A dominant cultural narrative within Costa Rica describes Costa Ricans not only as different from their Central American neighbours, but it also exalts them as better: specifically, as more white, peaceful, egalitarian and democratic. This notion of Costa Rican exceptionalism played a key role in the creation of their health care system, which is based on the four core principles of equity, universality, solidarity and obligation. While the political justification and design of the current health care (...) system does, in part, realize this ideal, we argue that the narrative of Costa Rican exceptionalism prevents the full actualization of these principles by marginalizing and excluding disadvantaged groups, especially indigenous and black citizens and the substantial Nicaraguan minority. We offer three suggestions to mitigate the self-undermining effects of the dominant national narrative: 1) encouragement and development of counternarratives; 2) support of an emerging field of Costa Rican bioethics; and 3) decoupling health and national successes. (shrink)

El artículo analiza el proyecto del ferrocarril como un dispositivo de dominación de la naturaleza en la Costa Rica de finales del siglo XIX. En este sentido, se retoman algunos discursos, prácticas y experiencias, a manera de red, que muestran que la concepción, construcción y consolidación de la línea férrea que conectó San José, capital del país, con Limón, principal puerto de exportaciones e importaciones, constituyó una iniciativa de captura de los recursos del Litoral Caribe. Para esto, se (...) retoman informes técnicos, mensajes presidenciales, fotografías de infraestructuras y crónicas de viaje con la intención de resaltar los esfuerzos por doblegar una naturaleza hostil y convertirla en una naturaleza explotable, atravesable, disfrutable y administrable. (shrink)

ABSTRACTBased on the case of Rosa, a nine‐year‐old girl who was denied a therapeutic abortion, this article analyzes the role played by the social in medical practice. For that purpose, it compares the different application of two similar pieces of legislation in Costa Rica, where both the practice of abortion and sterilization are restricted to the protection of health and life by the Penal Code. As a concept subject to interpretation, a broad conception of medical necessity could enable (...) an ample use of the therapeutic exception and a liberal use of both surgeries. The practice of therapeutic sterilization has been generalized in Costa Rica and has become the legitimate way to distribute contraceptive sterilization. In contrast, therapeutic abortion is very rarely practiced. The analysis carried out proposes that it is the difference in social acceptance of abortion and sterilization that explains the different use that doctors, as gatekeepers of social morality, make of medical necessity. (shrink)

The COVID-19 pandemic induced an overexposure of migrant farmworkers’ poor working and living conditions in Costa Rica’s northern border area and underscored the country’s dependence on migrant labor. This created a unique opportunity to position pro-migrant concerns and demand actions from the state. In this article, we assess if and to what extent the actions of the Costa Rican state were influenced by migrant demands, or whether other priorities guided policy. Based on a novel database on protest (...) and collective action (Protestas-IIS) that is fed with national and local newspaper articles, we analyze the demands made by migrants, the private sector and NIMBY movements, and state responses. Our findings suggest that the latter prioritized market concerns and antiimmigrant interests, thereby underscoring lessons from the literature that migrants are among the politically most disenfranchised in society. Their demands were only partially responded to by the state, and only concerning issues that aligned directly with public concerns, in this case related to health. (shrink)

En este texto se presentan los resultados del análisis del discurso sobre la criminalidad en textos informativos televisivos y su relación con una percepción “desmedida” respecto de la delincuencia por parte de la mayoría de la población en Costa Rica. Para su realización se aplicaron conceptos de la lingüística, el análisis del discurso y el análisis crítico del discurso, además de teorías sociales y psicológicas. El estudio permite afirmar, entre otras cosas, que las características de ese discurso tienen (...) la capacidad de producir miedo en parte de la población y, por ende, jugaría un papel importante –junto a discursos emitidos por otras fuentes– en la sensación de inseguridad en Costa Rica. (shrink)

Nearly one-quarter of Costa Rica's export earnings derive from an expanding tourist sector, one that is increasingly diversified in a mix of tourist niches. Ecotourism is the fastest growing niche and its promises are featured in a range of sites and practices, including the largest multinational hospitality and hotel corporations. These companies promote a vision of sustainability that relies on expanding consumption of ‘environmental' amenities through profit-driven global corporations – a vision that is, to some, antithetical to the (...) very meaning of ecotourism. Our study explores the historical evolution of tourist development in Costa Rica, specifically large-scale coastal development, as a means for national development. Amid pressures to attract foreign direct investment in a neoliberal era, Costa Rica has struggled to maintain its developmentalism, which includes social welfare, environmental protection, and public goods, including coastal preservation and public access. We argue Costa Rica's simult.. (shrink)

Plantation workers have seemingly little opportunities for labour agency, defined as the worker’s ability to act and improve their conditions. In response to a call for a better understanding of the horizontal dimension shaping labour agency, this article questions what local factors determine the worker’s ability to act by analysing the institutional constraints embedded in the national context through a mixed methods approach. A combination of qualitative and quantitative data is used to understand what shapes and constrains the potential for (...) labour agency in the case of plantation workers in the pineapple sector of Costa Rica. We provide new empirical evidence of the relation between the local opportunity structure—proxied by perceived job security and union awareness—and labour agency in terms of a worker’s intention to choose forthright (voice), evasive (exit) or repressed (loyalty) actions. The model results indicate that a lack of job security and a lack of union awareness significantly reduce the likelihood to use forthright actions (such as voicing concerns, striking or joining a union) compared to evasive (such as leaving the job) or repressed actions (such as doing nothing). In addition, the qualitative analysis of the local opportunity structure identifies four institutional constraints: weak employment protection, vulnerability of migrant workers, limited workers’ representation and insufficient labour law enforcement. Besides overcoming these institutional constraints, empowering workers to make their voices heard also requires awareness raising about their collective bargaining rights and more job security. (shrink)

O objetivo deste artigo é descrever o grau de parentesco existente entre várias famílias de origem chinesa que se estabeleceram em Nicoya e analisar como isso influenciou suas contribuições para o desenvolvimento socioeconômico da cidade e seus padrões de mobilidade em todo o Pacífico da Costa Rica desde final do século XIX até meados do século XX. Os participantes do estudo são descendentes de imigrantes que se enraizaram em Nicoya entre 1880 e 1950, que possuíam duas peculiaridades: pertenciam (...) aos mesmos clãs familiares, apesar dos diferentes sobrenomes com os quais estavam registrados ou eram da mesma área geográfica e, às vezes, até da mesma aldeia, que desenvolveu laços de afinidade tão fortes quanto laços consanguíneos. Isso lhes permitiu apoiar-se mutuamente para alcançar o desenvolvimento coletivo do grupo de imigrantes chineses em Nicoya. (shrink)

The Covid-19 pandemic has compounded the global food insecurity crisis, disproportionately affecting the consumers, farmers, and food workers. The significant disruptions caused by Covid-19 have called international attention to food security and sparked conversations about how to better support food production and trade. Our paper contributes to a small but growing literature on the impacts and responses of agroecological farmers to Covid-19 in Costa Rica. Specifically, we interviewed 30 agroecological farmers about livelihood disruptions during Covid-19, the areas of (...) food production and sales most affected during this pandemic, and how farmers and consumers are adapting during this crisis. Our findings reveal multiple impacts on agroecological farmers including: economic hardships of lower incomes and inability to pay loans, changes in purchasing and consumption patterns, market disruptions, changes in sales, a decrease in agrotourism, and a shortage of farmworkers. Furthermore, we also report the following farmer adaptation strategies: minimizing distance with consumers to facilitate direct delivery, establishing e-commerce platforms. Based on our findings, we recommend the following: building farmer networks for knowledge sharing, increasing technological support for farmers, and providing government support to ensure that such crises do not increase unemployment among farmers and exacerbate food insecurity. (shrink)

During the last 10 years or so, a number of corporate social responsibility (CSR) initiatives have been introduced in global supply chains, which aim to improve the conditions of workers engaged in producing goods for export. This article discusses the observations of CSR in practice in the Costa Rican-United Kingdom (UK) banana chain. The banana chain makes for an interesting case study because there are dominant corporate actors at each end who are in a position to influence the conditions (...) experienced by workers on banana plantations. At the top of the chain there are four major UK supermarket groups who control access to the retail market and as selfappointed guardians of consumer interest are demanding that producers adopt more socially responsible practices. At the other end, banana production is highly integrated and controlled by three large North American agri-businesses who have developed their own social and environmental certification programmes. Costa Rica also makes for an interesting country to locate the study as it has a tradition of state-led policies to protect worker rights. Yet, in spite of CSR commitments made by both supermarkets and producers that emphasise health and safety and the country's established Labour Law, this article shows that there are problems for workers when they are forced to meet demanding production schedules. Furthermore, it suggests that whilst supermarkets continue to drive down consumer prices and put pressure on producers to reduce costs, a downward spiral of working conditions is created regardless of the CSR policies in place. However, this article also identifies that changes to supermarket behaviour is possible when consumer trust is at stake. (shrink)

This paper focuses on examination of women’s participation in clinical trials as it was regulated by the two official regulations Costa Rica used to norm the clinical research. Both regulations were derogated some months ago. The point of view of the paper is the difference between men and women concerning participation in clinical trials, even though the moral principles are the same for all citizens. Its meanings are not the same depending to the gender. Autonomy is enough requirements (...) for male participants but not for female participants: in the name of their reproductive ability, they suffer a decrease of their self-determination. According to this, regulations not also has incurred into a contradiction, but also involving beneficence, against the aims of clinical research. (shrink)

Esta pesquisa realiza uma análise de rede social e prosopográfica dos processos de emigração sírio-libaneses para a Costa Rica na virada do século XIX para o século XX; os mecanismos de inserção social utilizados por esse grupo de migrantes; e as relações entre as redes de sociabilidade sírio-libanesa e maçônica durante a primeira metade do século XX. Conclui-se que os imigrantes sírio-libaneses participaram ativamente de um processo de reajuste das relações sociais do Estado e contribuíram para forjar novas (...) representações culturais do nacional no país. (shrink)

UMA ANÁLISE DA SANÇÃO DE SUSPENSÃO DOS DIREITOS POLÍTICOS POR IMPROBIDADE ADMINISTRATIVA A PARTIR DAS DECISÕES DO STF ACERCA DA INTERNALIZAÇÃO DO PACTO DE SÃO JOSÉ DA COSTA RICA.

The experience of Costa Rica highlights the potential for conflicts between the right to health and fair priority setting. For example, one study found that most favorable rulings by the Costa Rican constitutional court concerning claims for medications under the right to health were either for experimental treatments or for medicines that should have low priority based on health gain per unit of expenditure and severity of disease. In order to better align rulings with priority setting criteria, (...) in 2014, the court initiated a reform in its assessment of claims for medicine. This paper assesses this reform’s impact on the fairness of resource allocation. It finds three effects. First, a reduction in successful claims for experimental medication, which is beneficial. Second, an increase in the success rate of medication lawsuits, which is detrimental because most claims are for extremely cost-ineffective medications. Third, a decline in the number of claims for medicine, which is beneficial because it forestalls such low-priority spending. This paper estimates that, taking all three effects into account, the reform has had a modest net positive impact on overall resource allocation. However, it also argues that there is a need for further reforms to lower the number of claims to low-priority medicines that are granted. (shrink)

This study examines the ways in which gendered definitions of social provision in Costa Rica have created gaps in national health care programs that women's organizations are currently addressing. More specifically, I highlight how women's organizations are key actors in the politics of needs interpretation, wherein definitions of health needs are contested by policy makers, doctors, and women themselves. I argue that women's health organizations have begun to broaden and politicize health needs by including domestic violence in national (...) debates. Using interviews and organizational histories of six grassroots health organizations, I find that these groups have been successful, in large part, because they framed their concerns in ways that were convincing to politicians and national health care bureaucrats. (shrink)

La propuesta que se presenta en este artículo tiene como objetivo principal establecer una coordinación evaluativa de las materias de los diferentes cursos impartidos en el Bachillerato de la Enseñanza del Inglés (BEI) de la Escuela de Literatura y Ciencias del Lenguaje (ELCL) de la Universidad Nacional de Costa Rica (UNA). Esta propuesta de Evaluación Integral tiene el fin de lograr un vínculo entre los instructores, objetivos de los cursos y el aprendizaje del idioma per se. La evaluación (...) integral busca que los aprendices del idioma inglés puedan ver la correlación del idioma de una manera cíclica y no aislada. En otras palabras, que el estudio de la gramática, fonética, cultura, la expresión y producción oral y escrita estén vinculadas entre sí a través de trabajos en común (proyectos) que contribuyan a la formación académica y que contribuyan al aprendizaje. Esto requiere de un estudio profundo de los planes de estudios, de los temas y objetivos y de la comunicación permanente de los académicos. La idea es establecer dicha propuesta como un eje transversal de trabajo permanente, y que se establezca como una actividad de enseñanza para los alumnos en cada ciclo lectivo en su respectivo nivel. (shrink)

Tourism has received relatively scant attention in feminist analysis of women's work under economic restructuring. The industry creates a sector without a shop floor based on the provision of authenticity, leisure, and price-sensitive services. Migrant women from the First World and the Third World labor with national workers in a highly informalized and stratified employment setting. This article examines how structural conditions shape tourism employment in Puerto Viejo, Costa Rica. Drawing from data including observation, interviews, and a longitudinal (...) business survey, I offer several findings. The tourism industry segments possibilities for women who vary in their ability to produce and interpret/translate authentic cultural experiences. As a result, women working in tourism constitute a nationally and ethnically more diverse workforce compared with other global industry sectors. The particular demands of tourism create an important case to further understand how social location shapes women's working lives in the global economy. (shrink)

The aim of this article is to determine the representation of persons with disabilities in the print media advertisements of Costa Rica during the period 2014-2016. In the first place, we analyze the advertisements on disability that have appeared in the three most widely circulated newspapers in Costa Rica, following the Fairclough’s budgets about the representation of social actors, inclusion and exclusion strategies, legitimization and explanation that are made of the PCD in the ads. We determine (...) the actions performed by the PDC in the analyzed texts, the relationships with other people that appear in the announcements. Finally, from a multimodal perspective of Kress and Van Leeuwen, through the visual analysis and its relation with the linguistic one, we analyzed the congruent or incongruent images that are promoted in the advertising discourse. It is concluded that there is an invisibility of this population; since the number of ads on disability is less than 0.0015% and that the speech reproduces stigmas and stereotypes from a social- assistance perspective of the PCD, even though it is the State the main advertiser of the ads. (shrink)

Este artículo ofrece una serie de apuntes para una historia de la presencia de la fenomenología y de la filosofía de la existencia en Costa Rica. La referencia a apuntes o anotaciones tiene el propósito de disipar desde el inicio la impresión de que acá se va a ofrecer una valoración exhaustiva de las obras que harán las veces de acervo documental para dicha historia. En vez de eso, se destacarán una serie de momentos y publicaciones que tal (...) vez podrían servir como introducción para un emprendimiento como aquel. Así, lo que se busca es una primera exploración de la presencia de la fenomenología y sus derivas contemporáneas en la filosofía costarricense. Se defenderá la tesis de que tanto la fenomenología como la filosofía de la existencia tuvieron un truncado inicio en la comunidad filosófica costarricense que, de cierta forma, refleja los avatares de la recepción contemporánea de la fenomenología. (shrink)

External debt, poverty, and the use of natural resources are inextricably linked. Annis argues that the direction in which a country's economic resources are transferred—from poor to rich, or rich to poor—also sets the pattern for the flow of natural resources.

Governments and other food system actors from the private sector, civil society, research and education institutions are being called upon to work together to enhance the sustainability, resilience and inclusiveness of food systems. The analysis presented in this study provides an insight into the process and direction of food system transformation, and the key capabilities required. It portrays the interplay of different internal and external dynamics combined with the capacity of food system actors to connect, forge alliances and commit to (...) specific actions that has enabled countries to move towards a more sustainable food system. (shrink)

En la siguiente entrevista, la poeta costarricense Mía Gallegos comenta cómo inició su gusto por la Literatura y, en especial, por la creación literaria. Para ello, incorpora elementos autobiográficos que permiten constatar algunos de sus poemarios, previos a su publicación. Además de ello, la escritora explicará cómo se desempeña en la Academia Costarricense de la Lengua para impulsar el fomento y la preservación de las letras en general. En ese sentido, este trabajo tiene el propósito de conocer el mundo interno (...) de la poeta costarricense para que sirva de aliciente para la escritura creativa de los narradores coetáneos. (shrink)

Entre los años 2015 y 2016 se produjo un aumento en las movilidades extraregionales a través de Centroamérica. La presencia de migrantes provenientes de varios países de África, produjo desafíos institucionales para su abordaje, así como la elaboración de discursos sociales estructurados en categorías raciales. Un concepto fundamental para entender dicha coyuntura es el cuerpo migrante, en su implicación ontológica y su carácter de trashumancia sobre las narrativas del poder representado por los Estados-nación y vinculado con el funcionamiento de regímenes (...) corporales, histórica y socialmente situados. Esta reflexión recupera la construcción racializada del cuerpo migrante en los dispositivos institucionales y en los discursos sociales vinculados con la coyuntura de las transmigraciones africanas producidas en Costa Rica en los últimos años. (shrink)

El artículo examina la participación de las mujeres en estudios clínicos de acuerdo con lo normado por la recientemente derogada regulación de la investigación con sujetos humanos en Costa Rica. El punto de vista seguido es que la mujer no cuenta con las mismas garantías que los varones, sufren de una falta de reconocimiento y por lo tanto, se incurre en una doble acepción de los principios bioéticos invocados en los reglamentos. La autonomía, traducida en consentimiento informado es (...) suficiente para garantizar la participación de los varones, mas no para las mujeres, quienes sufren una disminución en su autodeterminación en virtud de su capacidad reproductiva. De acuerdo con esto, hay una contradicción inherente a la regulación que no sólo se refiere a cómo ha sido aplicada la autonomía de los sujetos, sino también la beneficencia que los reglamentos mismos afirman persigue con la investigación con sujetos humanos. (shrink)

En la siguiente entrevista, la poeta costarricense Mía Gallegos comenta cómo inició su gusto por la Literatura y, en especial, por la creación literaria. Para ello, incorpora elementos autobiográficos que permiten constatar algunos de sus poemarios, previos a su publicación. Además de ello, la escritora explicará cómo se desempeña en la Academia Costarricense de la Lengua para impulsar el fomento y la preservación de las letras en general. En ese sentido, este trabajo tiene el propósito de conocer el mundo interno (...) de la poeta costarricense para que sirva de aliciente para la escritura creativa de los narradores coetáneos. (shrink)

Here I present a list of the most important facts related to the approval and implementation of the influenza virus A (HINl) vaccine trial in Costa Rica. I also discuss some of the ethical conflicts involved and suggest some possible solutions.

El presente artículo estudia las representaciones de mujeres con VIH/sida, en el libro Tiempos del SIDA. Relatos de la vida real, de Myriam Francis. El trabajo inicia con un análisis sobre la exclusión de los sujetos femeninos de la literatura “seropositiva” latinoamericana. Se plantea que las pocas representaciones que existen se enfocan en “mujeres sospechosas”, lo cual se repite, hasta cierto punto, en los textos de Francis seleccionados: “La última puerta”, “La viuda alegre” y “La chica alegre”. Luego, se ofrece (...) una explicación sobre el contexto en el que surgen las historias, un “pabellón-moridero” que se describe más bien como un espacio ameno, el cual, sin embargo, enfatiza la tragicidad que rodea a cada “caso”. Después, se estudian los tres relatos mencionados, en los que se mueven los símbolos primarios del mal (la mancilla, el pecado y la culpabilidad), de manera que una mujer es representada como una “víctima inocente” y otras, como “víctimas culpables” (fundamentalmente por sus “estilos de vida nocivos”). Finalmente, el trabajo concluye que la narrativa de Francis moviliza algunos principios de la “teoría de la degeneración”, para explicar las situaciones experimentadas por los personajes femeninos y ofrecer un mensaje didáctico-moralizante. (shrink)