1
Reinventing the Biomedical: Emerging Public Health Priorities in South Korea, 1948-19631
John DiMoia, National University of [email protected]
Max Planck Institute for the History of Science, [email protected]
I. Reshaping Developmental Visions
The majority of the images of South Korean medical diplomacy
shaping the nation’s public face tend to derive from the unusual
circumstances of the new nation’s origins—declaring its
independence in August 1948, following U.N.-sponsored elections
held earlier that same year (May)—during the early stages of the
Cold War. Labelled “Freedom’s Frontier” as the recipient of
considerable “Free World” technical assistance for the duration
of the 1950s, Syngman Rhee’s South Korea rapidly became a
developmental model bordering on the Communist World, and, along
with KMT (Kuomintang) Taiwan and LDP (Liberal Democratic Party)
Japan, shaped a loose but unmistakable set of defined boundaries,
a broad cluster of like-minded, anti-communist nations straddling
1 The emphasis placed on biomedicine after 1945 corresponds to earlier efforts—late Chŏson Korea and colonial Korea—but I am interested here in exploringits renewed mobilization under an independent South Korean government.
2
the Asian mainland.2 These origins, however, conceal a much more
complicated history. The relationships previously established by
Chŏson Korea at an earlier stage (19th century and earlier), not
to mention the more recent ties established under Japanese
colonial rule (1910-1945), did not simply disappear. In many
cases, these ties continued, albeit in reconfigured form, even as
the ROK (Republic of Korea) sought to establish itself as the
“legitimate” Korea, the dominant partner in the Cold War
ideological competition.
This paper takes up the subject of South Korean medical
diplomacy, not as configured exclusively through external
political or diplomatic relations, but framed primarily in terms
of the nation’s developmental ambitions for itself, whether as
structured for a domestic or an international audience. In its
formative stages as an independent nation, the ROK had to learn
how to position itself within a dense nexus of American and
international aid resources, while seeking to portray itself as
an emerging, thriving national community, and moreover, one with2 The label “Freedom’s Frontier” appears to be a product of the USIS (UnitedStates Information Service), and the label appears frequently in Korea War-erapublications, across several languages. See Greg Brazinsky, “From Pupil toModel: South Korea and American Development Policy during the early Park ChungHee Era,” Diplomatic History, Volume 29, Issue 1, January 2005, pp. 83-115.
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viable economic prospects.3 If North Korea was able to rebuild
(1954-early 1960s) with aid from its “fraternal nations,” a story
outlined first by Ruediger Frank, and more recently, developed
further by Charles Armstrong, Cheehyung Kim, and Suzie Kim, South
Korea’s developmental story had to contend with the surrounding
forces of contrasting Japanese and American developmental
visions, external ideals imposed upon it to various degrees.4 By
the early 1960s, however, the ROK was beginning to export its
newly skilled doctors and nurses, first to West Germany in 1963,
and later to the Vietnam War theatre (1964-1973) as part of a
project of providing medical welfare. In the latter case, Korean
medical personnel even treated Vietnamese civilians along with
wounded Korean soldiers.5 How did the nation begin to
3 For the aid context, both financial and technical, see the forthcomingedited volume, Engineering Asia, which I am co-editing, along with Hiromi Mizunoof the University of Minnesota and Aaron S Moore of Arizona State University.See also Greg Brazinsky’s Nation Building in South Korea; Koreans, Americans,and the Making of a Democracy. Chapel Hill, NC: University of North CarolinaPress, 2007.4 Ruediger Frank, Die DDR und Nordkorea :der Wiederaufbau der Stadt Hamhungvon 1954-1962. Aachen: Shaker Verlag, 1996. Charles Armstrong, The NorthKorean Revolution, 1945-1950. Ithaca, NY: Cornell University Press, 2004.Cheehyung Kim, The Furnace is Breathing: Work and Everyday Life in NorthKorea, 1953-1961. Ph.D. Dissertation, Columbia University, 2013. Suzy Kim,Everyday Life in the North Korean Revolution, 1945-1950. Ithaca, NY: CornellUniversity Press, 2013.5 ROK Forces in Vietnam. Seoul: Ministry of Public Information, (ROK), 1966.Medical relief work in Vietnam began as early as late 1964.
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reconfigure its medical institutions and begin this mobilization
in a compressed period of slightly under two decades (1945-1963)?
Nation-Building: Identifying Resources for Development?
Figure One: Spraying returning Koreans with DDT was a common formof quarantine control during the USAMGIK occupation of 1945-1948(source: 한한 한한한 한한한한한 / Pictorial History of Modern Medicine inKorea, 1879-1960, p. 288).
In terms of the newer scholarship, the position closest to
where this paper begins is the one outlined by Park Tae-gyun of
Seoul National University, who asks numerous questions about the
5
formative role of South Korean economic planners and strategists,
especially for the decade of the 1950s, and carrying into the
early 1960s.6 Set against the framework established by Carter
Eckert in Offspring of Empire (1991), Park argues that ROK
bureaucrats and state planners played an important role in
crafting economic policy as new forms of aid came to Korea.7
Moreover, he continues this project for the Park Chung Hee
period, tracing the reception of Walt Rostow’s modernization
ideas in the Korean context, while preserving an independent
space for the articulation of a specifically Korean version of
events.8 Similarly, I hope to acknowledge the intellectual debt
to both Japanese and American developmental forms of discourse,
while also recognizing that Korean technocrats and health
officials clearly had their own visions of how the nation might
achieve its goals. This project is particularly interesting and
6 Park Tae-gyun, “Different Roads, Common Destination: Economic Discourses inSouth Korea during the 1950s,” Modern Asian Studies, Volume 39, Issue 3,August 2005, pp. 661-682.7 Park develops these ideas extensively in his other writings, including thebook, 원원원 원원: 원원 원원 원원원원원 원원 / Archetype and Metamorphosis: The Origins ofKorea’s Economic Development Plans. Seoul: Seoul National University Press,2007.8 Similarly, I hope to develop the perspective of the Ministry of PublicHealth, along with the ground-level perspective of actors such as doctors andpatients.
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important for the Syngman Rhee period (1948-1960), as it is often
skipped over by historians, who tend to credit Park Chung Hee
(1961-1979) almost exclusively with the successful transformation
of Korean society and the economy.
In terms of its public health, basic infrastructure, and
economic and social planning policies, the Rhee period holds far
more of interest than has been explored to date, especially as
many of the first generation of Korean techno-bureaucrats held
ambitions for the nation well beyond those envisioned by its
Western aid donors. In the interests of time, this paper will
focus on public health as a case study (1945-1963), attempting to
sketch out the various means by which the Rhee government reached
out to its public, especially in the second half of the decade
(1954-1960). Public health was a particularly problematic area
of concern, as the majority of the training and expertise lay
with those who possessed some experience of Japanese higher
education. This created an identity problem for the Koreans who
held these positions, and it was an issue frequently noted by
Western partners, who tried to understand and sometimes minimize
the perceived effects associated with Japanese training.
7
In the period immediately following liberation / haebang in
August 1945, these issues were less obvious, and have often been
overlooked in a historiography seeking to establish patterns of
continuity between Chŏson Korea and the post-1945 era.9 In
contrast to such an approach, I aim to identify the diverse
resources from which an emerging South Korean public health
network might remake itself, recognizing that some of these
elements do not necessarily fit a nation-centered paradigm. The
traces of Japanese training are the obvious example here, but
this observation also holds for the conspicuous presence of
traditional medicine, which represented a problem for both the
American occupying forces, and subsequently, for the first
generation of South Korean public health practitioners.10 In
particular, rural public health represented a problem for the
Japanese, who tended to the large cities primarily, and it was
9 I recognize that the emphasis on South Korea as “new” does not necessarilyfit the narrative of Korean Studies as articulated in its North Americanversion. For the USAMGIK context, see Shin Jwa Sup, “Kunchŏngki ŭibokŏnŭiryŏngchŏngch’aek, “Policy of USAMGIK toward Public Health and Medicinein Occupied South Korea,” Korean Journal of the History of Medicine, December2000, (9.2), pp. 212-232.10 The emphasis on identity appears in the context of the Minnesota project(1954-1962) at Seoul National University Hospital, as well as the ScandinavianProject (1958-1968) at the National Medical Center.
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not clear what form of practice could adequately meet the needs
of rural communities.
With the set-up of a repatriation scheme following August
1945, the occupying authority, USAMGIK (United States Army
Military Government in Korea, or ) established a quarantine
system focusing upon four major port cities—Inchon, Kunsan,
Mokpo, and Pusan–to handle the receipt of returning Koreans, with
the majority of these individuals coming from Japan and nearby
parts of northeast Asia. At the same time, the repatriation plan
also called for the return of thousands of Japanese soldiers,
settlers, and functionaries, with some of these individuals based
in the east and northern regions of China. In short, the Korean
peninsula served as a vast point of entry and departure for much
of late 1945, and well into 1946, placing a severe strain on its
already limited resources, creating conditions suited to a major
outbreak of disease. Arguably, these are the circumstances
representing the origins of a “South Korean” public health, and
along with the Korean War to follow, brought dramatic change to
the medical profession.
9
During the period leading up to formal independence (Sept-
1945 to Aug 1948), the two major issues for setting up a public
health system involved the identity of practitioners. As noted,
those with Japanese training held the majority of the senior
positions, and this trend continued, although not without a good
deal of internal struggle and pressure behind the scenes.
Second, the number of hanuihak (traditional Korean medicine)
practitioners peninsula-wide vastly outnumbered doctors with
Western training, and this trend also held for the near future,
at least for another decade.11 In the short-term, the combined
effect of these two trends was a quarantine system with very
different effects depending upon where one lived and traveled.
At the height of a major cholera outbreak taking place in the
spring and summer of 1946, for example, a patient might be
treated by a traditional practitioner in the countryside, or11 Thomas Turner, “Chapter XVIII: Japan and Korea,” in CIVIL AFFAIRS /MILITARY GOVERNMENTPUBLIC HEALTH ACTIVITIES,” (PREVENTIVE MEDICINE IN WORLD WAR II : Volume VIII),(Ed: John Lada), Office of the Surgeon General, Department of the Army,Washington, DC, 1976, pp. 659-707. See also Military Government Organization- Korea (Historical Summation); Report on Public Health Problems of SouthKorea (Draft Proposal ECA Program - Korea), Brig. Gen. Smith - USPHS, 1945 -1953 ARC Identifier 504011 File Unit from Record Group 331: Records ofAllied Operational and Occupation Headquarters, World War II, SupremeCommander for the Allied Powers. Medical Section. Public Health and WelfareDivision. Administration Section. Smith Report, "Some Problems in PublicHealth in Korea.”
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similarly, be treated by either a Korean or American (Western-
trained) doctor closer to a major city. The same individual
might easily be detained at a number of points, as travel
restrictions were enforced as part of the quarantine regime,
which at its height, even limited the number of individuals
permitted to assemble for public gatherings, including weddings
and funerals.
Some historians have taken hold of this last point to note
the occupation’s similarities with the preceding Japanese period.
In both cases, Koreans found themselves policed, regulated,
inspected, and treated by foreign medical professionals, quite
often with little explanation of the contextual circumstances,
leading to the expression of resentment and confusion. If the
Japanese health authority placed its control under the police
bureau, the occupation was careful to end this practice, aware of
the problems it caused when health representatives came to
quarantine a tubercular patient, for example.12 Still, the
degree of intervention and the lack of information made for an
uncomfortable period of transition, and the image of medicine,
12 The removal of the police authority over public health was one of USAMGIK’sfirst measures.
11
especially Western biomedicine, was an ambivalent one for much of
the period preceding the outbreak of war (see Figure One). In an
effort to transform this image, Korean doctors began to form
links with international organizations as early as the late
1940s, sending representatives to W.H.O. (World Health
Organization) conferences beginning in 1946.13 In turn, such
organizations, including W.H.O. and the Rockefeller Foundation,
began to perform inspection tours of the peninsula to survey its
circumstances.14
II. The Korean War: Ideology, Propaganda, and Biomedicine
(1950-1953)
13 “Public Health in Korea,” p. 18. Provided by Seoul National University,PHPS.14 In turn, the Rockefeller visit proved to be enormously influential for theformulation of population policy. See Rockefeller Foundation Survey Trip to the Far East, 1948.
12
Figure Two: Young children receive medical treatment under theauspices of the United Nations. The text reads, “The UN istreating / handling disease.” (Source: Hoover Institute, Stanford University).
With the transition to the Korean War, the importance of
biomedicine was reinforced, taking on an even greater role than
the one it held in terms of disease prevention during the
occupation. The various actors in the war—China, North Korea,
South Korea, The United States, and a diverse array of
international participants—each utilized images of medicine in
some fashion as part of the corresponding propaganda and
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ideological war.15 Again, with time and space constraints, we
cannot look at every possible nuance here, but a survey of the
major actors shows that biomedicine / medicine figured
prominently in the imagination of the various parties, especially
in terms of the ideological package provided if one were to
choose the “right” side in the conflict. The United Nations, for
example, frequently offered images of war relief in its
materials, often with images of young children and orphans under
its care (see Figure Two).16 Similarly, it depicted the
technologies of vaccination and medical care as part of its core
strength, conquering disease, and by extension, the enemy
combatant. Appealing to the individual soldier, the UN offered
skillfully crafted images of loss and regret, asking the North
Korean (and Chinese) GI to consider the costs of participation in
the war.
Such images invoked not only the possibility of physical
injury—the loss of a hand or a limb—but also, the additional
absence of the home and family, with these placed at a distance15 References to the possibility of biological warfare, drawing upon Japanese,Chinese, and North Korean sources, continue to make for a fascinating subtext to the story of medicine during the Korean War. See 16 The National Rehabilitation Center was established with UN assistance afterthe war at Tongnae, near Pusan.
14
because of military obligations (see Figure Three). These types
of materials mobilize medicine to locate personal circumstances
in a narrative of incommensurable regress, without the
possibility of return, or any kind of reconciliation. Unlike the
postwar, the emphasis is not on the future and growth, but
rather, on an unrecoverable past, one lost through poor choices.
As for the Communist side, English and Korean language materials
designed to appeal to American and Korean soldiers sometimes
contained such images, but the most dominant themes here focus on
a theme of subsistence: warmth, food, and cigarettes. The
American soldier learns that “his” war is actually one shaped by
the needs of the industrialists, the Rockefellers and the Fords,
and that he need not become invested in such matters. Along
these lines, both sides regularly provided leaflets with “safe
passage” certificates, often rendered in several different
languages, enabling the bearer to cross enemy lines and
surrender. To date, there is not a literature exploring the use
of these documents in the field, but their appearance in multiple
archives attests to the fierce propaganda war taking place.
15
Figure Three: A NK soldier regrets the loss of his right hand,and by extension, the loss of his home and family (Source: HooverInstitute, Stanford University Library). The text above markshis regret, “If only I could hold my child once more . . . ”
With this propaganda war, it becomes extremely difficult to
posit a single or unitary “Korean” viewpoint on the shifting
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image of biomedicine, as there were multiple sources providing
images, posters, and fliers as part of the hotly contested
information war. The ideological gap between North and South
Korea marks the obvious reference point here, but even for South
Korea, for example, there were multiple authorities contributing
to the growing body of discourse on medicine and its possible
benefits. The United Nations and its various sub-bodies—UNKRA
(United Nations Korea Reconstruction Agency) and UNCACK (United
Nations Civil Assistance Command, Korea), among others—provided
the largest volume of materials, but related information
continued to circulate under the labels of various national
bodies, most prominently, the United States (see Figure Four).17
In general, images were meant to be warm, comforting, reassuring
the civilian population that they would be taken care of, despite
the chaos of the surrounding conflict. It is also useful to
recall that many Koreans would not yet have had extensive
experience of contact with Western biomedicine, so the images
17 If The United States was prominent in this activity, there were a number ofother actors, and this is true for the post-war as well. See The National Medical Center in Korea: A Scandinavian Contribution to Medical Training and Health Development, 1958-1968. Oslo: Universitetsforlaget, 1971.
17
also offered an introduction, forming part of a process of
familiarization.
Figure Four: NORMASH in Korea (source: author’s collection).Along with the United States, a number of Western partnerscontributed to medical relief work.
III. Postwar Medical and Relief Work (1954-1960)
Balancing Strength and Weakness
The recovery process continued after 1953, and famously,
many of the UN-backed organizations—formed in late 1950 to begin
the work of consolidating a unified Korea—continued their wartime
work as part of reconstruction for South Korea. Here again, the
images and materials circulating offer a wide range of views,
depending on the intended audience, international or domestic,
and also varying a good deal with the medium of language. In
general, though, the use of medicine in the post-war sought to
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present South Korea for the first time as a sovereign nation, no
longer a temporary arrangement. Moreover, especially for an
international audience, keeping prospective donors and patrons in
mind, this was a nation interested in compliance with emerging
mid-century standards of health and hygiene. The pre-war surveys
and tours now became valuable as a form of baseline metric, and
sometimes Japanese-language materials from the 1920s and 1930s
were consulted in the interest of understanding the extent of the
damage brought by war.
In shaping a developmental narrative, the images and
language used to portray post-war South Korea embodied a curious
paradox. On the one hand, the devastation and destruction had to
be represented as severe, a sign of Communist aggression,
justifying the intervention and assistance offered to a neighbor
in need. At the same time, South Korea had to be represented as
resilient, emerging from the problematic situation, as it took
its place as the one, legitimate Korea, in stark contrast to its
unspoken neighbor to the north. In this version of events, the
Japanese colonizer played a minimal role, and the vast majority
of the damage was inflicted with the invasion of June 25th, 1950.
19
Traditional practice was rendered nearly invisible, and
biomedicine took on the burden of providing relief in a variety
of forms. Moreover, the relative shortage of Korean
practitioners was sometimes an issue, and sometimes not,
depending upon whether a particular image was being used to
mobilize funds for scholarships. In any case, these alternating
patterns of strength and weakness offered a paradox as South
Korea began to find its way in early 1954, establishing new
institutions and patterns of health.
This dynamic was further complicated by the relative
position of the nation within an emerging international system,
and scholars are just now beginning to recognize that Korea
represented one of the first test cases for the United Nations
and its stated mission. Along these lines, Eleanna Kim, in
Adopted Territory (Duke University Press, 2010) and Arissa Oh, in the
forthcoming To Save the Children of Korea (Stanford University Press,
2015) have each looked at the development of an international
system for adoption, and at how Korean adoptees were often placed
within a narrative where they were seen as a good fit with white,
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“Christian” families.18 For medical relief, similarly, the power
differential between donor nations and the Korean recipient
sometimes created tensions, and it took considerable time and
effort to translate the various aid packages into tangible
results. In many cases, Koreans needed familiarization with
biomedicine and its possible benefits, as the lingering images
from colonial rule and the occupation left an uncomfortable
legacy.
To begin overcoming the unease, the South Korean government,
especially those bodies specifically tasked with addressing
public health issues, had to generate a new set of images and
associations. This work took place in a context where the Bureau
of Public Health and Welfare had to simultaneously reach out to
its domestic public, while also matching the criteria expected by
its international partners. Not surprisingly, the language of
many of the posters, pamphlets and print materials circulated at
about this time corresponds to this set of needs, including a
number of new phrases presumably translated into Korean.
Similarly, there is a highly visual rhetoric, with a minimum of
18 For more on this context, see the famous memoir from the Holt family: Bertha Holt, Seed From the East, Holt International Children’s Services, 1956.
21
hanja (Chinese characters rendered in Korean usage) in the text
provided, opting instead to render phrases in hangul almost
exclusively. Other materials, available only in English, were
likely designed to reach out to funding agencies and partners,
and presumably had little purchase with a domestic audience.
Creating a Public Health Network
For much of the second half of the 1950s, the priority for
public health consisted of meeting the material needs to get an
effective network up and running. This involved training Korean
doctors and nurses in quantity, which for this period, frequently
involved overseas training and scholarships.19 With this
increase in the number of available personnel, there was a
corresponding effort to place these individuals in settings where
the public could access their skills. However, the problem here
lay with a regional bias continuing to the present day, with the
vast majority of medical personnel preferring to attach
themselves to facilities based in major cities, especially Seoul.
This led to an uncomfortable gap between the urban and the rural,
and again, there is a lengthy history to this trend. As a means
19 Again, the United States was among the most popular destinations, but many others went to Europe as well.
22
of minimizing this problem, the Bureau of Public Health tended to
concentrate on the specific diseases it wanted to target, using
these as its metric to satisfy its patrons.
In selecting its targets, the emerging public health
apparatus identified a set of common issues, and perhaps not
surprisingly, many of these same themes had cropped up previously
with the Japanese, roughly two decades earlier. In particular,
chronic or endemic disease conditions like leprosy, tuberculosis,
and parasites became the core of a program that sought to
remediate these problems in a visible fashion. This type of
problem-centered approach was useful in that it attracted the
attention of donors and supporters, foreign and domestic. And,
at the same time, it offered a form of material testimony to a
program of recovery from the war, with easily quantifiable
metrics in terms of numbers of patients, funds utilized, and
materials purchased. The Japanese context rapidly faded into the
background, with the war remaining as the major explanatory
factor for any issues of lack or deprivation. This elision of
the pre-1945 context was not only convenient in terms of defining
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the material context, but also in terms of handling any identity
issues for Korean personnel.
As for these personnel, training and pedagogy formed the
core of the effort for much of the next decade, carrying well
into the Park Chung Hee period (1961-1979), and arguably beyond.
The post-war generation of Korean nurses and doctors was the
first to benefit from a large-scale infusion of external funding,
providing for new equipment, training, and especially, overseas
study opportunities. For those with prior Japanese training,
here was an opportunity to experience firsthand the latest in
clinical training, and one could return to South Korea with a
“new” professional identity, if successfully negotiated.
Numerous programs of exchange, based primarily in the United
States and Western Europe, established networks for Korean nurses
and doctors in training, with periods of international training
extended to as long as twenty-four months in some cases.20
Collectively, this activity was represented as contributing to a
20 The Minnesota Project, for example, allowed for a period of two years in some cases.
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rapidly recovering nation, and migration was rarely an issue, at
least not publicly.21
Domestically, the effects of this mobilization were felt
primarily in terms of the availability of new resources, although
there remain numerous questions as to how much the average
individual knew of this possibility, and whether he or she cared
to access the facilities. Ministry records for tissue sampling
remain extremely low for the duration of the decade, a testament
to the relative lack of biological work being done in Korean
hospitals.22 Autopsies, similarly, were rarely performed, most
likely due to storage / preservation issues, along with the
considerable cultural baggage associated with the procedure.23
What public health officials could celebrate was the conspicuous
material growth, the visible signs of the incoming funds
translated into sites including new clinics, hospitals, and
health centers. Linking these to disease conditions was helpful
as well, implying that there might be a causal relationship
between the two. 21 At least officially, brain drain did not become a problem for Korean healthprofessionals until after 1965 changes to US immigration law.22 Ministry of Public Health, Annual Report, 1955, 1956, 1957.23 The autopsy has a history dating to the Japanese colonial period, assuming one accepts a biomedical conception of the autopsy.
25
The construction of a nascent health network was not
restricted to this period, of course, and continued well into the
Park period, overlapping with the Family Planning (1964-early
1980s) and Anti-Parasite (1969-mid 1990s) campaigns of succeeding
decades. Still, the public health apparatus of the Rhee period,
as thin as it was, provided some semblance of a reporting
mechanism for outbreaks of disease. If there were clear
historical precedents to this, the system now being set in place
could at least claim novelty for itself, poised between two poles
of a tentative narrative. For its origins, the link in the past
was placed with the arrival of missionary medical efforts in the
19th century. The mid-century mobilization then built upon this
activity, and again, was justified in terms of the destruction
caused by war. Biomedicine became a condensed means of telling a
teleological story about the fulfillment of the past, and the
prospects of a bright future lying ahead.
In material terms, medical conditions on the ground by the
late 1950s were probably not substantially different from about a
decade early, the period following the end of the American
Occupation. The number of Western-trained practitioners had
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increased certainly, but access to such individuals was highly
mediated, to say the least. A combination of factors, including
physical distance, cultural associations, and a lack of easy
access, meant that many individuals continued to use some form of
traditional practice, and this would remain the case through at
least the decade of the 1970s. Drug markets, unregulated from a
present-day standpoint, flourished in many places alongside such
practice, and in effect, health was a matter for self-regulation,
not yet perceived as a concern of the state as a regulatory
matter. This would begin to change in the early 1960s with the
introduction of the first national health insurance scheme (1963)
—although it would evolve dramatically over the next three
decades (1963-1989)—and with the interventionist style of
governing associated with the Park Chung Hee state.24
What changed during these two decades was more a matter of
perception and subtle dgrees of shading. For all of the
criticism it receives, much of it deserved, the Rhee government
initiated many of the practices and reforms which would only come
to their full realization under Park. For medicine specifically,
24 Joseph Wong, Healthy Democracies: Welfare Politics in Taiwan and South Korea. Ithaca, NY: Cornell University Press, 2006.
27
the establishment of new networks of medical exchange meant the
formation of key relationships, many of which carried on through
the early 1970s. The return of large numbers of overseas-trained
Korean doctors and nurses meant a new emphasis on clinical
practice, and this made both sides happy, translating aid dollars
into a menu of routinized behaviors in the hospital. By the late
1950s, the image of medicine placed its emphasis on youth, both
in terms of the relative novelty of the new forms of care, and
specifically, in terms of the patient demographic (see Figure
Six). The Korean War was labelled as past, and recovery and
rehabilitation were tangible, to be accomplished through specific
sets of practices conveyed with international assistance, and
made available to the individual.