With the defeat of national health reform, many liberals have looked to the states as the source of health policy innovation. At the same time, many in the new Republican majority and several governors also support increased state control. In contrast, Michael S. Sparer convincingly argues that states by themselves can neither satisfy the liberal hope for universal coverage nor the conservative hope for cost containment. He also points to two critical drawbacks to a state-dominated health care system: the variation in coverage among states and the intergovernmental tension that would inevitably accompany such a change.

Supporting his arguments, Sparer analyzes the contradictions in operations and policies between the New York and California Medicaid programs. For instance, why does New York spend an average of $7,286 on its Medicaid beneficiaries and California an average of $2,801? The answer, the author suggests, is rooted in bureaucratic politics. California officials enjoy significant bureaucratic autonomy, while the system in New York is fragmented, decentralized, and interest-group dominated. The book supports this conclusion by exploring nursing home and home care policy, hospital care policy, and managed care policy in the two states. Sparer's dissection of the consequences of state-based reform make a persuasive case for national health insurance.

From practical to philosophical considerations, this succinct, clear presentation of medical malpractice issues is a valuable resource for the classroom and the reference shelf. Frank M. McClellan illustrates the multitude of considerations that impact the merit of each case, never losing sight of the importance of preserving human dignity in malpractice lawsuits.

Early chapters urge the evaluation of legal, medical, and ethical standards, especially the Standard of Care. Part II focuses on assessing and proving compensatory and punitive damages, Part III sets out guidelines for intelligence gathering, medical research, choosing expert witnesses, and preparing for trial.

Students of law, medicine, and public health, as well as lawyers and health care professionals, will find in Medical Malpractice a valuable text or reference book. "Problems" in twelve of the thirteen chapters illustrate the range of issues that can arise in malpractice suits. An appendix lists leading cases that have shaped medical malpractice law.

How the politics of “medical necessity” complicates American health care

The definition of medical necessity has morphed over the years, from a singular physician’s determination to a complex and dynamic political contest involving patients, medical companies, insurance companies, and government agencies. In this book, Daniel Skinner constructs a comprehensive understanding of the politics of defining this concept, arguing that sustained political engagement with medical necessity is essential to developing a health care system that meets basic public health objectives.

From medical marijuana to mental health to reproductive politics, the concept of medical necessity underscores many of the most divisive and contentious debates in American health care. Skinner’s close reading of medical necessity’s production illuminates the divides between perceptions of medical need as well as how the gatekeeper concept of medical necessity tends to frame medical objectives. He questions the wisdom of continuing to use medical necessity when thinking critically about vexing health care challenges, exploring the possibility that contracts, rights, and technology may resolve the contentious politics of medical necessity.

Skinner ultimately contends that a major shift is needed, one in which health care administrators, doctors, and patients admit that medical necessity is, at its base, a contestable political concept.

“A work of great breadth, originality, and distinction.  Rarely do we see such a successful marriage between historical demography and the history of medicine.  The interconnections between population increase, migration and immigration on the one hand, and disease and the development of medicine on the other in antebellum America are brilliantly presented.”—Irvine Loudon, Bulletin of the History of Medicine
 

The baby is screaming again. My baby. I hoist her off the narrow hotel bed--again--and try to cradle her as I rock my torso back and forth in an uncomfortable straight-backed chair.

This baby does not cradle. She doesn't know how to cuddle, to be soothed in anyone's arms. She howls and arches away, squirms and flops, a sixteen-pound fish out of water. I'm not used to holding babies, and she's not used to be being held, but when I try to put her down, she wails. My arms feel chafed, raw, and my wrists ache from the hours of straining to hang on to her.

Huge tears pool in her eyes. These tears could break my heart. These screams could break my eardrums.

Melville Biography: An Inside Narrative is Hershel Parker’s history of the writing of Melville biographies, enriched by a lifetime of intimate working partnerships with great Melville scholars of different generations and by the author’s experience of successive phases of literary criticism. Throughout this bold book, Hershel Parker champions archival-based biography and the all-but-lost art of embodying such scholarship in literary criticism. First is a mesmerizing autobiographical account of what went into creating the award-winning and comprehensive  Herman Melville: A Biography. Then Parker traces six decades of the “unholy war” waged against biographical scholarship, in which critics repeatedly imposed the theory of organic unity on Melville’s disrupted life—not just on his writings—while truncating his body of work and ignoring his study of art and aesthetics. In this connection, Parker celebrates discoveries made by “divine amateurs,” before throwing open his workshop to challenge ambitious readers with research projects. This is a book for Melville fans and Parker fans, as well as for readers, writers, and would-be writers of biography.

In 1951 Gaines Post was a gangly, bespectacled, introspective teenager preparing to spend a year in Paris with his professorial father and older brother; his mother, who suffered from extreme depression, had been absent from the family for some time. Ten years later, now less gangly but no less introspective, he was finishing a two-year stint in the army in West Germany and heading toward Oxford on a Rhodes scholarship, having narrowly escaped combat in the Berlin crisis of 1961. His quietly intense coming-of-age story is both self-revealing and reflective of an entire generation of young men who came to adulthood before the Cuban Missile Crisis and the Vietnam War.

Post's experiences in high school in Madison, Wisconsin, and Paris, his Camus-influenced undergraduate years at Cornell University, and his army service in Germany are set very effectively against the events of the Cold War. McCarthyism and American crackdowns on dissidents, American foreign and military policy in Western Europe in the nuclear age, French and German life and culture, crises in Paris and Berlin that nearly bring the West to war and the Post family to dissolution—these are the larger scenes and subjects of his self-disclosure as a contemplative, conflicted "Cold War agnostic."

His intelligent, talented mother and her fragile health hover over Post's narrative, informing his hesitant relationships with women and his acutely questioning sense of self-worth. His story is strongly academic and historical as well as political and military; his perceptions and judgments lean toward no ideological extreme but remain true to the heroic ideals of his boyhood during the Second World War.

When Henry Grady died in 1957, one obituary called him “America’s top diplomatic soldier” for a critical period of the Cold War, and over a long career he was deeply involved in events that changed our role in the world. Even so, this self-described “soft” cold warrior has been largely overlooked by historians. His memoirs, left to languish with his other papers, are now published for the first time, offering new insight into the origins and implementation of American trade and development policies—and into the tumult that was the Cold War.

A specialist in international economic policy, Grady helped create the system of reciprocal trade established under FDR during the depression. Progressing in his career through his abilities rather than through political connections, he was sent to India during World War II to spark its production for the war effort, then to Italy to help jump-start its economy once German forces were driven out. After the war, he was the first American ambassador to an independent India, then served as ambassador to Greece and Iran—where he was embroiled in the oil industry crisis that eventually led to the CIA’s overthrow of Prime Minister Mohammad Mossadegh.

Grady’s memoirs are an intriguing and informative account of early Cold War diplomacy in significant and turbulent regions of the Third World, embellished by his thoughts about the changing nature of American economic policies and his role as a representative of that system abroad. It offers new perspectives on the crisis in Iran in the early 1950s, where Grady was especially critical of Secretary of State Dean Acheson’s support for the remnants of British imperialism in Iran—and paid for his criticism with his job. Editor John McNay’s introduction and comments shed light on Grady’s thinking and his role in the policy-making process.

More than a chronicle of a wide-ranging career—one that reflects the emergence of the United States as the world’s leading economic power—Grady’s memoirs are a trenchant critique of U.S. foreign policy in the first half of the twentieth century. They provide modern readers an opportunity to reconsider the conflict between realism and idealism in foreign relations during the Cold War years.

Philadelphia native Wendell W. Young III was one of the most important American labor leaders in the last half of the twentieth century. An Acme Markets clerk in the 1950s and ’60s, he was elected top officer of the Retail Clerks Union when he was twenty-four. His social justice unionism sought to advance wages while moving beyond collective bargaining to improve the conditions of the working-class majority, whether in a union or not. Young quickly gained a reputation for his independence, daring at times to publicly criticize the policies of the city’s powerful AFL-CIO leadership and tangle with the city’s political machine.

Editor Francis Ryan, whose introduction provides historical context, interviewed Young about his experiences working in the region’s retail and food industry, measuring the changes over time and the tangible impact that union membership had on workers. Young also describes the impact of Philadelphia’s deindustrialization in the 1970s and ’80s and recounts his activism for civil rights and the anti-war movements as well as on John F. Kennedy’s presidential campaign. 

The Memoirs of Wendell W. YoungIII  provides the most extensive labor history of late twentieth-century Philadelphia yet written.

In the past few decades, thousands of new memorials to executed witches, victims of terrorism, and dead astronauts, along with those that pay tribute to civil rights, organ donors, and the end of Communism have dotted the American landscape. Equally ubiquitous, though until now less the subject of serious inquiry, are temporary memorials: spontaneous offerings of flowers and candles that materialize at sites of tragic and traumatic death. In Memorial Mania, Erika Doss argues that these memorials underscore our obsession with issues of memory and history, and the urgent desire to express—and claim—those issues in visibly public contexts.

Doss shows how this desire to memorialize the past disposes itself to individual anniversaries and personal grievances, to stories of tragedy and trauma, and to the social and political agendas of diverse numbers of Americans. By offering a framework for understanding these sites, Doss engages the larger issues behind our culture of commemoration. Driven by heated struggles over identity and the politics of representation, Memorial Mania is a testament to the fevered pitch of public feelings in America today.

Few know the name Anna Jarvis, yet on the second Sunday in May, we mail the card, buy the flowers, place the phone call, or make the brunch reservation to honor our mothers, all because of her. 

Anna Jarvis organized the first official Mother’s Day celebration in Grafton, West Virginia in 1908 and then spent decades promoting the holiday and defending it from commercialization. She designed her Mother’s Day celebration around a sentimental view of motherhood and domesticity, envisioning a day venerating the daily services and sacrifices of mothers within the home.

     After Mother’s Day became a national holiday in 1914, many organizations sought to align the holiday’s meaning with changing perceptions of modern motherhood in the twentieth century. Instead of restricting a mother’s service and influence solely to the domestic sphere, they emphasized the power of mothers both within their homes and throughout their communities. 

     Jarvis refused to accept this changing interpretation, claiming both intellectual and legal ownership of Mother’s Day. Her obsession with protecting the purity of her vision sustained a war of verbal and legal assaults against rival holiday promoters, patriotic women’s organizations, charitable foundations, public health reformers, and the Franklin D. Roosevelt administration. The struggle for control of Mother’s Day ultimately threatened her livelihood, physical health, and emotional stability. 

Memorializing Motherhood explores the complicated history of Anna Jarvis’s movement to establish and control Mother’s Day, as well as the powerful conceptualization of this day as both a holiday and a cultural representation of motherhood.

From the seventeenth century into the nineteenth, thousands of Madagascar’s people were brought to American ports as slaves. In Memories of Madagascar and Slavery in the Black Atlantic, Wendy Wilson-Fall shows that the descendants of these Malagasy slaves in the United States maintained an ethnic identity in ways that those from the areas more commonly feeding the Atlantic slave trade did not. Generations later, hundreds, if not thousands, of African Americans maintain strong identities as Malagasy descendants, yet the histories of Malagasy slaves, sailors, and their descendants have been little explored.

Wilson-Fall examines how and why the stories that underlie this identity have been handed down through families—and what this says about broader issues of ethnicity and meaning-making for those whose family origins, if documented at all, have been willfully obscured by history.

By analyzing contemporary oral histories as well as historical records and examining the conflicts between the two, Wilson-Fall carefully probes the tensions between the official and the personal, the written and the lived. She suggests that historically, the black community has been a melting pot to which generations of immigrants—enslaved and free—have been socially assigned, often in spite of their wish to retain far more complex identities. Innovative in its methodology and poetic in its articulation, this book bridges history and ethnography to take studies of diaspora, ethnicity, and identity into new territory.

For decades, artists and architects have struggled to relate to the Holocaust in visual form, resulting in memorials that feature a diversity of aesthetic strategies. In Memory Passages, Natasha Goldman analyzes both previously-overlooked and internationally-recognized Holocaust memorials in the United States and Germany from the postwar period to the present, drawing on many historical documents for the first time. From the perspectives of visual culture and art history, the book examines changing attitudes toward the Holocaust and the artistic choices that respond to it.

The book introduces lesser-known sculptures, such as Nathan Rapoport’s Monument to the Six Million Jewish Martyrs in Philadelphia, as well as internationally-acclaimed works, such as Peter Eisenman’s Memorial to the Murdered Jews of Europe in Berlin. Other artists examined include Will Lammert, Richard Serra, Joel Shapiro, Gerson Fehrenbach, Margit Kahl, and Andy Goldsworthy.Archival documents and interviews with commissioners, survivors, and artists reveal the conversations and decisions that have shaped Holocaust memorials.

Memory Passages suggests that memorial designers challenge visitors to navigate and activate spaces to engage with history and memory by virtue of walking or meandering. This book will be valuable for anyone teaching—or seeking to better understand—the Holocaust.

Memphis Hoops tells the story of basketball in Tennessee’s southwestern-most metropolis following the 1968 assassination of Martin Luther King Jr. Keith Brian Wood examines the city through the lens of the Memphis State University basketball team and its star player-turned-coach Larry Finch. Finch, a Memphis native and the first highly recruited black player signed by Memphis State, helped the team make the 1973 NCAA championship game in his senior year. In an era when colleges in the south began to integrate their basketball programs, the city of Memphis embraced its flagship university’s shift toward including black players. Wood interjects the forgotten narrative of LeMoyne-Owen’s (the city’s HBCU) 1975 NCAA Division III National Championship team as a critical piece to understanding this era. Finch was drafted by the Lakers following the 1973 NCAA championship but instead signed with the American Basketball Association’s Memphis Tams. After two years of playing professionally, Finch returned to the sidelines as a coach and would eventually become the head coach of the Memphis State Tigers.

Wood deftly weaves together basketball and Memphis’s fraught race relations during the post–civil rights era. While many Memphians viewed the 1973 Tigers’ championship run as representative of racial progress, Memphis as a whole continued to be deeply divided on other issues of race and civil rights. And while Finch was championed as a symbol of the healing power of basketball that helped counteract the city’s turbulence, many black players and coaches would discover that even its sports mirrored Memphis’s racial divide. Today, as another native son of Memphis, Penny Hardaway, has taken the reigns of the University of Memphis’s basketball program, Wood reflects on the question of progress in the city that saw King’s assassination little more than forty years ago.

In this important examination of sports and civil rights history, Wood summons social memory from an all-too-recent past to present the untold—and unfinished—story of basketball in the Bluff City.

Fatherhood is evolving in America. Stay at home dads are becoming more commonplace; men are becoming more visible in domestic, caregiving activities. In Men Can, writer, teacher, and father Donald Unger uses his personal experiences, stories of real-life families, as well as representations of fathers in film, on television, and in advertising, to illuminate the role of men in the increasingly fluid domestic sphere.

In thoughtful interviews, Don Unger tells the stories of a half dozen families—of varied ethnicities, geographical locations, and philosophical orientations—in which fathers are either primary or equally sharing parents, personalizing what is changing in how Americans care for their children. These stories are complemented by a discussion of how the language of parenting has evolved and how media representations of fathers have shifted over several decades.   

Men Can shows how real change can take place when families divide up domestic labor on a gender-neutral basis.  The families whose stories he tells offer insights into the struggles of—and opportunities for—men caring for children. When it comes to taking up the responsibility of parenting, his argument, ultimately, is in favor of respecting personal choices and individual differences, crediting and supporting functional families, rather than trying to force every household into a one-size-fits-all mold. 

As Hill explains, labor defense activists first drew on populist logic, opposing the masses to the state in their campaigns, while anti-lynching activists went in the opposite direction, castigating “the mob” and appealing to the law. Showing that this difference stems from the different positions of whites and Blacks in the American legal system, Hill’s comparison of anti-lynching organizing and radical labor defenses reveals the conflicts and intersections between antiracist struggle and socialism in the United States.

Swindler. Murderer. Scoundrel.

Robert Boatright was one of Middle America’s greatest confidence men. Although little remembered today, his story provides a rare glimpse into America’s criminal past. Working in concert with a local bank and an influential Democratic boss, “this dean of modern confidence men” and his colorful confederacy of con men known as the Buckfoot Gang seemed untouchable. A series of missteps, however, led to a string of court cases across the country that brought Boatright’s own criminal enterprise to an end. And yet, the con continued: Boatright’s successor, John C. Mabray, and his cronies, many of whom had been in the Buckfoot Gang, preyed upon victims across North America in one of the largest midwestern criminal syndicates in history before they were brought to heel.

Like the works of Sinclair Lewis, Boatright’s story exposes a rift in the wholesome midwestern stereotype and furthers our understanding of nineteenth- and twentieth-century American society.

Long famous as a political, social, and cultural gadfly, journalist and essayist H. L. Mencken was unafraid to speak his mind on controversial topics and to express his views in a deliberately provocative manner.

Mencken was prolific; much of his best work lies buried in the newspapers and magazines in which it originally appeared. Mencken’s America is a sampling of this uncollected work, arranged to present the wide-ranging treatise on American culture that Mencken himself never wrote.

The core of the book is a series of six articles on “The American” published in the Smart Set in 1913-14. Never before reprinted, they embody the essence of Mencken’s views on the deficiencies of his countrymen.

What was the problem with America? For Mencken, it could be summed up in one word: Puritanism. Puritanism accounted for much that was wrong with American culture: the prevalence of “militant morality” represented by Prohibition, by campaigns against prostitution, and by religious fundamentalism. American hostility toward the fine arts led to furious attempts to suppress any work of art that was thought to contravene conventional morality-attempts that Mencken chronicles with impressive scholarship in the essay “Puritanism as a Literary Force.”

Mencken reserved his greatest scorn for American political institutions. Opposed to the very principle of democracy and universal suffrage, he maintained that, in the absence of an educated electorate, all politicians are compelled to become demagogues.

Bracing, infuriating, and pungent, H. L. Mencken’s writings retain their relevance even after the passage of nearly a hundred years, cogently discussing issues with which Americans of the twenty-first century are still wrestling. Sagaciously edited by S. T. Joshi, one of the country’s foremost Mencken scholars, Mencken’s America is a superb example of America’s turning the looking glass on itself.

"With classic butch finesse---that handsome combination of vulnerability and toughness---Peggy Shaw pieces together the challenges of growing up butch in the 1950s. Shaw is an engaging performer and inspired writer."
---Gay Community News

Obie-award-winning performer and writer Peggy Shaw has been playing her gender-bending performances on Off Broadway, regional, and international stages for three decades. Co-founder of the renowned troupe Split Britches, Shaw has gone on to create memorable solo performances that mix achingly honest introspection with campy humor, reflecting on everything from her Irish-American working-class roots to her aging butch body.

This collection of Shaw's solo performance scripts evokes a 54-year-old grandmother who looks like a 35-year-old man (in her classic Menopausal Gentleman); a mother's ambivalent ministrations to a daughter she treated like a son (in the raw You're Just Like My Father); Shaw's love for her biracial grandson, for whom she models masculinity (in the musically punctuated To My Chagrin); and a mapping of her body's long, bittersweet history (in the lyrical Must: The Inside Story, a collaboration with the UK's Clod Ensemble). The book also includes a selection of Shaw's other classic monologues and an extensive introduction by Jill Dolan, Professor of English and Theater and Dance at Princeton University and the blogger behind The Feminist Spectator website.

A volume in the series Triangulations: Lesbian/Gay/Queer Theater/Drama/Performance
Cover photos by Eva Weiss (top) and Robin Holland/robinholland.com (bottom).

College sports have provided a compelling means to discuss issues regarding racial equality and fairness in American life. As previously-white institutions of higher learning gradually (and grudgingly) opened their playing fields to African-American athletes in men's basketball and football, black and white spectators interpreted mixed-race team sports in often contradictory ways. In Men's College Athletics and the Politics of Racial Equality, Gregory Kaliss offers stunning insights into Americans' contested visions of equality, fairness, black manhood, citizenship, and an equal opportunity society.

Kaliss looks at Paul Robeson, Jackie Robinson, Wilt Chamberlain, Charlie Scott, John Mitchell, Wilbur Marshall, and Bear Bryant to show how Americans responded to racial integration over time. Men's College Athletics and the Politics of Racial Equality reveals that as fans, media members, university students, faculty, and administration—black and white—discussed the achievements and struggles of these athletes, they inevitably talked about much more than what occurred on the field.

The essays in this volume discuss racism and sexism as they affect mental health. In particular, they focus on training, diagnosis, treatment, and research, emphasizing the power relationships between individuals and groups that cause unequal access to mental health care. They offer perspectives on issues and their distinct effects on mental health: interracial adoptions, teenage motherhood, gender bias in mental health diagnosis and therapy, prisons used as substitutes for hospitals, homeless families, and increasing violence- in the home, on college campuses, and in the streets.

As the story goes, an itinerant preacher once visited the Bluegrass region and proclaimed heaven to be “a mere Kentucky of a place.” The Commonwealth’s first Baptists certainly thought so as they began settling the region a decade before statehood. By 1785 a group of pioneering preachers formed the Elkhorn Association, widely regarded as the oldest Baptist association west of the Alleghenies. Often portrayed in the historiography as the vanguard of a new frontier democracy, the Elkhorn Association, on closer inspection, reveals itself to be far more complex. In A Mere Kentucky of a Place, Keith Harper argues that the association’s Baptist ministers were neither full-fledged frontier egalitarians nor radical religionists but simply a people in transition. These ministers formed their identities in the crucible of the early national period, challenged by competing impulses, including their religious convictions, Jeffersonian Republicanism, and a rigid honor code—with mixed results.

With a keen eye for human interest, Harper brings familiar historical figures such as John Gano and Elijah Craig to life as he analyzes leadership in the Elkhorn Association during the early republic. Mining the wealth of documents left by the association, Harper details the self-aware struggle of these leaders to achieve economic wealth, status, and full social and cultural acceptance, demonstrating that the Elkhorn Association holds a unique place in the story of Baptists in the “New Eden” of Kentucky.

Ideal for course adoption in religious studies and students of Kentucky history, this readable work is sure to become a standard source on the history of religion on the Kentucky frontier.

Dawn Powell was a gifted satirist who moved in the same circles as Dorothy Parker, Ernest Hemingway, renowned editor Maxwell Perkins, and other midcentury New York luminaries. Her many novels are typically divided into two groups: those dealing with her native Ohio and those set in New York. “From the moment she left behind her harsh upbringing in Mount Gilead, Ohio, and arrived in Manhattan, in 1918, she dove into city life with an outlander’s anthropological zeal,” reads a recent New Yorker piece about Powell, and it is those New York novels that built her reputation for scouring wit and social observation.

In this critical biography and study of the New York novels, Patricia Palermo reminds us how Powell earned a place in the national literary establishment and East Coast social scene. Though Powell’s prolific output has been out of print for most of the past few decades, a revival is under way: the Library of America, touting her as a “rediscovered American comic genius,” released her collected novels, and in 2015 she was posthumously inducted into the New York State Writer’s Hall of Fame.

Engaging and erudite, The Message of the City fills a major gap in in the story of a long-overlooked literary great. Palermo places Powell in cultural and historical context and, drawing on her diaries, reveals the real-life inspirations for some of her most delicious satire.