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| Book Review | The American Historical Review, 108.4 | The History Cooperative
108.4  
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October, 2003
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Book Review

Canada and the United States



Catherine Ceniza Choy. Empire of Care: Nursing and Migration in Filipino American History. (American Encounters/Global Interactions.) Durham, N.C.: Duke University Press. 2003. Pp. xiv, 257. $19.95.

Until now, the near ubiquity of Filipina nurses in North American cities has attracted little scholarly attention despite the fascinating inequalities and redistributive powers of the global economy that they represent. By tracing the history of these caregivers a full century back to the violent imposition of American control on the Philippines, Catherine Ceniza Choy offers an absorbing account of the intertwined influences of imperialism, postcolonialism, migration, transnationalism, and gender on immigrants and the fractured state of multiculturalism today. 1
      This book addresses notable gaps in the study of immigration and Asian Americans. Second only to Mexicans in immigration levels, Filipinos will be the largest Asian American group by 2010, but, they are relatively poorly understood in comparison with their better-researched East Asian counterparts. Their history is markedly distinct from that of Chinese, Japanese, Koreans, and Vietnamese who share Confucian influences. In many ways, Filipinos are more closely akin to the former American and Spanish colonial subjects from the Pacific Islands or Latin America. 2
      The impact of their colonial past on the Filipino American present is generally assumed but poorly documented. Although they are usually considered emblematic of the post-1965 professionalization of Asian immigrants, Choy traces the production of Filipina nurses suited for American hospitals to colonial attempts to "civilize," "sanitize," and "educate" Filipinos and thereby vindicate American domination. Filipinas began attending American-founded nursing schools where they learned American concepts of science and hygiene as well as English. . . .

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