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The United States’ health care system stands out for its strict division of policies dealing with public health and individual medicine. Seeking to explain how this division came to be, what alternative paths might have been taken, and how this shapes the contemporary landscape, Daniel Sledge offers nothing less than a reinterpretation of the making of modern American health policy in Health Divided. Where previous scholars have focused on failed attempts to adopt national health insurance, Sledge demonstrates that the development of health policy cannot be properly understood without considering the connections between public health policy and policies dealing with individual medicine. His work shows how the distinct politics of the formative years of health policy—and the presence of debilitating diseases in the American South—led to outcomes that have fundamentally shaped modern policies and disputes. Until the end of the nineteenth century, health care in the United States was seen as a local issue, with the sole exception being the government’s role in providing care to seamen and immigrants. Then, as Health Divided reveals, the health problems that plagued the American South in the early twentieth century, from malaria to hookworm and pellagra, along with the political power of the southern Democrats during the New Deal, fueled the emergence of national intervention in public health work. At the same time, divisions among policymakers, as well as the resistance of the American Medical Association, led to federal inaction in the realm of individual medical services—setting the stage for the growth of employer-sponsored health insurance. The vision of those who built the institutions that became the Centers for Disease Control and Prevention was, we see here, far more expansive and innovative than has previously been realized—and it came surprisingly close to succeeding. Exploring the history behind its failure, and tracing the inextricable links between public health and national health policy, this book provides a valuable new perspective on the origins of America’s disjointed health care system.
A vivid account of race and the organization of health services
HIGHLY COMMENDED IN THE BMA BOOK AWARDS 2017 Americans live three years less than their counterparts in France or Sweden. Scottish men survive two years less than English men. Across Europe, women in the poorest communities live up to ten years less than those in the richest. Revealing gaps in life expectancy of up to 25 years between places just a few miles apart, this important book demonstrates that where you live can kill you. Clare Bambra, a leading expert in public health, draws on case studies from across the globe to examine the social, environmental, economic and political causes of these health inequalities, how they have evolved over time and what they are like today. Bambra concludes by considering how health divides might develop in the future and what should be done, so that where you live is not a matter of life and death. Danny Dorling provides a foreword.
Consists of 161 toxicological profiles and 9 interaction profiles. This CD-ROM characterizes the toxicologic and adverse health effects information for the specific hazardous substances. Peer reviewed profiles. This work is fully indexed and can be searched easily and cross-profiled.
A profound and insightful investigation into how the American Civil War transformed modern medicine. At the start of the Civil War, the medical field in America was rudimentary, unsanitary, and woefully underprepared to address what would become the bloodiest conflict on U.S. soil. However, in this historic moment of pivotal social and political change, medicine was also fast evolving to meet the needs of the time. Unprecedented strides were made in the science of medicine, and as women and African Americans were admitted into the field for the first time. The Civil War marked a revolution in healthcare as a whole, laying the foundations for the system we know today. In Healing a Divided Nation, Carole Adrienne will track this remarkable and bloody transformation in its cultural and historical context, illustrating how the advancements made in these four years reverberated throughout the western world for years to come. Analyzing the changes in education, society, humanitarianism, and technology in addition to the scientific strides of the period lends Healing a Divided Nation a uniquely wide lens to the topic, expanding the legacy of the developments made. The echoes of Civil War medicine are in every ambulance, every vaccination, every woman who holds a paying job, and in every Black university graduate. Those echoes are in every response of the International and American Red Cross and they are in the recommended international protocol for the treatment of prisoners of war and wounded soldiers. Beginning with the state of medicine at the outset of the war, when doctors did not even know about sterilizing their tools, Adrienne illuminates the transformation in American healthcare through primary source texts that document the lives and achievements of the individuals who pioneered these changes in medicine and society. The story that ensues is one of American innovation and resilience in the face of unparalleled violence, adding a new dimension to the legacy of the Civil War.
"Nayan Shah has written a book of exceptional originality and importance. With a focus on issues of body, family, and home, central concerns of urban health reform, he illuminates the role of political leaders, public opinion, and professionals in the construction and reconstruction of race and the making of citizens in San Francisco. He brilliantly analyzes the politics of the movement from exclusion to inclusion, regulation to entitlement, showing it to be an interactive process. Yet, as he shows with great subtlety, the mark of race remains. As a study of citizenship and difference, this work speaks to a central theme of American history."—Thomas Bender, Director of the International Center for Advanced Studies at NYU, and editor of Rethinking American History in a Global Age Contagious Divides is an ambitious contribution to our understanding of the troubled history of race in America. Nayan Shah offers new insight into the ways that race was inscribed on the streets, the bodies, and the institutions of San Francisco's Chinatown. Above all, he offers powerful examples of the impact of ideas about disease, sexuality, and place on the rhetoric and practice of racial inequality in modern America.—Thomas J. Sugrue, author of The Origins of the Urban Crisis
An expert legal review of the US government’s response to epidemics through history—with larger conclusions about COVID-19, and reforms needed for the next plague In this narrative history of the US through major outbreaks of contagious disease, from yellow fever to the Spanish flu, from HIV/AIDS to Ebola, Polly J. Price examines how law and government affected the outcome of epidemics—and how those outbreaks in turn shaped our government. Price presents a fascinating history that has never been fully explored and draws larger conclusions about the gaps in our governmental and legal response. Plagues in the Nation examines how our country learned—and failed to learn—how to address the panic, conflict, and chaos that are the companions of contagion, what policies failed America again and again, and what we must do better next time.
The Qatar Supreme Council for Family Affairs is developing a social indicators database system that will provide essential information for assessing the well-being of families in Qatar. This report, which presents the final results of an analysis by the RAND-Qatar Policy Institute, addresses questions related to the implementation, use, and maintenance of the database, as well as its potential short- and long-term benefits.
Studies challenging the idea that technology and science flow only from global North to South. The essays in this volume study the creation, adaptation, and use of science and technology in Latin America. They challenge the view that scientific ideas and technology travel unchanged from the global North to the global South—the view of technology as “imported magic.” They describe not only alternate pathways for innovation, invention, and discovery but also how ideas and technologies circulate in Latin American contexts and transnationally. The contributors' explorations of these issues, and their examination of specific Latin American experiences with science and technology, offer a broader, more nuanced understanding of how science, technology, politics, and power interact in the past and present. The essays in this book use methods from history and the social sciences to investigate forms of local creation and use of technologies; the circulation of ideas, people, and artifacts in local and global networks; and hybrid technologies and forms of knowledge production. They address such topics as the work of female forensic geneticists in Colombia; the pioneering Argentinean use of fingerprinting technology in the late nineteenth century; the design, use, and meaning of the XO Laptops created and distributed by the One Laptop per Child Program; and the development of nuclear energy in Argentina, Mexico, and Chile. Contributors Pedro Ignacio Alonso, Morgan G. Ames, Javiera Barandiarán, João Biehl, Anita Say Chan, Amy Cox Hall, Henrique Cukierman, Ana Delgado, Rafael Dias, Adriana Díaz del Castillo H., Mariano Fressoli, Jonathan Hagood, Christina Holmes, Matthieu Hubert, Noela Invernizzi, Michael Lemon, Ivan da Costa Marques, Gisela Mateos, Eden Medina, María Fernanda Olarte Sierra, Hugo Palmarola, Tania Pérez-Bustos, Julia Rodriguez, Israel Rodríguez-Giralt, Edna Suárez Díaz, Hernán Thomas, Manuel Tironi, Dominique Vinck
The book offers an introduction to all the informatics concepts that are represented on the Clinical Informatics Board Examination The core and direction of this book is to mirror the model of clinical informatics which is used by the American Board of Preventive Medicine to create their exam. Unlike any other text on the market, the book includes simulated exam questions, to help the reader asses his knowledge and focus his study. Clinical Informatics Board Review and Self Assessment is a thorough practical assistant to refine the reader's knowledge regarding this youngest and possibly broadest fields of medicine.