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Modern Colonization by Medical Intervention adds to our understanding of the political and economic transformations establishing colonial modernity in Puerto Rico. By focusing on influential physicians’ clinical work and their access to a remote and inaccessible rural population, this volume details how rural areas suffered the ravages of social dislocation, unemployment and hunger. The colonial administration’s hookworm campaign involved many Puerto Rican physicians in complex struggles with other elites, rural peasants and U.S. colonial administrators for political legitimacy. Puerto Rican physicians did not gain the professional autonomy their counterparts in the United States enjoyed. Instead, they became centrally implicated in the struggle between labor and capital enforcing the island’s subordination to a colonial modernity and the development of capitalism on the island.
James L. Robertson focuses on folk encountering their constitutions and laws, in their courthouses and country stores, and in their daily lives, animating otherwise dry and inaccessible parchments. Robertson begins at statehood and continues through war and depression, well into the 1940s. He tells of slaves petitioning for freedom, populist sentiments fueling abnegation of the rule of law, the state’s many schemes for enticing Yankee capital to lift a people from poverty, and its sometimes tragic, always colorful romance with whiskey after the demise of national Prohibition. Each story is sprinkled with fascinating but heretofore unearthed facts and circumstances. Robertson delves into the prejudices and practices of the times, local landscapes, and daily life and its dependence on our social compact. He offers the unique perspective of a judge, lawyer, scholar, and history buff, each role having tempered the lessons of the others. He focuses on a people, enriching encounters most know little about. Tales of understanding and humanity covering 130 years of heroes, rascals, and ordinary folk—with a bundle of engaging surprises—leave the reader pretty sure there’s nothing quite like Mississippi history told by a sage observer.
Argues for a health care system that would restore power and responsibility to the individual consumer and taking it out of the hands of government and insurance companies
Divided Legacy (Vols. I-IV) is a history of Western medical philosophy from the time of Hippocrates to the twentieth century, treating it as a unified system of thought rather than a series of fortuitous discovers. Dr. Coulter interprets the development of medical ideas as the product of a conflict between two opposed systems of thought, Empiricism and Rationalism. This third volume of Divided Legacy continues the account of the conflict between the Empirical and the Rationalist approaches to therapeutics but introduces a socio-economic dimension which had earlier been lacking. In the early nineteenth century, Samuel Hahnemann’s formulation of the Empirical therapeutic doctrine, which he called homeopathy. It flourished especially in the United States. This volume traces the history of the rise and decline of this formulation of Empirical therapeutics in the nineteenth century United States. It analyzes the interaction between the homeopathic doctrines and those of the orthodox school and attempts to illustrate the influence of socio-economic constraints on the movement of medical thought during this period.
This timely volume illustrates how and why the fight against quackery in modern America has largely failed, laying the blame on an unlikely confluence of scientific advances, regulatory reforms, changes in the medical profession, and the politics of consumption. Throughout the 20th century, anti-quackery crusaders investigated, exposed, and attempted to regulate allegedly fraudulent therapeutic approaches to health and healing under the banner of consumer protection and a commitment to medical science. Quack Medicine: A History of Combating Health Fraud in Twentieth-Century America reveals how efforts to establish an exact border between quackery and legitimate therapeutic practices and medications have largely failed, and details the reasons for this failure. Digging beneath the surface, the book uncovers the history of allegedly fraudulent therapies including pain medications, obesity and asthma cures, gastrointestinal remedies, virility treatments, and panaceas for diseases such as arthritis, asthma, diabetes, and HIV/AIDS. It shows how efforts to combat alleged medical quackery have been connected to broader debates among medical professionals, scientists, legislators, businesses, and consumers, and it exposes the competing professional, economic, and political priorities that have encouraged the drawing of arbitrary, vaguely defined boundaries between good medicine and "quack medicine."
Marc A. Rodwin draws on his own experience as a health lawyer--and his research in health ethics, law, and policy--to reveal how financial conflicts of interest can and do negatively affect the quality of patient care. He shows that the problem has become worse over the last century and provides many actual examples of how doctors' decisions are influenced by financial considerations. We learn how two California physicians, for example, resumed referrals to Pasadena General Hospital only after the hospital started paying $70 per patient (their referrals grew from 14 in one month to 82 in the next). As Rodwin writes, incentives such as this can inhibit a doctor from taking action when a hospital fails to provide proper service, and may also lead to the unnecessary hospitalization of patients. We also learn of a Wyeth-Ayerst Labs promotion in which physicians who started patients on INDERAL (a drug for high blood pressure, angina, and migraines) received 1000 mileage points on American Airlines for each patient (studies show that promotions such as this have a direct effect on a doctor's choice of drug). Rodwin reveals why the medical community has failed to regulate conflicts of interest: peer review has little authority, state licensing boards are usually ignorant of abuses, and the AMA code of ethics has historically been recommended rather than required. He examines what can be learned from the way society has coped with the conflicts of interest of other professionals --lawyers, government officials, and businessmen--all of which are held to higher standards of accountability than doctors. And he recommends that efforts be made to prohibit and regulate certain kinds of activity (such as kickbacks and self-referrals), to monitor and regulate conduct, and to provide penalties for improper conduct. Our failure to face physicians' conflicts of interest has distorted the way medicine is practiced, compromised the loyalty of doctors to patients, and harmed society, the integrity of the medical profession, and patients. For those concerned with the quality of health care or medical ethics, Medicine, Money and Morals is a provocative look into the current health care crisis and a powerful prescription for change.
“I have some bitter disappointments as President,” reflected Harry Truman after leaving office, “but the one that has troubled me the most , in a personal way, has been the failure to defeat organized opposition to a national compulsory health-insurance program.” Harry S. Truman versus the Medical Lobby is a study of one aspect of Harry Truman’s domestic leadership and the political conflict it produced. In the book, author Monte Poen examines Truman’s quest for national health insurance in the light of the ongoing debate on the subject in this century. It reveals why Truman was the first president to advocate government-financed health care and why he repeatedly took the idea to Congress, despite insurmountable political obstacles.
When and where did science begin? Historians have offered different answers to these questions, some pointing to Babylonian observational astronomy, some to the speculations of natural philosophers of ancient Greece. Others have opted for early modern Europe, which saw the triumph of Copernicanism and the birth of experimental science, while yet another view is that the appearance of science was postponed until the nineteenth century. Rather than posit a modern definition of science and search for evidence of it in the past, the contributors to Wrestling with Nature examine how students of nature themselves, in various cultures and periods of history, have understood and represented their work. The aim of each chapter is to explain the content, goals, methods, practices, and institutions associated with the investigation of nature and to articulate the strengths, limitations, and boundaries of these efforts from the perspective of the researchers themselves. With contributions from experts representing different historical periods and different disciplinary specializations, this volume offers a fresh perspective on the history of science and on what it meant, in other times and places, to wrestle with nature.