Medical tourism (MT), sometimes referred to as health tourism or medical travel, involves both the treatment of illness and the facilitation of wellness, with travel. Medical tourism is a multifaceted and multiphase process involving many agents and actors that requires careful planning and execution. The coordinated process involves the biomedical, transportation, tourism, and leisure industries. From the communication perspective, the process can be viewed as a 5-stage model consisting of the: (a) orientation, (b) preparation, (c) experiential and treatment, (d) convalescence, and (e) reflection phases. Medical tourism is uniquely situated in a nexus of academic literature related to communication, business and management, travel and tourism, policy and law, healthcare and health administration. Communication permeates and perpetuates the medical tourism process and does so at the levels of interpersonal interactions (provider-patient communication), small group (healthcare teams), organizational (between healthcare providers), and mass and computer-mediated communication (marketing, advertising, and patient social support). This process may, in some cases, involve high rates of international and intercultural variation. Further study of the MT process can help to gain a better understanding of how healthcare consumers evaluate information about medical procedures and possible risks, as well as the specific message features and effects associated with various communication channels and information delivery systems. Continuing scholarly efforts also should focus on the relationship between medical tourism and communication.
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Medical Tourism and Communication
Alicia Mason
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The Ethnic Undercurrents in the Ethiopian Media
Terje Skjerdal
The ethnic aspect of Ethiopian media development can be described in four phases: During the Ethiopian empire, a lasting media policy was established reflecting Amharic hegemony. In the years of the communist Derg regime (1974–1991), cultural origin was suppressed for the sake of political control. With the Ethiopian People’s Revolutionary Democratic Front (EPRDF) (1991–2018), the media sector developed through emerging ethnic representation and regional self-governance. After Abiy Ahmed came to power and transformed the EPRDF into the Prosperity Party (2018–), media markets became freer and ethnic frictions surfaced.
Ethnicity transpires as an undercurrent in all of Ethiopia’s media history as well as in newsrooms. The situation is reflective of a society of more than 80 ethnic groups and a similar number of languages. The political history of the country can be read as a contestation between different regions and peoples and between ethno-nationalistic and unitarian preferences. Fault lines in the media sector can be understood in similar terms. Ethnification of the media augmented after 2018, witnessed not least by the rise of ethno-nationalistic media channels established by the returned digital diaspora. The armed conflict which broke out between the federal government and the Tigray region in 2020 amplified the ethnic discord in the media. The media in Tigray pledged allegiance to its region, while the federal media remained loyal to the central government. Various newsrooms and departments in Ethiopia news organizations appear as professional monocultures where groups among staff have a similar ethnic background. The identity question has gained little attention in Ethiopian media analysis, but recent studies have put the issue on the research agenda.
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Folly in the Fourth Estate: Editorial Cartoons and Conflicting Values in Global Media Culture
Christopher J. Gilbert
The editorial cartoon is a touchstone for matters of free expression in the journalistic tradition. Since their early inception in the politically charged engravings of 18th-century pictorial satirist William Hogarth to the present day, editorial cartoons have shone forth as signifiers of comic irreverence and mockery in the face of governmental authority and in the more generalized cultural politics of the times. In democratic nations they have been cast as a pillar of the fourth estate. Nevertheless, they—and the cartoonists, critics, commentators, and citizens who champion them—have also long stood out as relatively easy targets for concerns about where the lines of issues such libel, slander, defamation, and especially blasphemy should be drawn. This goes for Western-style democracies as well as authoritarian regimes. In other words, the editorial cartoon stands at a critical nexus of meaning and public judgment. At issue from one vantage is what it means to promote the disclosure of folly as the foolish conduct of public officials and the stupidity of institutions that are thereby worthy as objects of ridicule. From another vantage, there is the matter of what it is to deplore the comicality in journalistic opinion-making that goes too far.
To approach editorial cartoons from the standpoints of free expression and press freedoms is to verge on conflicting values of civil liberty in and around the so-called right to offend. This was true in the age of Hogarth. It was true in the days of famed French printmaker and caricaturist Honoré Daumier, who was imprisoned for six months from 1832 until 1833 after portraying Emperor Louis-Philippe in the L Caricature. It is also particularly true today in a global media age wherein editorial cartoons, whether or not they are syndicated by official newspapers, can traverse geographic and other boundaries with relative ease and efficiency. Furthermore, the 21st century has seen numerous cartoon controversies vis-à-vis what many commentators have referred to as “cartoon wars,” leading to everything from high-profile firings of cartoonists (including in the United States) through bans and imprisonments of artists in Middle Eastern countries to the 2015 shootings of cartoon artists at the headquarters of French satirical magazine Charlie Hebdo. Indeed, if the threshold of the free press is the killed cartoon, the limit point of the freedom of expression is the killed cartoonist. Hence the importance of looking beyond any one editorial cartoon or cartoonist in order to contemplate the comic spirit in certain historical moments so as to discover the social, political, and cultural standards of judgment being applied to the carte blanche of journalism and the comic license of those using graphic caricatures to freely editorialize their takes on the world—or not.
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Public Perceptions of Public Service in European Media
Natascha Just
In Western Europe, the notion of public service in the media was originally associated with traditional public-service broadcasters. However, since the 1990s, the general idea of public-service broadcasting and the continuing need for it in a digitized, content-abundant environment have been questioned. In particular, public-service broadcasters’ online activities have triggered controversial discussions and policy responses, not least because of direct competition with online services of the private media. At the same time, discussions have emerged about the meaning of public service and attendant concepts such as public value, challenging the hitherto commonly accepted attachment of the concept to a specific technology (broadcasting) and a specific—publicly procured and financed—organizational setting. In response to this and backed by politics, public-service broadcasters have reinvented themselves as public-service media. They have expanded their remit beyond television and radio into multimedia realms such as the Internet and, in addition to this, have started devoting new attention to the general public as their prime target of accountability—thus opposed to the original exclusive accountability to politics. Such accountability has been pursued, among other things, through direct cooperation with the public or other ways of connecting with it, for example, through personalization efforts and participatory formats. Although the public has rhetorically become the prime target of accountability, there is little discussion or acknowledgement of the actual perceptions that the public has about the general idea of public service and how public-service broadcasters accomplish this task. With few exceptions, studies continue the dominant paradigm of audience research, which construes the public almost exclusively as consumers.
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Reading “Asian Values” into Journalism Practices in Asia
Eric Loo
Discourse of “Asian values” in journalism is commonly contrasted with non-Asian or Western/Occidental libertarian values. This dualistic treatment of Asian versus Western journalism implies a professional and cultural dichotomy when in actuality the forms and methods of journalism are two sides of the same coin. Regardless of cultural contexts, journalists essentially address the who, what, where, when, why, and how questions in their reporting. Journalists react to events and issues. They source for credible reactions, fact check, and construct their news narratives in the interests of the general public. Reporting fairly, accurately, and truthfully are universal journalism principles. The issues that journalists in Asia confront daily are not radically different from journalists in the West. There are, nonetheless, variations of emphases in the goals, motivations, methods, and content in journalism as practiced in the West and parts of Asia. These variations are manifested in the practice of development-oriented journalism, which media scholars in parts of Asia deem to be more in line with the nation-building priorities of developing economies. It is worth revisiting the debates for a New World Information and Communication Order in the 1970s when responses to the normative theories of the press by media institutions and agencies in developing countries led to the conceptualization of “development journalism,” which, as an alternative to the adversarial journalism practice of media agencies in the West, was theoretically more reflective of the “Asian values” for social harmony, collective well-being, and deference to authority. Even as the binary perception of journalism practices by media scholars in the West and parts of Asia remains contentious, it is less about Asian cultural values per se that influence the methods, form, and substance of journalism but the political system, stringent media laws, public expectations of the media, role perception of the journalists, and power relation structure that ultimately shape journalism practices in Asia.
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Media Constructions of Culture, Race, and Ethnicity
Travis L. Dixon, Kristopher R. Weeks, and Marisa A. Smith
Racial stereotypes flood today’s mass media. Researchers investigate these stereotypes’ prevalence, from news to entertainment. Black and Latino stereotypes draw particular concern, especially because they misrepresent these racial groups. From both psychological and sociological perspectives, these misrepresentations can influence how people view their racial group as well as other groups. Furthermore, a racial group’s lack of representation can also reduce the group’s visibility to the general public. Such is the case for Native Americans and Asian Americans.
Given mass media’s widespread distribution of black and Latino stereotypes, most research on mediated racial portrayals focuses on these two groups. For instance, while black actors and actresses appear often in prime-time televisions shows, black women appear more often in situational comedies than any other genre. Also, when compared to white actors and actresses, television casts blacks in villainous or despicable roles at a higher rate. In advertising, black women often display Eurocentric features, like straight hair. On the other hand, black men are cast as unemployed, athletic, or entertainers. In sports entertainment, journalists emphasize white athletes’ intelligence and black athletes’ athleticism. In music videos, black men appear threatening and sport dark skin tones. These music videos also sexualize black women and tend to emphasize those with light skin tones. News media overrepresent black criminality and exaggerate the notion that blacks belong to the undeserving poor class. Video games tend to portray black characters as either violent outlaws or athletic.
While mass media misrepresent the black population, it tends to both misrepresent and underrepresent the Latino population. When represented in entertainment media, Latinos assume hypersexualized roles and low-occupation jobs. Both news and entertainment media overrepresent Latino criminality. News outlets also overly associate Latino immigration with crime and relate Latino immigration to economic threat. Video games rarely portray Latino characters.
Creators may create stereotypic content or fail to fairly represent racial and ethnic groups for a few reasons. First, the ethnic blame discourse in the United States may influence creators’ conscious and unconscious decision-making processes. This discourse contends that the ethnic and racial minorities are responsible for their own problems. Second, since stereotypes appeal to and are easily processed by large general audiences, the misrepresentation of racial and ethnic groups facilitates revenue generation. This article largely discusses media representations of blacks and Latinos and explains the implications of such portrayals.
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Cultural and Creative Industries
Vicki Mayer
The critical study of cultural and creative industries involves the interrogation of the ways in which different social forces impact the production of culture, its forms, and its producers as inherently creative creatures. In historical terms, the notion of “the culture industry” may be traced to a series of postwar period theorists whose concerns reflected the industrialization of mass cultural forms and their attendant marketing across public and private spheres. For them, the key terms alienation and reification spoke to the negative impacts of an industrial cycle of production, distribution, and consumption, which controlled workers’ daily lives and distanced them from their own creative expressions. Fears of the culture industry drove a mass culture critique that led social scientists to address the structures of various media industries, the division of labor in the production of culture, and the hegemonic consent between government and culture industries in the military-industrial complex. The crisis of capitalism in the 1970s further directed critical scholars to theorize new dialectics of cultural production, its flexibilization via new communications technologies and transnational capital flows, as well as its capture via new property regimes. Reflecting government discourses for capital accumulation in a post-industrial economy, these theories have generally subsumed cultural industries into a creative economy composed of a variety of extra-industrial workers, consumers, and communicative agents. Although some social theorists have extended cultural industry critiques to the new conjuncture, more critical studies of creative industries focus on middle-range theories of power relations and contradictions within particular industrial sites and organizational settings. Work on immaterial labor, digital enclosures, and production cultures have developed the ways creative industries are both affective and effective structures for the temporal and spatial formation of individuals’ identities.
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The Korean Wave and Korean Dramas
Hyejung Ju
For the past two decades, the Korean Wave has been recognized in many parts of the world, and has articulated dynamic junctures of globalization, regionalization, and localization in the realms of media and popular culture. Due to online media platforms such as streaming services, television content has been diversifying and increasing its transnational circulation. More recently, the outbound scope of K-drama and K-pop has further reached dispersed global audiences, most of whom are not Korean media consumers or fans, thanks to active use of social media, such as YouTube, in transnational media consumption. The Korean Wave can be a meaningful contra-flow in transnational pop culture. Moreover, the Korean Wave is an evolutionary cultural flow, as traced in the history of its growth. The Wave has been experiencing continuities and discontinuities in its stream for years, along with its popularity cycle, and interestingly disjuncture has shaped it differently. A set of studies of the Korean Wave should map out the presence of the Wave in the big picture of cultural globalization, beyond the pre-existing geocultural divisions. The very recent Korean Wave drives not only the flow of various kinds of content and formats but also reciprocal interchanges of diverse levels of human, financial, technological, and cultural elements; this reconstructs implied meanings of the Korean Wave and its globalizing phenomena.
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Copyright
Sara Bannerman
Copyright is a bundle of rights granted to the creators of literary, artistic, and scientific works such as books, music, films, or computer programs. Copyright, as one of the most controversial areas of communication law and policy, has always been the subject of political contention; however, debates surrounding the subject have reached new levels of controversy since the 1990s as a result of the new formats of creative works made possible by digital media, and as a result of the new practices of authorship, creativity, consumption, collaboration, and sharing that have arisen in light of networking and social media. Technological change has not been the only driving force of change; social and political change, including changing concepts of authorship, the recognition of the rights of women and indigenous peoples, and the changing structures of international relations and international civil society, have also been reflected in copyright law. Copyright policymaking has become an increasingly internationalized affair. Forum-shifting has contributed to the proliferation of regional and international copyright policymaking forums under the rubric of stand-alone intellectual property institutions such as the World Intellectual Property Organization (WIPO), as well as under institutions dedicated more broadly to international trade negotiations.
Communication scholars and others have contributed extensively to the field of copyright and intellectual property law. Communication scholars have made significant contributions in examining the cultural significance, political economy, history, and rhetoric of copyright, drawing on diverse fields that include cultural studies and critical political economy. Communications scholars’ influence in the field of copyright scholarship has been significant.
