Western medicine can seem culturally ambiguous to colonized patients. [fact]
The colonized obscurely realizes that penicillin is more effective, but for political, psychological, social reasons, he must at the same time give traditional medicine its due. (The healer fulfills a function and therefore needs to earn a living.) Psychologically, the colonized has difficulty, even here in the presence of illness, in rejecting the habits of his group and the reactions of his culture. Accepting the medicine, even once, is admitting, to a limited extent perhaps but nonetheless ambiguously, the validity of the Western technique. It is demonstrating one's confidence in the foreigner's medical science. Swallowing the whole dose in one gulp is literally getting even with it.
Frantz Fanon, A Dying Colonialism, loc. 422