Before
and during our stay at Las Cruces Biological Station in San Vito, our group visited
two hospitals in San Jose and the indigenous Boruca community in the
South-Pacific. Though each of the trips were insightful and helped me better
understand medicine and indigenous culture in Costa Rica, I also at times found
myself wondering how our presence as students and tourists affects those whom we
were observing.
Our visit to the private Hospital
Clínica Bíblica left me thoroughly impressed with their professionalism and attention
to patient needs and privacy. However, our tour of the public Hospital San Juan
de Dios did not leave me with the same feeling. This feeling had nothing to do
with the actual quality of care that I perceived in our short visit; in fact, I
was impressed with how the hospital managed the copious number of patients
seeking free medical care, especially after learning that San Juan de Dios
still provides some of the highest quality care in the country. However, early
on in the tour, we walked through several intensive care units, each packed
full with patients in their most vulnerable, debilitated states. To me, it
seemed a bit intrusive to parade a group of 13 students from the United States
through these wards strictly for our learning benefit - do we value our
experiential learning over the privacy of others? With roles reversed, the last
thing I would want would be 13 curious pairs of eyes peering over my bedridden,
hospital-gowned, half-conscious body. Though our professor Nicolas mentioned
that patients here are used to this type of exposure, I still couldn’t help but
feel a bit uncomfortable and as though I was “that tourist.” It is in this type
of situation that you are forced to consider whether your ethnocentrism is
influencing your perception of a simple cultural aspect, or if the patients’
comfort and privacy are actually being compromised with these close-up and
intimate tours.
Likewise, the Boruca community’s presentation
on the preparation of their intricate masks, vibrant dyes, and other crafts
made me question how our presence impacts their culture. Though I understand
that the profits of tourism ultimately provide the community with resources it
otherwise would not have, it is important to recognize how tourism also alters the
traditional culture. As we have learned in class, the Boruca style of masks has
developed over the years to be more marketable to tourists, and therefore, more
profitable. Undoubtedly, other aspects of their culture, such as the cultural
dance called the “Juego de los Diablitos,” have evolved to better suit our
consumerist tastes as well. At this point, are we really experiencing their
culture, or just a version tailored to what we want to see? Is there a way that
we can still appreciate and learn about indigenous cultures without
simultaneously distorting them?
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