Negotiating Health and Identity: Lay Healing, Medicinal Plants, and Indigenous Healthscapes in Highland Peru

Global health-care models for developing countries urge integration of traditional medicine with Western biomedicine. This article shows how residents of a remote Peruvian village negotiate among biomedicine, traditional medicine, lay indigenous medicine, and local knowledge of medicinal plants. Villagers’ health-care choices reveal that they often resort to medicinal plants before modern pharmaceuticals. Their discourses show that these choices reflect social and cultural processes beyond the medical: the revitalization of Andean identity, the conflictual relationship that villagers have with modernity, and the desire to evade or subvert the power that Western medicine has over them. This article elaborates the concept of the healthscape as an individual’s subjective vision of a landscape’s medical resources and institutions, limited by cost and accessibility and shaped by the uneasy coexistence of Western and indigenous medical systems.