Joining a growing body of research calling for the integration of social analysis and postcolonial theory, recent work in medical sociology has analyzed health, illness, and medicine from a postcolonial lens. In this article, I argue for a postcolonial feminist approach to medical sociology that builds on this extant work while challenging methodological nationalism and cultural essentialism. Based on an analysis of gender-affirming health care for transgender and gender diverse (TGD) people in Thailand and the United States, I propose “sameness across difference” as a framework to analyze commonalities in the health care experiences of marginalized populations across nations as the products of imperial legacies. Drawing on 83 interviews with health care providers, TGD patients, and TGD activists, I demonstrate the role of imperialism in sustaining barriers to gender-affirming health care through the uneven geographic distribution of care across rural and urban areas and the reinforcement of racial and class hierarchies within cities.

中文翻译：

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差异中的相同性：对泰国和美国性别肯定医疗保健的后殖民女权主义分析

越来越多的研究呼吁将社会分析和后殖民理论相结合，医学社会学最近的工作从后殖民的角度分析了健康、疾病和医学。在本文中，我主张对医学社会学采取后殖民女权主义方法，该方法建立在现有工作的基础上，同时挑战方法论民族主义和文化本质主义。基于对泰国和美国跨性别者和性别多元化 (TGD) 人群的性别肯定医疗保健的分析，我提出“差异中的相同性”作为一个框架来分析各国边缘化人群医疗保健体验的共性：帝国遗产的产物。通过对医疗保健提供者、TGD 患者和 TGD 活动人士的 83 次采访，我展示了帝国主义通过农村和城市地区医疗服务地理分布不均以及种族和阶级强化，在维持性别肯定医疗保健壁垒方面发挥的作用。城市内部的等级制度。