ABSTRACT

The organizing of neoliberalism is a political economy of expertise, where teams of experts are incentivized to carry out unsustainable interventions in distant locales, without local accountability and local decision making, and carried out in short time frames driven by narrowly defined expert-driven metrics of effectiveness and efficiency. These solutions to global health leave intact the structures of power and in turn reify the logics of neoliberalism by deploying health as a category for creating new markets globally, situating the delivery of health as a mix of marketing and management functions, delivered through public-private partnerships. The Ebola outbreaks in West Africa narrate the fault lines of neoliberal health organizing, constituted in the dramatic inequalities, inequalities in distribution of resources, and the weakening of public health systems, services, and infrastructures especially in the marginalized sectors of the globe. Communicative inversions are the reversal of communication, where symbolic representations refer to markers that are the opposite of the material bases of relationships.