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Few contemporary social problems in the U.S. affect more people daily than those within the American health care system. Social Movements and the Transformation of American Health Care is the first collection of essays to examine dynamics of change in health care institutions through the lens of contemporary theory and research on collective action. Gathering scholars from medicine, health policy, history, sociology, and political science, the book considers health-related social movements from four distinct levels, concentrating on movements seeking changes in the regulation, financing, and distribution of health resources; changes in institutions in public health, bio-ethics, and other fields; interactions between social movements and professions; and the cultural dominance of the medical model, and the difficulties for framing and legitimizing new issues in health care it poses. At a time when American health care is long overdue for major changes, this book takes an essential look at movements, policies, and institutions to identify the common constraints and opportunities for reform within the health care system.
This is a collection of essays which examine dynamics of change in health care institutions through the lens of contemporary theory and research on collective action. The book conceptualizes the American health care system as being organized around multiple institutions.
“A monumental achievement” (New York Times) and the winner of the Pulitzer Prize and the Bancroft Prize in American History, this is a landmark history of the American health care system. Considered the definitive history of the American health care system, The Social Transformation of American Medicine examines how the roles of doctors, hospitals, health plans, and government programs have evolved over the last two and a half centuries. How did the financially insecure medical profession of the nineteenth century become a prosperous one in the twentieth? Why was national health insurance blocked? And why are corporate institutions taking over our medical system today? Beginning in 1760 and coming up to the present day, renowned sociologist Paul Starr traces the decline of professional sovereignty in medicine, the political struggles over health care, and the rise of a corporate system. Updated with a new preface and an epilogue analyzing developments since the early 1980s, The Social Transformation of American Medicine is a must-read for anyone concerned about the future of our fraught health care system.
Winner of the 1983 Pulitzer Prize and the Bancroft Prize in American History, this is a landmark history of how the entire American health care system of doctors, hospitals, health plans, and government programs has evolved over the last two centuries. "The definitive social history of the medical profession in America....A monumental achievement."—H. Jack Geiger, M.D., New York Times Book Review
Recounts the history of health care policy in the United States, and argues that the country became entrapped through policies that satisfied enough of the public and so enriched the health-care industry as to make the system difficult to change. Reprint.
This book represents the first collection of research on health social movements. Demonstrates that health social movements are an innovative and powerful form of political action. Brings together the study of health and illness with social movement theory in order to establish a basis for the study of health social movements. Covers disease-based movements focused on diseases such as Alzheimer’s and breast cancer. Also addresses issue-based movements such as the pro-choice movement, the movement for complementary and alternative medicine, and movements around stem cell research. Illustrates the value of interdisciplinary approaches to studying health social movements.
Few relationships have proved more pivotal in changing the course of American politics than those between presidents and social movements. For all their differences, both presidents and social movements are driven by a desire to recast the political system, often pursuing rival agendas that set them on a collision course. Even when their interests converge, these two actors often compete to control the timing and conditions of political change. During rare historical moments, however, presidents and social movements forged partnerships that profoundly recast American politics. Rivalry and Reform explores the relationship between presidents and social movements throughout history and into the present day, revealing the patterns that emerge from the epic battles and uneasy partnerships that have profoundly shaped reform. Through a series of case studies, including Abraham Lincoln and abolitionism, Lyndon Johnson and the civil rights movement, and Ronald Reagan and the religious right, Sidney M. Milkis and Daniel J. Tichenor argue persuasively that major political change usually reflects neither a top-down nor bottom-up strategy but a crucial interplay between the two. Savvy leaders, the authors show, use social movements to support their policy goals. At the same time, the most successful social movements target the president as either a source of powerful support or the center of opposition. The book concludes with a consideration of Barack Obama’s approach to contemporary social movements such as Black Lives Matter, United We Dream, and Marriage Equality.
I have divided this history into two books to emphasize two long movements in the development of american medicine: First, the rise of professional sovereignty, and second, the transformation of medicine into an industry and the growing, though still unsettled, role of corporations and the state. Within this framework i explore a variety of specific questions, such as: Why americans, who were wary of medical authority in the early and mid-nineteenth century, became devoted to it in the twentieth; Why hospitals, medical schools, clinics, and other organizations assumed distinctive institutional forms in the united states; Why there is no national health insurance in the united states; Why the federal government in recent years shifted form policies that encouraged growth without changes in the organization of medical care to policies that encouraged reorganiza- tion to control growth; Why physicians long escaped form the control of the modern corporation, but are now witnessing and indeed taking part in the creation of corporate health care systems.
"Supporting a Movement for Health and Health Equity" is the summary of a workshop convened in December 2013 by the Institute of Medicine Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities and the Roundtable on Population Health Improvement to explore the lessons that may be gleaned from social movements, both those that are health-related and those that are not primarily focused on health. Participants and presenters focused on elements identified from the history and sociology of social change movements and how such elements can be applied to present-day efforts nationally and across communities to improve the chances for long, healthy lives for all. The idea of movements and movement building is inextricably linked with the history of public health. Historically, most movements - including, for example, those for safer working conditions, for clean water, and for safe food - have emerged from the sustained efforts of many different groups of individuals, which were often organized in order to protest and advocate for changes in the name of such values as fairness and human rights. The purpose of the workshop was to have a conversation about how to support the fragments of health movements that roundtable members believed they could see occurring in society and in the health field. Recent reports from the National Academies have highlighted evidence that the United States gets poor value on its extraordinary investments in health - in particular, on its investments in health care - as American life expectancy lags behind that of other wealthy nations. As a result, many individuals and organizations, including the Healthy People 2020 initiative, have called for better health and longer lives.