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Health at Risk: America's Ailing Health System—and How to Heal It (A Columbia / SSRC Book (Privatization of Risk))
by Hacker Jacob S. Ed.In this volume, the nation's leading advisors on health policy and financing appraise America's ailing healthcare system and suggest reasonable approaches to its rehabilitation. Each chapter confronts a major challenge to the country's health security, from runaway costs and uneven quality of care to declining levels of insurance coverage, medical bankruptcy, and the growing enthusiasm for health plans that put patients in charge of risk and cost. Bringing the latest research to bear on these issues, contributors diagnose the problems of our present system and offer treatments grounded in extensive experience. Free of bias and rhetoric, Health at Risk is an invaluable tool for those who are concerned with the current state of healthcare and are eager to effect change.
Health Care and Poor Relief in 18th and 19th Century Northern Europe (The History of Medicine in Context)
by Ole Peter Grell Andrew CunninghamThroughout history governments have had to confront the problem of how to deal with the poorer parts of their population. During the medieval and early modern period this responsibility was largely borne by religious institutions, civic institutions and individual charity. By the eighteenth century, however, the rapid social and economic changes brought about by industrialisation put these systems under intolerable strain, forcing radical new solutions to be sought to address both old and new problems of health care and poor relief. This volume looks at how northern European governments of the eighteenth and nineteenth centuries coped with the needs of the poor, whilst balancing any new measures against the perceived negative effects of relief upon the moral wellbeing of the poor and issues of social stability. Taken together, the essays in this volume chart the varying responses of states, social classes and political theorists towards the great social and economic issue of the age, industrialisation. Its demands and effects undermined the capacity of the old poor relief arrangements to look after those people that the fits and starts of the industrialisation cycle itself turned into paupers. The result was a response that replaced the traditional principle of 'outdoor' relief, with a generally repressive system of 'indoor' relief that lasted until the rise of organised labour forced a more benign approach to the problems of poverty. Although complete in itself, this volume also forms the third of a four-volume survey of health care and poor relief provision between 1500 and 1900, edited by Ole Peter Grell and Andrew Cunningham.
Health Care and Poor Relief in 18th and 19th Century Southern Europe (The History of Medicine in Context)
by Ole Peter GrellThe poor and the sick-poor have always presented a problem to the governments and churches of Europe. Whose responsibility are they? Are they a wilful burden on the honest working population, or are they a necessary presence for the true Christian to live the true Christian life? In the 18th and 19th centuries what happened to the poor and the sick-poor in the north and south of Europe was different. In the north there occurred first the Reformation in the 16th century, which changed attitudes to the poor, and then the advent of industrialisation, with its far-reaching effects of pauperisation of people both in town and countryside. In the Catholic south, where industrialisation did not appear so soon, the Catholic Church introduced a programme of reform at all levels but along traditional lines. This included the founding of new orders dedicated to the care of the poor and sick, of new institutions within which to house and care for them. At all times it was taken for granted that it was a necessary aspect of being a Christian that one should give for the care of the needy, and that this was not the duty of the state or of secular institutions. The secularising movement did however reach the southern countries by way both of the Enlightenment and - more drastically - in the form of the Napoleonic invasions. But after the defeat of Napoleon, the Church reasserted its right to administer and control the support of the poor and sick, and this situation continued until 1900 in most areas. Moreover the effects of industrialisation and the concomitant increase in population did make itself felt in the south in the course of the 19th century, which put great stress on the institutions for poor relief and health care for the poor. All this is still relevant today, since the situations that governments and the Catholic Church found themselves confronted with, and the stark choices they had to make, are being replayed to some extent today. Who is responsible for the poor, who is to blame for their being poor? How should their poverty be relieved, how should the health care of the many be funded? These are still live issues today. While complete in itself the present volume also forms the fourth and last of a four-volume survey of health care and poor relief in Europe between 1500 and 1900, edited by Ole Peter Grell and Andrew Cunningham
Health Care and Poor Relief in Counter-Reformation Europe
by Ole Peter Grell Andrew Cunningham Jon ArrizabalagaThe role of religion was of paramount importance in the change of attitudes and approaches to health care and charity which took place in the centuries following the Council of Trent. Health Care and Poor Relief in Counter-Reformation Europe, examines the effects of the Counter-Reformation on health care and poor relief in Southern Catholic Europe in the period between 1540 and 1700.As well as a comprehensive introduction discussing issues of the nature of the Catholic or Counter-Reformation and the welfare provisions of the period, Health Care and Poor Relief sets the period in its social, economic, religious and ideological context. The book draws on the practices in different localities in Southern Europe, ranging from the Republic of Venice and the Kingdom of Naples to Germany and Austria. These examples establish how and why a revitalised and strenghtened post-Tridentine Catholic church managed to reshape and reinvigorate welfare provisions in Southern Europe.
Health Care and Poor Relief in Protestant Europe 1500-1700 (Routledge Studies in the Social History of Medicine)
by Ole Peter Grell Andrew CunninghamThe problem of the poor grew in the early modern period as populations rose dramatically and created many extra pressures on the state. In Northern Europe, cities were going through a period of rapid growth and central and local administrations saw considerable expansion. This volume provides an outline of the developments in health care and poor relief in the economically important regions of Northern Europe in this period when urban poverty became a generally recognized problem for both magistracies and governments. With contributions from international scholars in the field, including Jonathan Israel, Paul Slack and Rosalind Mitchison, this volume draws on research into local conditions and maps general patterns of development.
Health Care for Some: Rights and Rationing in the United States since 1930
by Beatrix HoffmanIn Health Care for Some, Beatrix Hoffman offers an engaging and in-depth look at America’s long tradition of unequal access to health care. She argues that two main features have characterized the US health system: a refusal to adopt a right to care and a particularly American approach to the rationing of care. Health Care for Some shows that the haphazard way the US system allocates medical services—using income, race, region, insurance coverage, and many other factors—is a disorganized, illogical, and powerful form of rationing. And unlike rationing in most countries, which is intended to keep costs down, rationing in the United States has actually led to increased costs, resulting in the most expensive health care system in the world.While most histories of US health care emphasize failed policy reforms, Health Care for Some looks at the system from the ground up in order to examine how rationing is experienced by ordinary Americans and how experiences of rationing have led to claims for a right to health care. By taking this approach, Hoffman puts a much-needed human face on a topic that is too often dominated by talking heads.
Health Care in America: A History
by John C. BurnhamA comprehensive history of sickness, health, and medicine in America from Colonial times to the present.In Health Care in America, historian John C. Burnham describes changes over four centuries of medicine and public health in America. Beginning with seventeenth-century concerns over personal and neighborhood illnesses, Burnham concludes with the arrival of a new epoch in American medicine and health care at the turn of the twenty-first century.From the 1600s through the 1990s, Americans turned to a variety of healers, practices, and institutions in their efforts to prevent and survive epidemics of smallpox, yellow fever, cholera, influenza, polio, and AIDS. Health care workers in all periods attended births and deaths and cared for people who had injuries, disabilities, and chronic diseases.Drawing on primary sources, classic scholarship, and a vast body of recent literature in the history of medicine and public health, Burnham finds that traditional healing, care, and medicine dominated the United States until the late nineteenth century, when antiseptic/aseptic surgery and germ theory initiated an intellectual, social, and technical transformation. He divides the age of modern medicine into several eras: physiological medicine (1910s–1930s), antibiotics (1930s–1950s), technology (1950s–1960s), environmental medicine (1970s–1980s), and, beginning around 1990, genetic medicine. The cumulating developments in each era led to today's radically altered doctor-patient relationship and the insistent questions that swirl around the financial cost of health care.Burnham's sweeping narrative makes sense of medical practice, medical research, and human frailties and foibles, opening the door to a new understanding of our current concerns.
Health Care In The People's Republic Of China: Moving Toward Modernization
by Marilynn M RosenthalThe Chinese health care system is deeply rooted in a traditional, agricultural way of life, but since the late 1970s it has been increasingly influenced by the dynamics of a modernizing society. Dr. Rosenthal, using data collected through interviews, small-scale surveys, and the Chinese press, examines how Chinese medicine is being transformed. She
Health Care Policy in an Age of New Technologies
by Kant Patel Mark E RushefskyRevolutionary advances in biomedical research and information systems technology pose new and difficult issues for American health care policy, especially in the context of managed care. Health Care Policy in a New Millennium takes on this challenging array of issues where the dignity of individual life meets the imperatives of national-level health-care systems - patients' rights, rationing of care, organ transplants, genetic research, confidentiality of medical records, the right to die, and other ethical dilemmas. The book places these critical questions about the quality of life in our society in their political, legal, social, economic, and ethical contexts.
The Health Care Revolution: From Medical Monopoly to Market Competition
by Carl F. AmeringerThis book explains how the revolution of America's market-based health care system came into being when the U.S. Supreme Court and Congress prompted the antitrust agencies of the federal government to change the rules of the health care system. Ameringer lays out the key events that led up to this regime change; explores its broader social, political, and economic contexts; examines the views of both its proponents and opponents; and considers its current trajectory.
Health, Civilization and the State: A History of Public Health from Ancient to Modern Times
by Dorothy PorterThis book examines the social, economic and political issues of public health provision in historical perspective. It outlines the development of public health in Britain, Continental Europe and the United States from the ancient world through to the modern state. It includes discussion of: * pestilence, public order and morality in pre-modern times* the Enlightenment and its effects* centralization in Victorian Britain* localization of health care in the United States* population issues and family welfare* the rise of the classic welfare state* attitudes towards public health into the twenty-first century.
Health Communism: A Surplus Manifesto
by Beatrice Adler-Bolton Artie VierkantA searing analysis of health and illness under capitalism from hosts of the hit podcast &“Death Panel&” In this fiery, theoretical tour-de-force, Beatrice Adler-Bolton and Artie Vierkant offer an overview of life and death under capitalism and argue for a new global left politics aimed at severing the ties between capital and one of its primary tools: health. Written by co-hosts of the hit &“Death Panel&” podcast and longtime disability justice and healthcare activists Adler-Bolton and Vierkant, Health Communism first examines how capital has instrumentalized health, disability, madness, and illness to create a class seen as &“surplus,&” regarded as a fiscal and social burden. Demarcating the healthy from the surplus, the worker from the &“unfit&” to work, the authors argue, serves not only to undermine solidarity but to mark whole populations for extraction by the industries that have emerged to manage and contain this &“surplus&” population. Health Communism then looks to the grave threat capital poses to global public health, and at the rare movements around the world that have successfully challenged the extractive economy of health. Ultimately, Adler-Bolton and Vierkant argue, we will not succeed in defeating capitalism until we sever health from capital. To do this will require a radical new politics of solidarity that centers the surplus, built on an understanding that we must not base the value of human life on one&’s willingness or ability to be productive within the current political economy. Capital, it turns out, only fears health.
Health Consequences of Service During the Persian Gulf War: Initial Findings and Recommendations for Immediate Action
by Committee to Review the Health Consequences of Service During the Persian Gulf WarThis initial volume in an ongoing study of the potential health consequences of service during the Persian Gulf War responds to a request from Congress to determine whether actions taken to evaluate health effects have been appropriate. It reflects the committee's examination of health outcomes and related research efforts, women's health and reproductive health issues, infrastructure and procedures for data collection, health services influences, the role of psychiatric diagnosis, and a review of the activities of boards and coordinating groups, as well as how issues stemming from involvement in the Persian Gulf might be relevant for possible future conflicts. While the committee continues its full-length study of the problem, the recommendations in this volume are for actions it feels should be taken immediately.
Health Cooperatives: Historical Developments and Future Challenges for Global Healthcare (Routledge Advances in Management and Business Studies)
by Milorad StamenovicIn the era of complex healthcare challenges, the question arises: Can health cooperatives be the catalysts for transformation in the healthcare system? This research monograph delves into this thought-provoking query, exploring the potential of health cooperatives as influential entities in the future of healthcare. Despite advancements, healthcare systems still need help with sustainability, equality, costly therapies and various other segments. This monograph aims to dissect the notion of "Healthy lives and well-being for everyone," protracted by policymakers and proponents of the existing healthcare setup. Researchers, cooperative professionals, healthcare practitioners, decision-makers, patients, policy developers, librarians and booksellers will find this book relevant and interesting to read. The captivating narrative is supported by analysing 20 countries across five continents, explaining their historical and modern notion of the context and health cooperatives' development. It also sheds light on the significance of modern cooperatives in the current healthcare landscape. In addition, the monograph offers insights into multiple case studies of health-oriented cooperatives showing their diversity and flexibility in operations. This research monograph paves the way for envisioning a future where health cooperatives have the potential to play an important role in addressing various challenges affecting positive societal changes.
Health Equity in Brazil: Intersections of Gender, Race, and Policy
by Kia Lilly CaldwellBrazil's leadership role in the fight against HIV has brought its public health system widespread praise. But the nation still faces serious health challenges and inequities. Though home to the world's second largest African-descendant population, Brazil failed to address many of its public health issues that disproportionately impact Afro-Brazilian women and men. Kia Lilly Caldwell draws on twenty years of engagement with activists, issues, and policy initiatives to document how the country's feminist health movement and black women's movement have fought for much-needed changes in women's health. Merging ethnography with a historical analysis of policies and programs, Caldwell offers a close examination of institutional and structural factors that have impacted the quest for gender and racial health equity in Brazil. As she shows, activists have played an essential role in policy development in areas ranging from maternal mortality to female sterilization. Caldwell's insightful portrait of the public health system also details how its weaknesses contribute to ongoing failures and challenges while also imperiling the advances that have been made.
Health Humanities in Application (Sustainable Development Goals Series)
by Katherine M. Robinson Christian RiegelThis book focuses on health humanities in application. The field reflects many intellectual interests and practical applications, serving researchers, educators, students, health care practitioners, and community members wherever health and wellness and the humanities intersect. How we implement health humanities forms the core approach, and perspectives are global, including North America, Africa, Europe, and India. Emphasizing key developments in health humanities, the book’s chapters examine applications, including reproductive health policy and arts‑based research methods, black feminist approaches to health humanities pedagogy, artistic expressions of lived experience of the coronavirus, narratives of repair and re‑articulation and creativity, cultural competency in physician‑patient communication through dance, embodied dance practice as knowing and healing, interdisciplinarity and transdisciplinarity, eye tracking, ableism and disability, rethinking expertise in disability justice, disability and the Global South, coronavirus and Indian politics, visual storytelling in graphic medicine, and medical progress and racism in graphic fiction.
Health in Antiquity
by Helen KingHow healthy were people in ancient Greece and Rome, and how did they think about maintaining and restoring their health? For students of classics, history or the history of medicine, answers to these and many previously untouched questions are dealt with by renowned ancient historians, classical scholars and archaeologists. Using a multidisciplined approach, the contributors assess the issues surrounding health in the Greco-Roman world from prehistory to Christian late antiquity. Sources range from palaeodemography to patristic and from archaeology to architecture and using these, this book considers what health meant, how it was thought to be achieved, and addresses how the ancient world can be perceived as an ideal in subsequent periods of history.
Health in Ruins: The Capitalist Destruction of Medical Care at a Colombian Maternity Hospital (Experimental Futures)
by César Ernesto Abadía-BarreroIn Health in Ruins César Ernesto Abadía-Barrero chronicles the story of El Materno—Colombia’s oldest maternity and neonatal health center and teaching hospital—over several decades as it faced constant threats of government shutdown. Using team-based and collaborative ethnography to analyze the social life of neoliberal health policy, Abadía-Barrero details the everyday dynamics around teaching, learning, and working in health care before, during, and after privatization. He argues that health care privatization is not only about defunding public hospitals; it also ruins rich traditions of medical care by denying or destroying ways of practicing medicine that challenge Western medicine. Despite radical cuts in funding and a corrupt and malfunctioning privatized system, El Materno’s professors, staff, and students continued to find ways to provide innovative, high-quality, and noncommodified health care. By tracking the violences, conflicts, hopes, and uncertainties that characterized the struggles to keep El Materno open, Abadía-Barrero demonstrates that any study of medical care needs to be embedded in larger political histories.
Health in the City: Race, Poverty, and the Negotiation of Women’s Health in New York City, 1915–1930 (Culture, Labor, History #9)
by Tanya HartShortly after the dawn of the twentieth century, the New York City Department of Health decided to address what it perceived as the racial nature of health. It delivered heavily racialized care in different neighborhoods throughout the city: syphillis treatment among African Americans, tuberculosis for Italian Americans, and so on. It was a challenging and ambitious program, dangerous for the providers, and troublingly reductive for the patients. Nevertheless, poor and working-class African American, British West Indian, and Southern Italian women all received some of the nation's best health care during this period. Health in the City challenges traditional ideas of early twentieth-century urban black health care by showing a program that was simultaneously racialized and cutting-edge. It reveals that even the most well-meaning public health programs may inadvertently reinforce perceptions of inferiority that they were created to fix.
Health in the Highlands: Indigenous Healing and Scientific Medicine in Guatemala and Ecuador
by David Carey Jr.Populated by curanderos, midwives, bonesetters, witches, doctors, nurses, and the indigenous people they served, this nuanced history demonstrates how cultural and political history, misogyny, racism, and racialization influence public health. In the first half of the twentieth century, the governments of Ecuador and Guatemala sought to spread scientific medicine to their populaces, working to prevent and treat malaria, typhus, and typhoid; to boost infant and maternal well-being; and to improve overall health. Drawing on extensive, original archival research, David Carey Jr. shows that highland indigenous populations in the two countries tended to embrace a syncretic approach to health, combining traditional and new practices. At times, both governments encouraged—or at least allowed—such a synthesis: even what they saw as "nonscientific" care was better than none. Yet both, especially Guatemala's, also wrote off indigenous lifeways and practices with both explicit and implicit racism, going so far as to criminalize native medical providers and to experiment on indigenous people without their consent. Both nations had authoritarian rule, but Guatemala's was outright dictatorial, tending to treat both women and indigenous people as subjects to be controlled and policed. Ecuador, on the other hand, advanced a more pluralistic vision of national unity, and had somewhat better outcomes as a result.
Health Insurance Politics in Japan: Policy Development, Government, and the Japan Medical Association (The Culture and Politics of Health Care Work)
by Takakazu YamagishiJapan is the fastest aging country, with the largest super-aged society in the world and growing larger by the day, yet its universal health care costs are relatively low. In Health Insurance Politics in Japan, Takakazu Yamagishi draws back the curtain for an international audience and investigates how Japan has been able to control health care costs through health insurance politics.Covering the period from the Meiji Restoration to the Abe Administration, Yamagishi uses a historical institutionalist approach to examine the driving force behind the development of health insurance policies in Japan. Yamagishi pays special attention to the roles of government and medical professionals, the main actors of the policymaking and medical worlds, in this development. Health Insurance Politics in Japan pushes Japan into the spotlight of the international conversation about health care reform.
Health, Luck, and Justice
by Shlomi Segall"Luck egalitarianism"--the idea that justice requires correcting disadvantages resulting from brute luck--has gained ground in recent years and is now the main rival to John Rawls's theory of distributive justice. Health, Luck, and Justice is the first attempt to systematically apply luck egalitarianism to the just distribution of health and health care. Challenging Rawlsian approaches to health policy, Shlomi Segall develops an account of just health that is sensitive to considerations of luck and personal responsibility, arguing that people's health and the health care they receive are just only when society works to neutralize the effects of bad luck. Combining philosophical analysis with a discussion of real-life public health issues, Health, Luck, and Justice addresses key questions: What is owed to patients who are in some way responsible for their own medical conditions? Could inequalities in health and life expectancy be just even when they are solely determined by the "natural lottery" of genes and other such factors? And is it just to allow political borders to affect the quality of health care and the distribution of health? Is it right, on the one hand, to break up national health care systems in multicultural societies? And, on the other hand, should our obligation to curb disparities in health extend beyond the nation-state? By focusing on the ways health is affected by the moral arbitrariness of luck, Health, Luck, and Justice provides an important new perspective on the ethics of national and international health policy.
The Health of the Commonwealth: A Brief History of Medicine, Public Health, and Disease in Pennsylvania
by James E. Higgins“The history of medicine in Pennsylvania is no less vital to understanding the state’s past than is its political or industrial history,” writes James Higgins in The Health of the Commonwealth, his overview of medicine and public health in the state. Covering the outbreak of yellow fever in 1793 through the 1976 Legionnaire’s Disease epidemic, and the challenges of the present day, he shows how Pennsylvania has played a central role in humanity’s understanding of—and progress against—disease. Higgins provides close readings of specific medical advances—for instance, scientists at the University of Pittsburgh discovered the polio vaccine—and of disease outbreaks, like AIDS. He examines sanitation and water purification efforts, allopathic medicine and alternative therapies, and the building of the state’s tuberculosis sanitaria. Higgins also describes Native American and pre-modern European folk medicine, the rise of public health in the state, and women’s roles in both folk and scientific medicine. The Health of the Commonwealth places Pennsylvania’s unique contribution to the history of public health and medicine in a larger narrative of health and disease throughout the United States and the world.
The Health of the Country: How American Settlers Understood Themselves and Their Land
by Conevery Bolton ValenciusMany have written about the settling of early 19th century America, but until now no one has explored these settlers' self-consciousness about what they were doing, what "settling" and cultivating the land itself meant. In The Health of the Country, Conevery Valencius shows that assessments of the "sickliness" or "health" of land pervade settlers' letters, journals, newspapers, and literature -- evidence of the common sense of another time, when the land was believed to have intrinsic health characteristics and the human body was understood to be linked in intimate and intricate ways with similar balances in the surrounding world. Valencius focuses her research on the Arkansas and Missouri territories from the time of the Louisiana Purchase to the Civil War, capturing the excitement, romanticism, confusion, and anxiety of the frontier experience and revealing how these emotions were bound up with settlers' unique relationships with their land. This is a complex and rewarding book, a beautifully written, fresh account of the gritty details of American expansion, animated by the voices of the settlers themselves.
Health Policies in Interwar Europe: A Transnational Perspective (Routledge Studies in the History of Science, Technology and Medicine)
by Josep L. BaronaResearch into public health policies and expert instruction has been oriented traditionally in the national context. There is a rich historiography that analyses the development of health policies and systems in various European and American countries during the first decades of the twentieth century. What is often ignored, however, is the study of the great many connections and circulations of knowledge, people, technologies, artefacts and practices during that period between countries. This book redresses that balance.