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+# Main Argument
+Washington's writing about "black iatrophobia." This is a cultural
+history, so she wants to elaborate why African-Americans have developed
+this fear from the history of American medicine. Her argument is about
+class and race divisions between physician practitioners and "subjects"
+(patients or experiment victims). The book probably argues that white
+doctors' destructive experiments and discriminatory treatment to blacks
+has developed cultural adversity to modern medicine.
+
+# Anarcha Speaks barbarism
+The doctor pursues progress, for personal gain/egotistical reasons, but
+he ignores Anarcha's suffering, compartmentalizing it as "sacrifice."
+
+Anarcha is focused inward on her suffering. Unlike the doctor who wants
+to defeat God, Anarcha prays to Him. The only thing she wants is out,
+and the only way out is death because she has no freedom.
+
+The doctor's "document of civilization" is the speculum, the fistula
+operation, and evidence, but it's backed by this horrific underclass,
+the dark history Anarcha lives through, and much medical progress was
+discovered this way---admirable ends with abhorrent means.