The role of American hospital expansions in health disparities and medical apartheid

Health Colonialism considers how U.S. urban development policies contribute to the uneven and unjust distribution of health care in this country. Here, Shiloh Krupar investigates the racially inequitable effects of elite U.S. hospitals on their surrounding neighborhoods and their role in consolidating frontiers of land primed for redevelopment.

Naming this frontier “medical brownfields,” Krupar shows how hospitals leverage their domestic real estate empires to underwrite international prospecting for patients and overseas services and specialty clinics. Her pointed analysis reveals that decolonizing health care efforts must scrutinize the land practices of nonprofit medical institutions and the liberal foundations of medical apartheid perpetuated by globalizing American health care.

Although the years from 1873-1893 lacked the well known, dramatic events of the periods before and after, this period presented a major transformation in Wisconsin's economy. The third volume in the History of Wisconsin series presents a balanced, comprehensive, and witty account of these two decades of dynamic growth and change in Wisconsin society, business, and industry. Concentrating on three major areas: the economy, communities, and politics and government, this volume in the History of Wisconsin series adds substantially to our knowledge and understanding of this crucial, but generally little-understood, period.

Multivariate statistical analyses of models were conducted using household data from Minneapolis and Wooster, Ohio. Three important findings emerged. First, homeowners' sense of solidarity with their neighbors is as significant in determining their efforts at home upkeep as are their income or age. Second, the optimism of homeowners toward increases in property values results in behavior opposite to that produced by optimism about neighborhood quality of life. This implies that different kinds of predictable gaming behavior occur among homeowners, depending on the neighborhoods in which they live. Third, both short-term and extremely long-term plans to move prove damaging to home upkeep.

The results of this study form the basis for a better understanding of such residential phenomena as class succession, racial transition, and gentrification. Galster's findings will also be valuable for analyzing policies that attempt to encourage neighborhood reinvestment.