“If there is a paradigmatic tale of occupational health . . . Deadly Dust is it.”
—James L. Weeks, Science

“Rosner and Markowitz have produced a carefully crafted history of the rise and fall of this occupational disease, focusing especially on the political forces behind changing disease definitions. . . Deadly Dust comes as a fresh breeze into one of the more stuffy and too often ignored alleys of medical history.”
—Robert N. Proctor, The Journal of the American Medical Association

“A thought-provoking, densely referenced, uncompromising history. . . Like all good history, it challenges our basic assumptions about how the world is ordered and offers both factual information and a conceptual framework for rethinking what we ‘know’.”
—Rosemary K. Sokas, The New England Journal of Medicine
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“Deadly Dust raises an important methodological problem that has long gone underarticulated in medical historical circles: how can social historians of medicine offer political or economic explanations for the scientific efforts of their professional subjects without losing a grip on the biological aspects of disease?”
—Christopher Sellers, The Journal of the History of Medicine

"A sophisticated understanding of how class and conflict shape social, economic, political, and intellectual change underlies this first attempt at a history of occupational health spanning the twentieth century."
—Claudia Clark, The Journal of American History%; FONT-FAMILY: Arial"
"This volume is well worth reading as a significant contribution to American social history."
—Charles O. Jackson, The American Historical Review

David Rosner is Distinguished Professor of History and Sociomedical Sciences, and Director of the Center for the History and Ethics of Public Health, Columbia University.

Gerald Markowitz is Professor of History at John Jay College of Criminal Justice of the City University of New York.

In our rapidly advancing scientific and technological world, many take great pride and comfort in believing that we are on the threshold of new ways of thinking, living, and understanding ourselves. But despite dramatic discoveries that appear in every way to herald the future, legacies still carry great weight. Even in swiftly developing fields such as health and medicine, most systems and policies embody a sequence of earlier ideas and preexisting patterns.

In History and Health Policy in the United States, seventeen leading scholars of history, the history of medicine, bioethics, law, health policy, sociology, and organizational theory make the case for the usefulness of history in evaluating and formulating health policy today. In looking at issues as varied as the consumer economy, risk, and the plight of the uninsured, the contributors uncover the often unstated assumptions that shape the way we think about technology, the role of government, and contemporary medicine. They show how historical perspectives can help policymakers avoid the pitfalls of partisan, outdated, or merely fashionable approaches, as well as how knowledge of previous systems can offer alternatives when policy directions seem unclear.

Together, the essays argue that it is only by knowing where we have been that we can begin to understand health services today or speculate on policies for tomorrow.