ABSTRACT

Given the rush of capital to appropriate the most lucrative elements of stateprovided health care, critical questions arise about how the rather unholy alliance of state and corporate health care providers plays out in the everyday lives of individuals. There are spatial elements to this question, and nowhere are the changing geographies of health care coming into greater prominence than in the borderlands between nations and health care systems. Continuous vigilance is required to ensure that state policies and capitalist opportunism do not marginalize vulnerable populations, or take away options - such as crossing an international boundary for health services - that may be absolutely essential to their well-being. For this to happen, the ways in which social action produces and is affected by health care geographies must be brought to the forefront of local discourse. This spatial knowledge must be asserted in a manner that promotes transboundary community cohesiveness and produces strong borderland spatialities.