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Mobilizing Bodies and Body Parts, from Myanmar to Manipur: Medical connections through borderlands in ‘transition’

Published online by Cambridge University Press:  14 January 2021

DUNCAN MCDUIE-RA*
Affiliation:
School of Humanities and Social Sciences, University of Newcastle, Australia Email: Duncan.McDuieRa@newcastle.edu.au

Abstract

This article focuses on cross-border medical connections between Myanmar and Manipur, India. Non-state actors have been instrumental in creating the networks to bring bodies and body parts back and forth, first bypassing, then enmeshing, state actors. I focus on the movement of patients and medical samples across the border—from western Myanmar to Imphal city and back again—and the health infrastructure that enables it. Analysing these connections makes several contributions to the study of border governance. First, movement from Myanmar to Manipur is primarily for treatment or diagnosis, and these connections project particular ways of thinking about each place—western Myanmar as poor and remote, Manipur as advanced and networked. Second, both Manipur and western Myanmar can be considered in ‘transition’—as territories being recalibrated by political dynamics emanating elsewhere yet becoming connected through shared needs. Third, patients and samples move through territories controlled by paramilitary forces, underground groups, and different tribal councils. Routes are sometimes blocked or passage treacherous, testing the limits of conventional notions of bilateral border governance. Finally, cross-border medical connections between Manipur and Myanmar draw attention to the risky cross-border medical mobility of the poor. Rather than seeking to minimize cost, patients utilize Manipur's health infrastructure out of necessity, providing insights into the contours of cross-border medical care in times of transition.

Type
Research Article
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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References

1 Egreteau, Renaud, ‘A Passage to Burma? India, development, and democratization in Myanmar’, Contemporary Politics, vol. 17, no. 4, 2011, pp. 467486CrossRefGoogle Scholar; Lall, Marie, ‘Indo-Myanmar Relations in the Era of Pipeline Diplomacy’, Contemporary Southeast Asia: A Journal of International and Strategic Affairs, vol. 28, no. 3, 2006, pp. 424446CrossRefGoogle Scholar.

2 Joniak-Lüthi, Agnieszka, ‘Roads in China's Borderlands: Interfaces of spatial representations, perceptions, practices, and knowledges’, Modern Asian Studies, vol. 50, no. 1, 2016, pp. 118140CrossRefGoogle Scholar.

3 Ghosh, Sahana, ‘Security Socialities: Gender, surveillance, and civil-military relations in India's eastern borderlands’, Comparative Studies of South Asia, Africa and the Middle East, vol. 39, no. 3, 2019, pp. 439450CrossRefGoogle Scholar; Ho, Elaine Lynn-Ee, ‘Mobilising Affinity Ties: Kachin internal displacement and the geographies of humanitarianism at the China–Myanmar border’, Transactions of the Institute of British Geographers, vol. 42, no. 1, 2017, pp. 8497CrossRefGoogle Scholar; McConnachie, Kirsten, ‘Boundaries and Belonging in the Indo-Myanmar Borderlands: Chin refugees in Mizoram’, Journal of Refugee Studies, vol. 31, no. 3, 2018, pp. 314333CrossRefGoogle Scholar; Schendel, Willem van, The Bengal Borderland: Beyond State and Nation in South Asia (London: Anthem Press, 2005)Google Scholar.

4 Sollom, Richard, Richards, Adam K., Parmar, Parveen, Mullany, Luke C., Lian, Salai Bawi, Iacopino, Vincent and Beyrer, Chris, ‘Health and Human Rights in Chin State, Western Burma: A population-based assessment using multistaged household cluster sampling’, PLoS Med, vol. 8, no. 2, 2011, pp. e1001007CrossRefGoogle Scholar.

5 The 2014 census for Sagaing Region includes data on migration by district. Of 64,252 ‘household members living abroad’ from Sagaing Region, 9,012 reside in India, comprising 14 per cent of migrants from the district. The proportion of migrants in India is higher in the districts close to the border, especially in Hkamti, where most of the Naga population on the Myanmar side reside: Hkamti 91 per cent (2,492 of 2,711 household members abroad are in India), Tamu 17.5 per cent (1,292 of 7,356), and Kalay 18 per cent (4,674 of 25,972). See Department of Population (Government of Myanmar), The 2014 Myanmar Population and Housing Census: Sagaing Region Report (Nay Pyi Taw: Ministry of Immigration and Population, 2015), pp. 57–59.

6 The same data for the Chin state show a much lower proportion of people reporting residence in India. Of 51,594 people living abroad, 5,880 or 11 per cent report living in India (over half reside in Malaysia). At 19 per cent (2,962 out of 15,663), the largest proportion of migrants residing in India come from Falam district. See Department of Population (Government of Myanmar), The 2014 Myanmar Population and Housing Census: Chin State Report (Nay Pyi Taw: Ministry of Immigration and Population, 2015), pp. 36–38.

7 Merry, Sally Engle, ‘Anthropology and International Law’, Annual Review Anthropology, no. 35, 2006, pp. 99116CrossRefGoogle Scholar.

8 Banerjee, Dwaipayan, ‘Markets and Molecules: A pharmaceutical primer from the South’, Medical Anthropology, vol. 36, no. 4, 2017, pp. 363380CrossRefGoogle ScholarPubMed; Bolton, Sharon and Skountridaki, Lila, ‘The Medical Tourist and a Political Economy of Care’, Antipode, vol. 49, no. 2, 2017, pp. 499516CrossRefGoogle Scholar; Sobo, Elisa J., ‘Medical Travel: What it means, why it matters’, Medical Anthropology, vol. 28, no. 4, 2009, pp. 326335CrossRefGoogle ScholarPubMed; Whittaker, Andrea, Manderson, Lenore and Cartwright, Elizabeth, ‘Patients without Borders: Understanding medical travel’, Medical Anthropology, vol. 29, no. 4, 2010, pp. 336343CrossRefGoogle ScholarPubMed.

9 Oberle, Alex P. and Arreola, Daniel D., ‘Mexican Medical Border Towns: A case study of Algodones, Baja California’, Journal of Borderlands Studies, vol. 19, no. 2, 2004, pp. 2744CrossRefGoogle Scholar.

10 Song, Priscilla, ‘Biotech Pilgrims and the Transnational Quest for Stem Cell Cures’, Medical Anthropology, vol. 29, no. 4, 2010, pp. 384402CrossRefGoogle ScholarPubMed.

11 Kangas, Beth, ‘The Burden of Pursuing Treatment Abroad: Three stories of medical travellers from Yemen’, Global Social Policy, vol. 10, no. 3, 2010, pp. 306314CrossRefGoogle Scholar; Smith, Catherine, ‘Doctors that Harm, Doctors that Heal: Reimagining medicine in post-conflict Aceh, Indonesia’, Ethnos, vol. 80, no. 2, 2015, pp. 272291CrossRefGoogle Scholar.

12 Solomon, Harris, ‘Affective Journeys: The emotional structuring of medical tourism in India’, Anthropology and Medicine, vol. 18, no. 1, 2011, pp. 105111CrossRefGoogle ScholarPubMed; Whittaker et al., ‘Patients without Borders’.

13 Chee, Heng Leng, Whittaker, Andrea and Hong, Heong, ‘Medical Travel Facilitators, Private Hospitals and International Medical Travel in Assemblage’, Asia Pacific Viewpoint, vol. 58, no. 2, 2017, pp. 242254CrossRefGoogle Scholar; Whittaker, Andrea and Leng, Chee Heng, ‘“Flexible Bio-Citizenship” and International Medical Travel: Transnational mobilities for care in Asia’, International Sociology, vol. 31, no. 3, 2016, pp. 286304CrossRefGoogle Scholar.

14 Kangas, Beth, ‘Traveling for Medical Care in a Global World’, Medical Anthropology, vol. 29, no. 4, 2010, pp. 344362, at p. 357CrossRefGoogle Scholar.

15 Connell, John, ‘Reducing the Scale? From global images to border crossings in medical tourism’, Global Networks, vol. 16, no. 4, 2016, pp. 531550, at p. 534CrossRefGoogle Scholar.

16 Ibid., p. 535.

17 Ibid., p. 538, brackets in original.

18 Charney, Michael W., ‘Literary Culture on the Burma–Manipur Frontier in the Eighteenth and Nineteenth Centuries’, The Medieval History Journal, vol. 14, no. 2, 2011, pp. 159181CrossRefGoogle Scholar; Yengkhom Jilangamba, ‘Territorialities and Identities: North-eastern frontier of the British Indian empire’, PhD thesis, Jawaharlal Nehru University, 2010; Kabui, Gangmumei, History of Manipur (New Delhi: National Publishing House, 1991)Google Scholar; Ray, Sohini, ‘Boundaries Blurred? Folklore, Mythology, History and the Quest for an Alternative Genealogy in North-East India’, Journal of the Royal Asiatic Society, vol. 25, no. 2, 2015, pp. 247267Google Scholar.

19 Schendel, Willem van, ‘Geographies of Knowing, Geographies of Ignorance: Jumping scale in Southeast Asia’, Environment and Planning D: society and space, vol. 20, no. 6, 2002, pp. 647668CrossRefGoogle Scholar.

20 Scott, James C., The Art of Not Being Governed: An anarchist history of upland Southeast Asia (New Haven, CT: Yale University Press, 2009)Google ScholarPubMed.

21 Jilangamba, Yengkhom, ‘Beyond the Ethno–Territorial Binary: Evidencing the hill and valley peoples in Manipur’, South Asia: Journal of South Asian Studies, vol. 38, no. 2, 2015, pp. 276289CrossRefGoogle Scholar; Lunminthang, Michael, ‘Rethinking the Political History of Northeast India: Historical review on Kuki country’, Indian Historical Review, vol. 43, no. 1, 2016, pp. 6382CrossRefGoogle Scholar; Bianca Son Suantak, ‘The Making of the Zo: The Chin of Burma and the Lushai and Kuki of India through colonial and local narratives 1826–1917 and 1947–1988’, PhD thesis, SOAS University of London, 2013; Zou, David Vumlallian, ‘The Pasts of a Fringe Community: Ethno-history and fluid identity of the Zou in Manipur’, Indian Historical Review, vol. 36, no. 2, 2009, pp. 209235CrossRefGoogle Scholar; Zou, David Vumlallian and Kumar, M. Satish, ‘Mapping a Colonial Borderland: Objectifying the geo-body of India's northeast’, The Journal of Asian Studies, vol. 70, no. 1, 2011, pp. 141170CrossRefGoogle Scholar.

22 Nongthombam, Jiten, ‘The Meitei Diaspora in Myanmar’, Diaspora Studies, vol. 4, no. 2, 2011, pp. 155167CrossRefGoogle Scholar.

23 McDuie-Ra, Duncan, Northeast Migrants in Delhi: Race, refuge and retail (Amsterdam: Amsterdam University Press, 2012)CrossRefGoogle Scholar.

24 For an overview of this era, see Shimray, Ungshungmi A., ‘Ethnicity and Socio-Political Assertion: The Manipur experience’, Economic and Political Weekly, vol. 36, no. 39, 2001, pp. 36743677Google Scholar.

25 McDuie-Ra, Duncan, Borderland City in New India: Frontier to Gateway (Amsterdam: Amsterdam University Press, 2016), pp. 6773Google Scholar.

26 The literature on this is enormous and engaging with it all is well beyond the scope of this article. Most of the writing on the Look East Policy takes an overwhelmingly positive tone about its intent and a negative tone about the inability of local authorities to take advantage. For examples, see Das, Samir Kumar, ‘India's Look East Policy: Imagining a new geography of India's Northeast’, India Quarterly, vol. 66, no. 4, 2010, pp. 343358CrossRefGoogle Scholar; Haokip, Thongkholal, ‘India's Look East Policy: Prospects and challenges for Northeast India’, Studies in Indian Politics, vol. 3, no. 2, 2015, pp. 198211CrossRefGoogle Scholar; Lee, Lavina, ‘Myanmar's Transition to Democracy: New opportunities or obstacles for India?’, Contemporary Southeast Asia: A Journal of International and Strategic Affairs, vol. 36, no. 2, 2014, pp. 290316CrossRefGoogle Scholar; Sarma, Atul and Choudhury, Saswati (eds), Mainstreaming the Northeast in India's Look and Act East Policy (New Delhi: Palgrave MacMillan, 2018)CrossRefGoogle Scholar.

27 For a comprehensive list of bilateral agreements and memorandums of understanding between India and Myanmar, see Bhatia, Rajiv, India-Myanmar Relations: Changing contours (New Delhi: Springer, 2016), pp. 215228Google Scholar.

28 Vijaita Singh, ‘Villagers on India–Myanmar Border to Get Passes’, The Hindu (Chennai), 13 January 2018.

29 Jones, Lee, ‘The Political Economy of Myanmar's Transition’, Journal of Contemporary Asia, vol. 44, no. 1, 2014, pp. 144170CrossRefGoogle Scholar.

30 Holliday, Ian, Aung, Maw Htun and Joelene, Cindy, ‘Institution Building in Myanmar: The establishment of regional and state assemblies’, Asian Survey, vol. 55, no. 4, 2015, pp. 641664CrossRefGoogle Scholar.

31 Rhoden, Thomas F., ‘Yangon's New Stock Exchange in Comparative Analysis’, Journal of Burma Studies, vol. 20, no. 1, 2016, pp. 199227CrossRefGoogle Scholar.

32 Ford, Michele, Gillan, Michael and Thein, Htwe Htwe, ‘From Cronyism to Oligarchy? Privatisation and business elites in Myanmar’, Journal of Contemporary Asia, vol. 46, no. 1, 2016, pp. 1841CrossRefGoogle Scholar.

33 Dalstrom, Matthew, ‘Shadowing Modernity: The art of providing Mexican healthcare for Americans’, Ethnos, vol. 78, no. 1, 2013, pp. 7598CrossRefGoogle Scholar.

34 McDuie-Ra, Northeast Migrants in Delhi, pp. 62–63.

35 Ibid., pp. 147–148.

36 McDuie-Ra, Borderland City in New India, pp. 100–107.

37 Jilangamba, Yengkhom, ‘Ethnicity and Territoriality’, Himal SouthAsian, vol. 23, no. 7, 2010, pp. 3840, at p. 39Google Scholar.

38 Hueiyen Lanpao, ‘The Alarming Scarcity of Oxygen Cylinders in Three Major Hospitals’, Hueiyen Lanpao (Imphal), 12 August 2011.

39 Ministry of External Affairs (India), ‘India-Myanmar Joint Statement issued on the occasion of the State Visit of Prime Minister of India to Myanmar (September 5–7, 2017)’, media release, available at: https://tinyurl.com/yc9yoqkr, [accessed 5 November 2020].

40 Singh, ‘Villages on India-Myanmar Border’.

41 Prashanth Parameswaran, ‘What's with the New India-Myanmar Border Pact?’, The Diplomat, 6 January 2018, available at: https://thediplomat.com/2018/01/whats-with-the-new-india-myanmar-border-pact/, [accessed 5 November 2020].

42 Vijaita Singh, ‘Myanmar Puts off Border Pact with India’, The Hindu (Chennai), 4 March 2018.

43 ‘Tension along Manipur Border after Myanmar Army's Demolition Drive on No Man's Land’, The Wire, 4 January 2018, available at: https://tinyurl.com/y9fk4l3f, [accessed 5 November 2020].

44 ‘India, Myanmar Land Border Crossing Pact Comes into Force’, The Hindu (Chennai), 5 November 2020.

45 Zarni Mann and Myat Pyae Phyo, ‘India-Myanmar Cross-Border Bus Service to Operate Soon’, The Irrawaddy, 20 February 2020, available at: https://www.irrawaddy.com/news/burma/india-myanmar-cross-border-bus-service-operate-soon.html, [accessed 20 November 2020].

46 For an account of these periods in Manipur's history, see Parratt, Saroj N. A. and Parratt, John (eds), Collected Papers on the History and Culture of Manipur (Imphal: Patriotic Writer's Forum, 2012)Google Scholar.

47 McDuie-Ra, Duncan and Lai, Lauren, ‘Smart Cities, Backward Frontiers: Digital urbanism in India's north-east’, Contemporary South Asia, vol. 27, no. 3, 2019, pp. 358372CrossRefGoogle Scholar.