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This chapter examines the “epidemic” of disability in post-Soviet Ukraine, and more specifically how state laws on the social protection of Chernobyl sufferers have turned suffering and disability into a resource affecting family, work, and social identity. It shows how the line between sickness and health becomes a highly politicized one as traditional forms of Soviet social organization, particularly the labor collective, are being replaced by a new architecture of welfare claims, privileges, laws, and identities. It also discusses the role of the Exclusion Zone in an informal Soviet economy and capitalist transition, as well as the ways in which workers micromanage inflation with a sick role sociality in their everyday lives. Finally, it considers the establishment of medical-labor committees to handle the growing number of disability claims related to the Chernobyl explosion and highlights a city of sufferers where so many individuals have gained their illnesses for life.

This chapter examines the experiential and political aspects of biological citizenship in post-Soviet Ukraine, with particular emphasis on the relationship between an emerging medical classification of the ill effects of the Chernobyl disaster and the social process of distribution of disability entitlements. Drawing on the experiences of three sufferers, the chapter considers the kind of experiences and social initiatives that have emerged between state medical classification and the redistribution of social welfare goods. It also explores the importance that Soviet administrators placed on the environment as a political tool to “normalize” catastrophe, and how that normalized environment influenced life stories and medical case histories. Finally, it discusses the ways that law, medicine, and corruption intersected with respect to the processing of disability claims.

This chapter examines how the self and social identity have been transformed in post-Soviet Ukraine within the legal and medical context of claiming illness from radiation dose exposure. It shows how the political and bureaucratic aspects of Chernobyl pervaded sufferers' lives, bringing to the fore the complexity of life's disruption by unstable parental and marital relations, unpredictable physical symptoms and emotional stress, patterns of hospitalization, unemployment, and bureaucratic transactions. The chapter tells the story of an elderly couple, using the concept of lichnost', or personhood, to shed light on some of the social and personal dynamics that influenced their life. It explains how the husband's pains, truths, instincts, and acts became key components in realization of his biological citizenship. It also considers how the deep intrusion of illness into personal lives fostered a type of violence that went beyond the line of what could be policed.

This chapter summarizes the book's main findings and their implications. It describes the Chernobyl aftermath as a prism that reflects, contains, and reconfigures the vexed political-economic, scientific, legal, and social circumstances in post-Soviet Ukraine. It emphasizes the disharmony among lawmakers, radiation scientists, health professionals, and sufferers as they stood along the continuum of knowledge production, power, moral sensibility, and self-disclosure. It considers how the radiation research process facilitated the naturalization of illnesses in bodies as a matter of “social health.” The chapter also discusses a number of ethical issues that bear on the fate of Chernobyl sufferers; for example, how future changes in social and economic contexts will affect the legitimacy of compensation mechanisms and categories of suffering. Biological citizenship, it argues, represents a complex intersection of social institutions and the intense vulnerabilities of populations exposed to the determinations of the international political economy.