Judith Farquhar examines how health magazines serve as sources of both medical information and erotic titillation to readers in urban China. Tom Boellstorff analyzes how queer zines produced in Indonesia construct the relationship between same-sex desire and citizenship. Purnima Mankekar examines the rearticulation of commodity affect, erotics, and nation on Indian television. Louisa Schein describes how portrayals of Hmong women in videos shot in Laos create desires for the homeland among viewers in the diaspora. Taken together, the essays offer fresh insights into research on gender, erotics, media, and Asia transnationally conceived.
Contributors. Anne Allison, Tom Boellstorff, Nicole Constable, Heather Dell, Judith Farquhar, Sarah L. Friedman, Martin F. Manalansan IV, Purnima Mankekar, Louisa Schein, Everett Yuehong Zhang
Herman Wasserman analyzes the debates surrounding South Africa's new media presence against the backdrop of rapidly changing geopolitics. His exploration reveals how South African disputes regarding access to, and representation in, the media reflect the domination and inequality in the global communication sphere. Optimists see post-apartheid media as providing a vital space that encourages exchanges of opinion in a young democracy. Critics argue the public sphere mirrors South Africa's past divisions and privileges the viewpoints of the elite. Wasserman delves into the ways these simplistic narratives obscure the country's internal tensions, conflicts, and paradoxes even as he charts the diverse nature of South African entry into the global arena.
Media in Europe Today provides a comprehensive overview of European media in its current state of transformation. Through a focus on specific European media sectors, it assesses the impact of new technologies across industries and addresses a wide range of practices, strategies, and challenges facing European media today. The Euromedia Research Group has more than twenty years of experience in the observation of trends affecting media today, and this book marks the strong continuation of that long tradition.
Looking beyond national and cultural boundaries, Media in the Enlarged Europe focuses on the complexity and instability of the European Union and its relationship with the mass media. Contributors to this volume address the continuing growth and expansion of the European Union, relationships between old and new Europe, and social and political developments in the former communist countries. Media in the Enlarged Europe presents snapshots of media politics, policies, industries, and cultures in the European Union as a whole, while incorporating case studies of the history and current state of mass media in specific nations. This will be an essential volume for students and experts in media studies, international relations, and international studies.
Foreword by Yohuru Williams, Racial Justice Initiative, Dean of the College of Arts and Sciences. St. Thomas University, Minneapolis; Preface by Asha Rangappa, former FBI agent and Senior Lecturer, Yale University’s Jackson Institute for Global Affairs
Providing context, reflection points, and ready-to-use lesson plans, this powerful book illuminates the intersections of social justice and media literacy for educators, school and public librarians, teachers of history and civics, information literacy instructors, and community leaders.The corrosive effects of today’s relentless tide of media are pernicious. We are conditioned in many ways by our media environments to accept and not question, making it crucial that young people master the skills necessary to access, analyze, evaluate, and create media. De Abreu and her fellow contributors propose that a key solution to our society’s crisis of misinformation, misrepresentation, and misunderstanding lies in melding social justice aims with media literacy concepts and skills. Featuring reflective activities and lesson ideas that can be adapted for educational settings from higher education to the K-12 spectrum, community centers, and libraries, this resource
How do market forces influence the media in China? How does the Party both introduce and try to contain the market's influence? How do commercial imperatives both accommodate and challenge Party control?
Yuezhi Zhao interviewed a wide range of scholars, media administrators, and media professionals to answer these and other questions. Working in China in 1994 and 1995, she monitored media content, carried out extensive documentary research in Beijing, and held off-the-record meetings with Chinese media insiders. What she found informs an in-depth look at the intertwining nature of the Communist Party and the news media in China, how they affect each other, and what the future might hold for each.
A rare on-the-ground portrait, Media, Market, and Democracy in China is must reading for scholars, media and business professionals, and policymakers who need to understand what happened to China and its mass media during a period of dynamic growth and change.
Using a sample of European newspapers and their TV listings as a stepping stone, Media, Markets and Public Spheres presents an overview of changes in European public spheres over the last fifty years. With in-depth analyses of structural changes in press and broadcasting, changing relations between media, and changes in media policies, this book explores how and why the media decisively influence most aspects of society. Media, Markets and Public Spheres will be useful to students in media and communication studies and European studies, as well as for those studying sociology and political science.
Rick Rockwell and Noreene Janus examine the region country by country and deal with the specific conditions of government-sponsored media repression, economic censorship, corruption, and consumer trends that shape the political landscape. Challenging the notion of the media as a democratizing force, Media Power in Central America shows how governments use the media to block democratic reforms and outlines the difficulties of playing watchdog to rulers who use the media as a tool of power.
Award-winning author David J. Park argues that the battle against global warming is also a fight for media reform. With his new book Media Reform and the Climate Emergency: Rethinking Communication in the Struggle for a Sustainable Future, he critically examines how advertising, the digital infrastructure, and journalism advance the climate emergency and lays out a path of reform to help create a more sustainable world. The production and consumption of goods and services within consumer societies lead to unsustainable greenhouse gas emissions, and Park finds that much of mass communication is either dependent upon or closely tied to the success of this social organization. As a result, he suggests successful environmental movements creatively dismantle or reform institutional infrastructures that extend the planetary global warming crisis and the unsustainable consumption of nature.
Communication policies and industries are part of these infrastructures. Advertising evolved to propel a new consumer society that would encourage the over-consumption of goods and services with harmful and unsustainable production processes. Our digital infrastructure is largely premised upon the surveillance of online consumer habits and preferences, with the goal to create individualized messages to more effectively persuade people to increase their consumption habits. Much of commercial journalism resists the drastic and immediate regulatory changes necessary to address the worst aspects of this crisis. This is because so many of the needed changes challenge the media’s source of income, their libertarian philosophy, and the general status quo, which is preferred by elites. Bound to foster conversations among scholars, activists, politicians, and those who work in the communication industries, this book rethinks mass communication and highlights how immediate reform is needed in the struggle for a sustainable planet.
Outside of music, the importance of sound and listening have been greatly overlooked in Latin American history. Visual media has dominated cultural studies, affording an incomplete record of the modern era. This edited volume presents an original analysis of the role of sound in Latin American and Caribbean societies, from the late nineteenth century to the present. The contributors examine the importance of sound in the purveyance of power, gender roles, race, community, religion, and populism. They also demonstrate how sound is essential to the formation of citizenship and nationalism.
Sonic media, and radio in particular, have become primary tools for contesting political issues. In that vein, the contributors view the control of radio transmission and those who manipulate its content for political gain. Conversely, they show how, in neoliberal climates, radio programs have exposed corruption and provided a voice for activism.
The essays address sonic production in a variety of media: radio; Internet; digital recordings; phonographs; speeches; carnival performances; fireworks festivals, and the reinterpretation of sound in literature. They examine the bodily experience of sound, and its importance to memory coding and identity formation.
This volume looks to sonic media as an essential vehicle for transmitting ideologies, imagined communities, and culture. As the contributors discern, modern technology has made sound ubiquitous, and its study is therefore crucial to understanding the flow of information and influence in Latin America and globally.
"This book is the perfect primer for understanding media in the digital age. We are in an era when newspaper, radio, and television are fast becoming archeological concepts. Herein are the reasons why."
---Nicholas Negroponte, founder and chairman of One Laptop per Child and cofounder of the MIT Media Laboratory
"Congratulations to Neuman and colleagues for a fascinating exploration of how previous new media were constructed, whether things could have been otherwise, and what can be learned for future media."
---Sonia Livingstone, Department of Media and Communications, the London School of Economics and Political Science
In Media, Technology, and Society, some of the most prominent figures in media studies explore the issue of media evolution. Focusing on a variety of compelling examples in media history, ranging from the telephone to the television, the radio to the Internet, these essays collectively address a series of notoriously vexing questions about the nature of technological change. Is it possible to make general claims about the conditions that enable or inhibit innovation? Does government regulation tend to protect or thwart incumbent interests? What kinds of concepts are needed to address the relationship between technology and society in a nonreductive and nondeterministic manner? To what extent can media history help us to understand and to influence the future of media in constructive ways? The contributors' historically grounded responses to these questions will be relevant to numerous fields, including history, media and communication studies, management, sociology, and information studies.
W. Russell Neuman is John Derby Evans Professor of Media Technology and Research Professor, Center for Political Studies, Institute for Social Research, at the University of Michigan.
DIGITALCULTUREBOOKS: a collaborative imprint of the University of Michigan Press and the University of Michigan Library
The Media Welfare State: Nordic Media in the Digital Era comprehensively addresses the central dynamics of the digitalization of the media industry in the Nordic countries—Sweden, Norway, Denmark, Finland, and Iceland—and the ways media organizations there are transforming to address the new digital environment. Taking a comparative approach, the authors provide an overview of media institutions, content, use, and policy throughout the region, focusing on the impact of information and communication technology/internet and digitalization on the Nordic media sector. Illustrating the shifting media landscape the authors draw on a wide range of cases, including developments in the press, television, the public service media institutions, and telecommunication.
This volume focuses on the matrix offered by the media-democracy paradox in Ghana, Africa, and the Global South. As the first black African country south of the Sahara to attain political independence from Great Britain, Ghana is widely acknowledged by the international community as a model of democracy. This book examines the praxis of this democracy and its media, delving into Ghana’s evolvement, media practices, leadership aspirations, pressure group politics, and ideological cleavages.
A rich data source for students, scholars, researchers, and political actors on both the African continent and the diaspora, The Media-Democracy Paradox in Ghana challenges the dominant Western theories of media and democracy, examines the growing influence of social media in political discourse, and provides insightful analysis of debates surrounding political communication and its implications for strengthening democratic culture.
Mediated modeling is an innovative new approach that enhances the use of computer models as invaluable tools to guide policy and management decisions. Rather than having outside experts dispensing answers to local stakeholders, mediated modeling brings together diverse interests to raise the shared level of understanding and foster a broad and
deep consensus. It provides a structured process based on system dynamics thinking in which community members, government officials, industry representatives, and other stakeholders can work together to produce a coherent, simple but elegant simulation model.
Mediated Modeling by Marjan Van Den Belt is a practical guide to participatory modeling for both practitioners and students, one that is firmly theoretically grounded in the field of systems dynamics and environmental modeling. Five in-depth case studies describe the successful use of the technique in a variety of settings, and a final chapter synthesizes the lessons highlighted by the case studies.
Mediated Modeling's step-by-step description of the techniques and practical advice regarding implementation offer a real-world solution for all those seeking to make sound decisions about the environment.
An exploration of the representational culture of Alzheimer’s disease and how media technologies shape our ideas of cognition and aging
With no known cause or cure despite a century of research, Alzheimer’s disease is a true medical mystery. In Mediating Alzheimer’s, Scott Selberg examines the nature of this enduring national health crisis by looking at the disease’s relationship to media and representation. He shows how collective investments in different kinds of media have historically shaped how we understand, treat, and live with this disease.
Selberg demonstrates how the cognitive abilities that Alzheimer’s threatens—memory, for example—are integrated into the operations of representational technologies, from Polaroid photographs to Post-its to digital artificial intelligence. Focusing on a wide variety of media technologies, such as neuroimaging, art therapy, virtual reality, and social media, he shows how these cognitively oriented media ultimately help define personhood for people with Alzheimer’s. Media have changed the practices of successful aging in the United States, and Selberg takes us deep into how technologies like digital brain-training and online care networks shape ideas of cognition and healthy aging.
Packed with startlingly fresh insights, Mediating Alzheimer’s contributes to debates around bioethics, the labor of caregiving, and a national economy increasingly invested in communication and digital media. Probing the very technologies that promise to save and understand our brains, it gives us new ways of understanding Alzheimer’s disease and aging in America.
Until recently, print media was the dominant force in American culture. The power of the paper was especially true in minority communities. African Americans and European immigrants vigorously embraced the print newsweekly as a forum to move public opinion, cohere group identity, and establish American belonging.
Mediating America explores the life and work of T. Thomas Fortune and J. Samuel Stemons as well as Rev. Peter C. Yorke and Patrick Ford—respectively two African American and two Irish American editor/activists in the late nineteenth and early twentieth centuries. Historian Brian Shott shows how each of these “race men” (the parlance of the time) understood and advocated for his group’s interests through their newspapers. Yet the author also explains how the newspaper medium itself—through illustrations, cartoons, and photographs; advertisements and page layout; and more—could constrain editors’ efforts to guide debates over race, religion, and citizenship during a tumultuous time of social unrest and imperial expansion.
Black and Irish journalists used newspapers to recover and reinvigorate racial identities. As Shott proves, minority print culture was a powerful force in defining American nationhood.
The emergence of photography in the mid-nineteenth century transformed ideas about how the self and nature could be pictured. Although the autobiographical potential of photography seems self-evident today, Sean Meehan takes us back to the birth of the medium when some of America’s preeminent authors began to think about photography’s implications for the representation of identity and the nature of autobiographical writing.
Both photography and autobiography involve a tension between disclosing and concealing their means of production: a chemical process for one, the writing process for the other. Meehan examines how four major authors—Ralph Waldo Emerson, Henry David Thoreau, Frederick Douglass, and Walt Whitman—were well aware of this tension and explored it in their work. By examining the implications of early photography in their writings, he shows how each engaged the new visual medium, how photography mediated their conceptions of self-representation, and how their appropriation of photographic thinking created a new kind of autobiography.
Examining the metonymic nature of photography, Meehan explores how the new medium influenced conceptions of visual and verbal representation. He intertwines these four writers’ reflections on photography—in Emerson’s Representative Men, Thoreau’s journals, Douglass’s narratives of slavery, and Whitman’s Specimen Days—with theories of photography as expounded by its inventors and observers, from Louis Daguerre and William Talbot in Europe to Oliver Wendell Holmes and Marcus Root in America.
As the first book to focus on the emergence of this new visual medium during the American Renaissance, Mediating American Autobiography shows us what photography means for American literature in general and for the genre most closely linked to it in particular. Because the engagement of these writers with photography has been neglected in previous scholarship, Meehan’s work provocatively bridges the study of two media and illuminates an important aspect of American thought and culture at the dawn of the technological era.
Happel primarily lived and worked in the vigorous port city of Hamburg, which was a “media center” in terms of the access it offered to a wide library of books in public and private collections. Hamburg’s port status meant it buzzed with news and information, and Happel drew on this flow of data in his novels. His books deal with many topics of current interest—national identity formation, gender and sexualities, Western European encounters with neighbors to the East, confrontations with non-European and non-Western powers and cultures—and they feature multiple media, including news reports, news collections, and travel writings. As a result, Happel’s use of contemporary source material in his novels feeds our current interest in the impact of the production of knowledge on seventeenth-century narrative. Mediating Culture in the Seventeenth-Century German Novel explores the narrative wealth and multiversity of Happel’s work, examines Happel’s novels as illustrative of seventeenth-century novel writing in Germany, and investigates the synergistic relationship in Happel’s writings between the booming print media industry and the evolution of the German novel.
Over the past year, international and national media have been full of stories about protest movements and tumultuous social upheaval from Tunisia to California. But scholars have not yet fully addressed the connection between these movements and the media and communication channels through which their messages spread. Correcting that imbalance, Mediation and Protest Movements explores the nature of the relationship between protest movements, media representation, and communication strategies and tactics.
In a series of fascinating essays, contributors to this timely volume focus on the processes and practices in which contemporary protesters engage when acting with and through media. Covering both online and offline contexts as well as mainstream and alternative media, they consider media environments around the world in all their complexity. They also provide a broad and comparative perspective on the ways that protest movements at local and transnational levels engage in mediation processes and develop media practices. Bridging the gap between social movement theory and media and communication studies, Mediation and Protest Movements will serve as an important reference for students and scholars of the media and social change.
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.
Medicaid, one of the largest federal programs in the United States, gives grants to states to provide health insurance for over 60 million low-income Americans. As private health insurance benefits have relentlessly eroded, the program has played an increasingly important role. Yet Medicaid’s prominence in the health care arena has come as a surprise.
Many astute observers of the Medicaid debate have long claimed that “a program for the poor is a poor program” prone to erosion because it serves a stigmatized, politically weak clientele. Means-tested programs for the poor are often politically unpopular, and there is pressure from fiscally conservative lawmakers to scale back the $350-billion-per-year program even as more and more Americans have come to rely on it. For their part, health reformers had long assumed that Medicaid would fade away as the country moved toward universal health insurance. Instead, Medicaid has proved remarkably durable, expanding and becoming a major pillar of America’s health insurance system.
In Medicaid Politics, political scientist Frank J. Thompson examines the program’s profound evolution during the presidential administrations of Bill Clinton, George W. Bush, and Barack Obama and its pivotal role in the epic health reform law of 2010. This clear and accessible book details the specific forces embedded in American federalism that contributed so much to Medicaid’s growth and durability during this period. It also looks to the future outlining the political dynamics that could yield major program retrenchment.
For over thirty years, David F. Kelly has worked with medical practitioners, students, families, and the sick and dying to confront the difficult and often painful issues that concern medical treatment at the end of life. In this short and practical book, Kelly shares his vast experience, providing a rich resource for thinking about life's most painful decisions.
Kelly outlines eight major issues regarding end-of-life care as seen through the lens of the Catholic medical ethics tradition. He looks at the distinction between ordinary and extraordinary means; the difference between killing and allowing to die; criteria of patient competence; what to do in the case of incompetent patients; the meaning and use of advance directives; the morality of hydration and nutrition; physician-assisted suicide and euthanasia; and medical futility. Kelly's analysis is sprinkled with significant legal decisions and, throughout, elaborations on how the Catholic medical ethics tradition—as well as teachings of bishops and popes—understands each issue. He provides a helpful glossary to supplement his introduction to the terminology used by philosophical health care ethics. Included in Kelly's discussion is his lucid description of why the Catholic tradition supports the discontinuation of medical care in the Terry Schiavo case. He also explores John Paul II's controversial papal allocution concerning hydration and nutrition for unconscious patients, arguing that the Catholic tradition does not require feeding the permanently unconscious.
Medical Care at the End of Life addresses the major issues that inform this last stage of caregiving. It offers a critical guide to understanding the medical ethics and relevant legal cases needed for clear thinking when individuals are faced with those crucial decisions.
Americans at the end of the twentieth century worried that managed care had fundamentally transformed the character of medicine. In The Medical Delivery Business, Barbara Bridgman Perkins uses examples drawn from maternal and infant care to argue that the business approach in medicine is not a new development. Health care reformers throughout the century looked to industrial, corporate, and commercial enterprises as models for the institutions, specialties, and technological strategies that defined modern medicine.
In the case of perinatal care, the business model emphasized specialized over primary care, encouraged the use of surgical and technological procedures, and unnecessarily turned childbirth into an intensive care situation. Active management techniques, for example, encouraged obstetricians to accelerate labor with oxytocin to augment their productivity. Despite the achievements of the childbirth and women’s health movement in the 1970s, aggressive medical intervention has remained the birth experience for millions of American women (and their babies) every year.
The Medical Delivery Business challenges the conventional view that a dose of the market is good for medicine. While Perkins is sympathetic to the goals of progressive and feminist reformers, she questions whether their strategies will succeed in making medicine more equitable and effective. She argues that the medical care system itself needs to be fundamentally "re-formed," and the reforms must be based on democracy, caring, and social justice as well as economics.
In this book Paul Carrick charts the ancient Greek and Roman foundations of Western medical ethics. Surveying 1500 years of pre-Christian medical moral history, Carrick applies insights from ancient medical ethics to developments in contemporary medicine such as advance directives, gene therapy, physician-assisted suicide, abortion, and surrogate motherhood. He discusses such timeless issues as the social status of the physician; attitudes toward dying and death; and the relationship of medicine to philosophy, religion, and popular morality. Opinions of a wide range of ancient thinkers are consulted, including physicians, poets, philosophers, and patients. He also explores the puzzling question of Hippocrates' identity, analyzing not only the Hippocratic Oath but also the Father of Medicine's lesser-known works.
Complete with chapter discussion questions, illustrations, a map, and appendices of ethical codes, Medical Ethics in the Ancient World will be useful in courses on the medical humanities, ancient philosophy, bioethics, comparative cultures, and the history of medicine. Accessible to both professionals and to those with little background in medical philosophy or ancient science, Carrick's book demonstrates that in the ancient world, as in our own postmodern age, physicians, philosophers, and patients embraced a diverse array of perspectives on the most fundamental questions of life and death.
This book is the first comprehensive examination of medical ethics in the Renaissance. It investigates the ethical considerations, evaluations of procedures, and techniques of problem-solving in the writings of European physicians and surgeons from the mid-sixteenth through the mid-seventeenth centuries.
While much of the medical practice and literature of the Renaissance remained a continuation or reinterpretation of ancient medicine, Winfried Schleiner reveals an emerging self-conscious field of medical ethics that should be considered modern, as it increasingly separates medicine from theology, the cure of the body from that of the soul. The exceptions to this trend appear in the discussions of certain sexual topics, such as masturbation, by physicians close to the Counter-Reformation. Analyzing the writings of Protestant, Catholic, and Jewish physicians—the latter developed the most secular medical ethics of the era—he probes the dominant and emerging philosophical ideas together with conceptions of the role of physicians and of physical well-being.
Schleiner selects several topics to explore the development of ethical ideas in depth: placebos and the broader issue of lying to patients; the treatment of hysteria; masturbation; and the prevention of sexually transmitted diseases—subjects that are still highly charged moral as well as medical topics today.
This pioneering study will be of value to ethicists and to historians of science, medicine, and Renaissance and gender studies.
In a single convenient resource, this revised and updated edition of a classic text organizes and presents clearly the documents of the Catholic Church pertaining to medical ethics. Introductory chapters provide the context for interpreting the Church's teachings and theological values, guiding the reader in how to apply the teachings to particular ethical dilemmas and helping the reader to understand the role of conscience within the Catholic tradition.
The teaching of the Church in regard to health care ethics is pertinent not only for health care professionals and students, but for all who are concerned about the common good of society. Medical Ethics examines specific teachings of the Church on over seventy issues in clinical and research ethics, including abortion, AIDS, artificial insemination, assisted suicide, cloning, contraception, euthanasia, gene therapy, health care reform, organ donation and transplantation, organizational ethics, stem cells, surrogate motherhood, and withholding and withdrawing life support.
O'Rourke and Boyle bring this fourth edition up to the present day by incorporating recent papal documents regarding the social aspects of health care, assent to Church teaching, and the 2008 papal instruction Dignitas personae, an extremely influential document that illuminates such controversial dilemmas as prenatal adoption, frozen embryos, and genetic diagnosis.
In a single convenient resource, this book organizes and presents clearly the documents of the Catholic church pertaining to medical ethics. Introductory chapters provide the context for interpreting the Church's teachings and guide the reader in applying the teachings to particular ethical quandaries.
This third edition has been updated to incorporate the statements issued since the preparation of the second edition. The authors have revised the introductory chapters to include ideas from the papal encyclical Splendor Veritatis and "Instruction of the Ecclesial Vocation of the Theologian," published by the Vatican Congregation for the Doctrine of the Faith, concerning the various levels of the teachings of the Church. Other new statements included in this edition are relevant topics from the papal encyclical Evangelium Vitae (abortion, euthanasia, amniocentesis, suicide and withdrawing life support); the Vatican Congregation of Doctrine and Faith on uterine isolation; the U.S. bishops on the care of anencephalic infants, genetic testing, and cloning; and the Pennsylvania Catholic Conference on the treatment for rape in Catholic hospitals.
Governments throughout the industrialized world make decisions that fundamentally affect the quality and accessibility of medical care. In the United States, despite the absence of universal health insurance, these decisions have great influence on the practice of medicine.
In Medical Governance, David Weimer explores an alternative regulatory approach to medical care based on the delegation of decisions about the allocation of scarce medical resources to private nonprofit organizations. He investigates the specific development of rules for the U.S. organ transplant system and details the conversion of a voluntary network of transplant centers to one private rulemaker: the Organ Procurement and Transplantation Network (OPTN).
As the case unfolds, Weimer demonstrates that the OPTN is more efficient, nimble, and better at making evidence-based decisions than a public agency; and the OPTN also protects accountability and the public interest more than private for-profit organizations. Weimer addresses similar governance arrangements as they could apply to other areas of medicine, including medical records and the control of Medicare expenditures, making this timely and useful case study a valuable resource for debates over restructuring the U.S. health care system.
U.S. health care has changed dramatically during the past century. A new breed of physicians use new machines, vaccines, and ideas in ways that have touched the lives of virtually everyone. How and why did these changes occur?
The biographical essays comprising this volume address this question through the stories of six scientific innovators at the University of Michigan Medical School. Michigan was the first major U.S. medical school to admit women, to run its own university hospital, and, by the turn of the century, was recognized as one of the finest medical schools in the country. The people whose stories unfold here played a central part in defining the place of medical science at the University of Michigan and in the larger world of U.S. health care.
Introductory sections are followed by biographical profiles of George Dock, Thomas Francis, Albion Hewlett, Louise Newburgh, Cyrus Strurgis, and Frank Wilson. Drawing on extensive archival research, the authors provide a richly textured portrait of academic medical life and reveal how the internal content of science and medicine interacted with the social context of each subject's life. Also explored is the relationship between the environment (the hospital, the university, and the city) and the search for knowledge.
These narratives expand our perspective on twentieth-century medical history by presenting these individuals' experiences as extended biopsies of the period and place, focal points illuminating the personal nature of medicine and locating the discipline within a social and institutional setting.
Joel D. Howell is Associate Professor, Department of Internal Medicine, Department of History, and Department of Health Services Management and Policy, University of Michigan.
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.
Medical malpractice has been at the center of recurring tort crises for the last quarter-century. In 1960, expenditures on medical liability insurance in the United States amounted to about $60 million. In 1988, the figure topped $7 billion. Physicians have responded not simply with expensive methods of "defensive medicine" but also with successful pressure upon state legislatures to cut back on the tort rights of seriously injured patients. Various reforms have been proposed to deal with the successive crises, but so far none have proved to be effective and fair.
In this landmark book, Paul Weiler argues for a two-part approach to the medical malpractice crisis. First, he proposes a thorough revision of the current tort liability regime, which would concentrate available resources on meeting actual financial losses of seriously injured victims. It would also shift the focus of tort liability from the individual doctor to the hospital or other health care organization. This would elicit more effective quality assurance programs from the institutions that are in the best position to reduce our current unacceptable rate of physician-induced injuries.
But in states such as New York, Florida, and Illinois, where the current situation seems to have gone beyond the help of even drastic tort reform, the preferred solution is a no-fault system. Weiler shows how such a system would provide more equitable compensation, more effective prevention, and more economical administration than any practical alternative.
How often are patients seriously injured through faulty medical care? And what proportion of these people receive compensation for their injuries and suffering? This is the first book that tries to answer these questions in a careful, scholarly way. Among its important findings is that at most one in ten patients injured through medical negligence receives compensation through the malpractice system.
The focus of public attention has been on the rising cost to physicians of malpractice insurance. Although Patricia Danzon analyzes this question thoroughly, her view is much broader, encompassing the malpractice system itself--the legal process, the liability insurance markets, and the feedback to health care. As an economist, she is concerned with the efficiency or cost-effectiveness of the system from the point of view of its three social purposes: deterrence of medical negligence, compensation of injured patients, and the spreading of risk. To provide evidence of the operation of the system in practice, to distinguish fact from allegation, and to evaluate proposals for reform, she has undertaken a detailed empirical analysis of malpractice claims and insurance markets. It is a major contribution to our understanding of how the system works in practice and how it might be improved.
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.
Competent physicians make accurate diagnoses. How are accurate diagnoses made? This readable book gives some important answers to that question. Experienced physicians were presented with diagnostic problems and asked to solve them. Through the use of trained actors serving as “patients” and with a variety of supplementary techniques, the investigators were able to dissect the process by which diagnoses, right and wrong, are made.
Reporting on the most comprehensive investigation of clinical reasoning yet conducted, the authors present data and conclusions of importance not just to medical educators but to anyone interested in the psychology of problem solving. Rigorous attention to methods, thorough grounding in contemporary theories of problem solving, and a healthy respect for the complexity of real-life situations characterize this remarkable study.
A sampling of its salient findings only suggests the richness of this book. Successful diagnosticians begin to form hypotheses almost as soon as they encounter a patient. They entertain a limited number of hypotheses, but these are tested repeatedly during a workup. New findings are treated as confirming, refuting, or not contributing to the solution contemplated; more elaborate schemes based on a knowledge of probabilities are not used. A common error is to relate new information to a working hypothesis, although the information is, in fact, non-contributory. The performance of even an experienced physician varies markedly from case to case. Two of the most important determinants of competence are information and experience; problem-solving skills without a rich supply of facts are insufficient for diagnostic acumen.
John S. Haller,Jr., provides the first modern history of the Eclectic school of American sectarian medicine.
The Eclectic school (sometimes called the "American School") flourished in the mid-nineteenth century when the art and science of medicine was undergoing a profound crisis of faith. At the heart of the crisis was a disillusionment with the traditional therapeutics of the day and an intense questioning of the principles and philosophy upon which medicine had been built. Many American physicians and their patients felt that medicine had lost the ability to cure. The Eclectics surmounted the crisis by forging a therapeutics based on herbal remedies and an empirical approach to disease, a system independent of the influence of European practices.
Although rejected by the Regulars (adherents of mainstream medicine), the Eclectics imitated their magisterial manner, establishing two dozen colleges and more than sixty-five journals to proclaim the wisdom of their theory. Central to the story of Eclecticism is that of the Eclectic Medical Institute of Cincinnati, the "mother institute" of reform medical colleges. Organized in 1845, the school was to exist for ninety-four years before closing in 1939.
Throughout much of their history, the Eclectic medical schools provided an avenue into the medical profession for men and women who lacked the financial and educational opportunities the Regular schools required, siding with Professor Martyn Paine of the Medical Department of New York University, who, in 1846, had accused the newly formed American Medical Association of playing aristocratic politics behind a masquerade of curriculum reform. Eventually, though, they grudgingly followed the lead of the Regulars by changing their curriculum and tightening admission standards.
By the late nineteenth century, the Eclectics found themselves in the backwaters of modern medicine. Unable to break away from their botanic bias and ill-equipped to support the implications of germ theory, the financial costs of salaried faculty and staff, and the research implications of laboratory science, the Eclectics were pushed aside by the rush of modern academic medicine.
According to Jill A. Fisher, this major change in the way medical research is performed is the outcome of two problems in U.S. health care: decreasing revenue for physicians and decreasing access to treatment for patients. As physicians report diminishing income due to restrictive relationships with insurers, increasing malpractice insurance premiums, and inflated overhead costs to operate private practices, they are attracted to pharmaceutical contract research for its lucrative return. Clinical trials also provide limited medical access to individuals who have no or inadequate health insurance because they offer "free" doctors' visits, diagnostic tests, and medications to participants. Focusing on the professional roles of those involved, as well as key research practices, Fisher assesses the risks and advantages for physicians and patients alike when pharmaceutical drug studies are used as an alternative to standard medical care.
A volume in the Critical Issues in Health and Medicine series, edited by Rima D. Apple and Janet Golden
READERS
Browse our collection.
PUBLISHERS
See BiblioVault's publisher services.
STUDENT SERVICES
Files for college accessibility offices.
UChicago Accessibility Resources
home | accessibility | search | about | contact us
BiblioVault ® 2001 - 2024
The University of Chicago Press