and given the social service orientation of community-based responses, they positioned themselves as consumers.
I examine the influence and impact of critical medical consumerism in the founding of the earliest AIDS service organizations, the earliest writing by people with AIDS in New York City, the emergence of political organizing among People with AIDS and their allies and its impact on the closure of the New York City bathhouses, the creation of community-based clinical research organizations and the founding of the well-known direct-action group, ACT UP. Critical medical consumerism appeared both as a way of generating and sharing information among People with AIDS, and a language of critique by People AIDS of the community and government responses to the epidemic. Through the lens of consumer politics, I also reexamine well historicized moments in this history, providing a more complex history to a founding document in the politics of AIDS, The Denver Principles. In this dissertation, I conclude that consumer politics is an essential political, social, and cultural lens through which People with AIDS understood the epidemic, though it is not without its limits. In the final chapter, I examine possibilities of future research in this field and the limitations of consumer politics for both the historical actor who deployed it, and for historians who examine this period of history.
| Identifer | oai:union.ndltd.org:columbia.edu/oai:academiccommons.columbia.edu:10.7916/8twc-dn69 |
| Date | January 2024 |
| Creators | Bradley-Perrin, Ian Frederick |
| Source Sets | Columbia University |
| Language | English |
| Detected Language | English |
| Type | Theses |
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