{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T18:36:13Z","timestamp":1777314973188,"version":"3.51.4"},"reference-count":71,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T00:00:00Z","timestamp":1718064000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100001388","name":"Wenner-Gren Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001388","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005280","name":"American Association of University Women","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005280","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["anthrosource.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Med Anthropol Q"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This article examines how militarized regimes of narcotics and price control sustain unpalliated cancer pain in Pakistan. It shows how these regimes of control\u2014reimagined as \u201cregimes of pain\u201d\u2014render morphine, a cheap, effective opiate analgesic, scarce in hospitals. Meanwhile, heroin, morphine's illegal derivative, proliferates in illicit circuits. The article highlights a devastating consequence of the global wars against drugs and \u201cterror\u201d: the consignment of cancer patients to agonizing end\u2010of\u2010life pain. Widening the analytic lens upon palliation beyond bodies and their clinical encounters, the article offers a geopolitics of palliation. It shows how narcovigilance targeting illicit drugs has the perverse effect of throttling morphine's licit supply. It shows further how unviably low price ceilings, purported to ensure a poor population's access to morphine, render it scarce on the official market. These mutually reinforcing regimes of control thus thwart their own purported objectives, consigning cancer patients to preventable, yet unpalliated, pain.<\/jats:p>","DOI":"10.1111\/maq.12865","type":"journal-article","created":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T18:35:23Z","timestamp":1718130923000},"page":"271-284","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Regimes of pain: The geopolitics of cancer palliation in Pakistan"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-2222-7985","authenticated-orcid":false,"given":"Zahra","family":"Hayat","sequence":"first","affiliation":[{"name":"Department of Anthropology University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,11]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"The Taliban Revival: Violence and Extremism on the Pakistan\u2010Afghanistan Frontier","author":"Abbas Hassan.","year":"2014"},{"key":"e_1_2_10_3_1","volume-title":"The Licit Life of Capitalism: U.S. Oil in Equatorial Guinea","author":"Appel Hannah.","year":"2019"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/01438300008567139"},{"key":"e_1_2_10_5_1","volume-title":"Enduring Cancer: Life, Death, and Diagnosis in Delhi. 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\u201cBayer Pharmaceutical Company Announces Closing Business in Pakistan.\u201d Daily Times June 23 2023.https:\/\/dailytimes.com.pk\/1106703\/bayer\u2010pharmaceutical\u2010company\u2010announces\u2010closing\u2010business\u2010in\u2010pakistan."},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1525\/9780520939530\u2010004"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1515\/9781503602694"},{"key":"e_1_2_10_19_1","volume-title":"Opium: Reality's Dark Dream","author":"Dormandy 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2023.http:\/\/anf.gov.pk\/library\/acts\/nap2019.pdf."},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1215\/9780822394709"},{"key":"e_1_2_10_29_1","volume-title":"Whiteout: How Racial Capitalism Changed the Color of Opioids in America","author":"Hansen Helena","year":"2023"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010anthro\u2010092412\u2010155452"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.14506\/ca38.2.02"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1525\/california\/9780520272149.001.0001"},{"key":"e_1_2_10_33_1","unstructured":"Hussain Abid.2022. \u201cPakistan Army Chief Admits Military's Meddling in Politics.\u201d Al Jazeera November 23 2022.https:\/\/www.aljazeera.com\/news\/2022\/11\/23\/pakistans\u2010army\u2010chief\u2010vows\u2010to\u2010keep\u2010military\u2010out\u2010of\u2010politics."},{"key":"e_1_2_10_34_1","volume-title":"Medical Anthropology at the Intersections: 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