By Gordon Hull
Since we’re in the interregnum between “sign up for health insurance” time and “eat yourself into a stupor” time, it’s appropriate to notice something about pastoral power and our healthcare system. First, we’ll go back in time. Foucault proposes that pastoral power under medieval Christianity:
“Gave rise to an art of conducting, directing, leading, guiding, taking in hand, and manipulating men, an art of monitoring them and urging them on step by step, an art with the function of taking charge of men collectively and individually throughout their life and every moment of their existence.” (Security, Territory, Population (=STP), 165)
He then urges that this is not the same as political power, the power used to educate children, nor is it persuasion (“in short, the pastorate does not coincide with politics, pedagogy, or rhetoric” (164)). The pastorate does not disappear with the rise of modern power forms, as he emphasizes in a couple of places (STP 148, 150). Indeed, he makes a much stronger claim: “I think this is where we should look for the origin, the point of formation, of crystallization, the embryonic point of the governmentality whose entry into politics … marks the threshold of the modern state” (165).