The hospice movement and its implications

Hospices, unheard of in this country a few years ago, have become a fast-growing American phenomenon. They promise effective pain relief for terminal cancer patients as well as a warm, homey atmosphere where fear and loneliness are minimized. Hospices are basically a creation of the British and it is still unclear how--or even whether--the principles they embody can be successfully incorporated into American medicine. However, hospices can make an important philosophical contribution by showing the way toward removing the stigma attached to death. Hospice principles also have implications for all of health care, in emphasizing the importance of treating the whole person rather than just the disease.     

High bridewealth,migrant labour and the position of women in Lesotho

An attempt is made to explain the persistence of high bridewealth in Lesotho. It is argued that the structural conditions of its persistence have changed over time, and a macroeconomic perspective is developed in which to comprehend its contemporary significance. Bridewealth (Bohali) transfers in Lesotho at this time, at least in the Lowlands, are derived largely from the cash earnings of migrants and are no longer provided in livestock by a variety of agnatic and matrilateral kin on the side of the husband and distributed among a similar variety of kin on the wife's side. They are drawn from and contribute to a general subsistence fund concentrated largely within the household. To the extent that bohali transfers constitute items of expenditures for migrants and items of income for the heads of women's natal households, they effect a redistribution of income in favor of the senior generation, which thus has a clear interest incontinuing to demand high bohali. In addition migrants have an interest in substantially fulfilling their bohali obligations. Their own longterm security is best assured by establishing access to legitimate dependents within a rural household. Given a high rate of conjugal dissociation, a consequence of oscillating migration, the migrant must balance 2 considerations: the rationality of investment in the next generation, of the sort that bohali transfers represent, is qualified by an initially tenuous attachment to the rural household where his dependents reside; and so long as bohali remains the idiom in which interhousehold competition for the earning capacity of the next generation is rationalized and resolved, such investments continues to be the only way in which he can legitimately assert his own interests against those of his affines. The household viability in Lesotho depends on control over the earning capacity of migrants and over the productive and reproductive capacities of relict women. These are the structural conditions for the persistence of high bridewealth. Bohali is sustained by the realities of housekeeping, not merely by the ideology of keeping house. 3 detailed household profiles presented in an appendix give ethnographic sustenance to propositions concerning high bridewealth, migrant labor, and the position of women.