Víctor Hugo Lavazza
Orcid ID: 0000-0003-4648-3725
Universidad de Buenos Aires / Instituto Nacional de Medicina Tropical (INMeT), Argentina


In Puerto Iguazú villages, in Misiones, Argentina, at least two established health care systems —one on the biomedical model, and the other one, on the Mbya-Guarani tradition. Health care at hospitals is common. In most cases, these facilities assist urban population, but also Mbya-Guarani people, both children and grown-ups (at a lesser extent). Most Guarani women look for care when their offspring is affected, because there are no Opyguá (priests-shamans) who are available to follow up on those illnesses, and because they are forced to look to the biomedical system for health care. Here I intend to lay down several degrees of inclusion, coexistence and exclusion of individuals, based on what I call control of pain experiences, as defined within the biomedical and Guarani systems. This work was carried out through fieldwork, participating observation, involving graphs, pictures and recordings to shape reasoning.

Keywords: causality, pain experience, Criollo people, Mbya-Guarani people.