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Improving how individuals give birth and die in the United States requires reforming the regulatory, reimbursement, and legal structures that centralize care in hospitals and prevent the growth of community-based alternatives. In 1900, most Americans gave birth and died at home, with minimal medical intervention. By contrast, most Americans today begin and end their lives in hospitals. The medicalization we now see is due in large part to federal and state policies that draw patients away from community-based providers, such as birth centers and hospice care, and toward the most intensive and costliest kinds of care. But the evidence suggests that birthing and dying people receive too much—even harmful—medical intervention. In The Medicalization of Birth and Death, political scientist Lauren K. Hall describes how and why birth and death became medicalized events. While hospitalization provides certain benefits, she acknowledges, it also creates harms, limiting patient autonomy, driving up costs, and causing a cascade of interventions, many with serious side effects. Tracing the regulatory, legal, and financial policies that centralize care during birth and death, Hall argues that medicalization reduces competition, stifles innovation, and prevents individuals from accessing the most appropriate care during their most vulnerable moments. She also examines the profound implications of policy-enforced medicalization on informed consent and shows how medicalization challenges the healthcare community's most foundational ethical commitments. Drawing on interviews with medical and nonmedical healthcare providers, as well as surveys of patients and their families, Hall provides a broad overview of the costs, benefits, and origins of medicalized birth and death. The Medicalization of Birth and Death is required reading for academics, patients, providers, policymakers, and anyone else interested in how policy shapes healthcare options and limits patients and providers during life's most profound moments.
Uses the disciplines of psychology, anthropology, sociology and psychiatry to explain what makes people act the way they do.
Female infanticide is a social practice often closely associated with Chinese culture. Journalists, social scientists, and historians alike emphasize that it is a result of the persistence of son preference, from China's ancient past to its modern present. Yet how is it that the killing of newborn daughters has come to be so intimately associated with Chinese culture? Between Birth and Death locates a significant historical shift in the representation of female infanticide during the nineteenth century. It was during these years that the practice transformed from a moral and deeply local issue affecting communities into an emblematic cultural marker of a backwards Chinese civilization, requiring the scientific, religious, and political attention of the West. Using a wide array of Chinese, French and English primary sources, the book takes readers on an unusual historical journey, presenting the varied perspectives of those concerned with the fate of an unwanted Chinese daughter: a late imperial Chinese mother in the immediate moments following birth, a male Chinese philanthropist dedicated to rectifying moral behavior in his community, Western Sinological experts preoccupied with determining the comparative prevalence of the practice, Catholic missionaries and schoolchildren intent on saving the souls of heathen Chinese children, and turn-of-the-century reformers grappling with the problem as a challenge for an emerging nation.
Essays discuss adulthood, parental relations, marriage, work, maturity, responsibility, and gaining control of one's life
We are born, live, and die with technologies. This book is about the role technology plays in sustaining narratives of living, dying, and coming to be. Contributing authors examine how technologies connect, disrupt, or help us reorganize ways of parenting and nurturing life. They further consider how technology sustains our ways of thinking and being, hopefully reconciling the distance between who we are and who we aspire to be. Finally, they address the role technology plays in helping us come to terms with death, looking at technologically enhanced memorials, online rituals of mourning, and patterns of grief enabled through technology. Ultimately, this volume is about using technology to reimagine the art of life.
Usually conceived in opposition to each other – birth as a hopeful beginning, death as an ending – this book brings them into dialogue with each other to argue that both are central to our experiences of being in the world and part of living. Written by two authors, this book takes an intergenerational approach to highlight the connections and disconnections between birth and death; adopting a relational approach allows the book to explore birth and death through the key relationships that constitute them: personal and social, private and public, the affective and social norms, the actual and the virtual and the ordinary and profound. Of interest to academics and students in the fields of feminism, phenomenology and the life course, the book will also be of relevance to policy makers in the areas of birth activism and end of life care. Drawing from personal stories, everyday life and publicly contested examples, the book will also be of interest to a more general readership as it engages with questions we all at some point will grapple with.
Issues surrounding birth and death have been fundamental for Western philosophy as well as for individual existence. The contributors to this volume unravel the gendered aspects of the classical philosophical discourses on death, bringing in discussions about birth, creativity, and the entire chain of human activity. By linking their work to major thinkers such as Heidegger, Nietzsche, Beauvoir, and Arendt, and to major philosophical currents such as ancient philosophy, existentialism, phenomenology, and social and political philosophy, they challenge prevailing feminist articulations of birth and death. These philosophical reflections add an important sexual dimension to current thinking on identity, temporality, and community.
Syracuse, New York, in the late 1980s led U.S. cities in African American infant deaths. Even today, in this "all American city," infants of color die more than two times as often as white babies. Infant mortality is too often addressed as if it were an isolated problem, rather than part of a systemic and repeating pattern of embedded racism and structural violence. The clearing of whole neighborhoods during urban renewal, coupled with the collapse of industry, brought unintended consequences. Dilapidated rental housing, abandoned houses, and empty lots provide the conditions for lead poisoning, gonorrhea, and illicit drug use. Inadequate education, unemployment, and racially biased arrest and sentencing underpin the epidemic of African American male incarceration. Inmate fathers cannot provide financial support and only limited emotional support during collect calls from jail or prison. Supermarkets fled the inner city, where corner stores sell cigarettes, malt liquor, lottery tickets, and drug paraphernalia in place of healthy food. The stories and the data in this book show that low birth weight, premature birth, and infant death are a part of life patterns resulting from systemic discrimination increasing risk over a lifetime and, in some cases, reaching the next generation.
Birth, marriage and death records are an essential resource for family historians, and this handbook is an authoritative introduction to them. It explains the original motives for registering these milestones in individual lives, describes how these record-keeping systems evolved, and shows how they can be explored and interpreted. Authors David Annal and Audrey Collins guide researchers through the difficulties they may encounter in understanding the documentation. They recount the history of parish registers from their origin in Tudor times, they look at how civil registration was organized in the nineteenth and twentieth centuries and explain how the system in England and Wales differs from those in Scotland and Ireland. The record-keeping practiced by nonconformist and foreign churches, in communities overseas and in the military is also explained, as are the systems of the Isle of Man and the Channel Islands. Other useful sources of evidence for births, marriages and deaths are explored and, of course, the authors assess the online sites that researchers can turn to for help in this crucial area of family history research.