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In New Deal Medicine, physician and historian Michael Grey brings to light the diversity, reach, and complexity of the medical care programs of the Farm Security Administration. Drawing on oral histories, archival records, and medical journals from the 1930s and 1940s, Grey finds the programs were both a rehearsal for more modern forms of medical organization and a lightning rod for critics of "socialized medicine." He assesses the compromises made to try to preserve the programs' somewhat "secret objective" of providing the poor with health care while not running afoul of conservative politicians and their colleagues in the AMA. Acknowledging the effect of changing demographics (doctors, nurses, and farmers alike marched off to war) and economics, Grey contends that these factors do not fully explain the demise of the FSA experiment in health care. Rather, the political winds shifted at the same time that the medical profession acted to protect its authority over the practice of medicine. New Deal Medicine shows that, by the peculiarly American style of "incrementalism," many of the FSA medical care structures and goals have been at least partially realized in the United States and in Canada. The lessons learned by the FSA personnel were transferred into health programs in Canada, in the labor unions, and finally in Lyndon Johnson's "Great Society."
Includes the Transactions of the 15th- annual meetings of the American Association of the History of Medicine, 1939-
This volume uncovers the roots of electroshock in America, an outgrowth of western patriarchal medicine with primarily female patients. The authors trace the history of electroshock in the United States in three historic stages: from an enthusiastic reception in 1940, to a period of crisis in the 1960s, to its resurgence after 1980. Early American experiments with electrical medicine are also examined, while the development of electroshock in America is considered through the lens of social, political, and economic factors. The revival of electroshock in recent decades is found to be a product of growing materialism in American psychiatry and the political and economic realities of managed medical care. The new material in the Updated Paperback Edition describes the resurgence of electroshock in the private psychiatric sector as a treatment of choice for depression.
"Provides an engaging and illuminating view of the culture of the South and the study of natural history. . . . Ravenel's achievements, Haygood argues, refute Clement Eaton's contention that slavery stifled creative thought; they also modify the more extravagant claim for southern equality with northern science made in Thomas Cary Johnson's Scientific Interests in the Old South (1936)." --American Historical Review "Convincingly argues for the importance of these middle years to understanding American science and vividly illustrates the effect of the Civil War on science. . . . Ravenel, a geographically isolated planter with a college degree but no scientific training, managed to serve as one of America's leading mycologists, despite continual financial and medical problems and the disruption of the Civil War. This lively account of his life and work is at once inspiring and tragic." Journal of the History of Biology "A thoroughly enjoyable biography of one of the important American naturalists, botanists, and mycologists of the 1800s. . . . Truly an outstanding contribution to the history of American science." --Brittonia
Pneumonia—Osler's "Captain of the Men of Death" and still the leading infectious cause of death in the United States—has until now received scant attention from historians. In Pneumonia Before Antibiotics, clinician-historian Scott H. Podolsky uses pneumonia's enduring prevalence and its centrality to the medical profession's therapeutic self-identity to examine the evolution of therapeutics in twentieth-century America. Focusing largely on the treatment of pneumonia in first half of the century with type-specific serotherapy, Podolsky provides insight into the rise and clinical evaluation of therapeutic "specifics," the contested domains of private practice and public health, and-as the treatment of pneumonia made the transition from serotherapy to chemotherapy and antibiotics—the tempo and mode of therapeutic change itself. Type-specific serotherapy, founded on the tenets of applied immunology, justified by controlled clinical trials, and grounded in a novel public ethos, was deemed revolutionary when it emerged to replace supportive therapeutics. With the advent of the even more revolutionary sulfa drugs and antibiotics, pneumonia ceased to be a public health concern and became instead an illness treated in individual patients by individual physicians. Podolsky describes the new therapeutics and the scientists and practitioners who developed and debated them. He finds that, rather than representing a barren era in anticipation of some unknown transformation to come, the first decades of the twentieth-century shaped the use of, and reliance upon, the therapeutic specific throughout the century and beyond. This intriguing study will interest historians of medicine and science, policymakers, and clinicians alike.