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The fact that illness is associated with the poor --who are, from the perspective of the privileged, aliens in one's midst --reinforces the association of illness with the foreign: with an exotic, often primitive place.
Source: AIDS and Its Metaphors, ch. 5 (1989).
-- Susan Sontag, (Jan 16 1933-2004), US author, critic; She was one of the most influential contemporary American critics, utilizing new sensibility to evaluate art.