Perhaps Wolfman can explain further the Mosuo's attitude towards medicine, technology, and modern products - food, clothes etc.
Medicine is a very tricky issue; the Mosuo, for the most part, still consider illness to be caused by evil spirits or angry gods. The first stage in treatment of
any illness will be to call in the Daba priest, and have him perform various ceremonies to restore harmony. If this fails, the priest may then be called on to do some sort of divination, and determine what actions the family needs to take to rid themselves of this affliction. This action
may include advising them to go to a hospital, but is far from being a foregone conclusion.
Trying to explain bacteria and viruses (much less genetic diseases) is an exercise in futility in many cases; the idea of microscopic creatures they can't even see causing disease seems as ridiculous and deluded to them as their belief it is caused by evil spirits seems to us. The younger generation, who have received at least a basic education, are changing in this regard...but they're not the decision makers.
So, in many cases, hospitals are the option of last resort, to be taken only if every other possible 'treatment' has been exhausted. But hospitals are generally quite far away (families may end up travelling 8-12 hours to get to the nearest decent hospital), and the costs are often way too high for the average Mosuo family. Add to that the fact that many Mosuo don't go to the hospital until it is too late (and die anyway), and the Mosuo just don't see much value in spending so much money for treatments that they don't understand, and that don't seem to help anyone anyway.
As the Daba priest is generally the main source of advice in any community, one of our potential strategies is to focus on educating the Dabas about medicine; if we could convince them of the value of proper medical care, they'd then recommend it to Mosuo families, who would do it because that's what the priest told them to do. There is one young Daba priest with whom I am very good friends, and we spend a lot of time together. He is woefully uneducated in anything except the Daba religion (he didn't even complete grade one of primary school, speaks faltering Chinese, and is completely illiterate); but he's one of the nicest, most sincere guys I've ever met, and he's responded quite positively to my efforts to give him more knowledge. I just have to be careful to present information in a way that does not directly contradict his own religious beliefs.
So, for example, when I was explaining viruses and bacteria to him, at first he was just overwhelmed, found it beyond comprehension. Then, at one point, I said, "Well, you can't see ghosts, spirits, or gods, but you believe in them, right?". His response was not what I'd expected -- "Oh, so you mean this is just your version of ghosts and spirits!". That was
not what I meant...but it provided a convenient hook that allowed him to incorporate what I was telling him into his faith. By the same token, when I talked about medicines, vaccines, etc., he remained resistant and uncomprehending until I equated medical treatments with the ceremonies he does to defeat evil spirits.
Thus, his actual understanding of "medicine" is rather comical (from our perspective)...his view on it is that medicine is basically just another religious means of doing what he does: that is, defeat evil spirits with the judicious application of the appropriate ceremonies. But, for all that it is inaccurate, it serves its purpose...if he performs his own ceremonies, and they don't work, he will then immediately suggest that people try a hospital, where perhaps their ceremonies will prove more effective.
And I want to emphasize here that I don't intend this to be patronizing, or anything like that. This man is a close friend, and someone for whom I have phenomenal respect. He is one of the members of our committee, and one of our most important resources in terms of recording and preserving the Mosuo oral history. His background and education give him a view of the world that is radically different than mine, and it is my responsibility to
first understand his perspective and beliefs, and then find a way to work within that structure, rather than to simply treat him like some ignorant simpleton and expect him to abandon everything he believes and think/act like I want him to.
The process of change is slow, and gradual. And it will become even more difficult if we fail to demonstrate respect for their culture and beliefs. Long-term, education and exposure to the outside world will inevitably shift or change their beliefs -- sometimes for the better, sometimes for the worse. In
this project, one
must take the long-term perspective; not thinking in terms of a few years, but thinking in terms of decades.