A SCHOLARLY BOOK REPOSITORY22 start with C start with C
Examining trans- healthcare as a key site through which struggles for health and justice take shape
Over the past two decades, medical and therapeutic approaches to transgender patients have changed radically, from treating a supposed pathology to offering gender-affirming care. Based on ethnographic fieldwork in New York City and Buenos Aires, Care without Pathology moves across the Americas to show how trans- health activists have taken on the project of depathologization.
In New York, Christoph Hanssmann examines activist attempts to overturn bans on using public health dollars to fund trans- health care. In Argentina, he traces how trans- activists marshaled medical statistics and personal biographies to reveal state violence directed against trans- people and travestis. Hanssmann also demonstrates the importance of understanding transphobia in the broader context of gendered racism, ableism, and antipoverty, arguing for the rise of a thoroughly coalition-based mass mobilization.
Care without Pathology highlights the distributive arguments activists made to access state funding for health care, combating state arguments that funding trans- health care is too specialized, too expensive, and too controversial. Hanssmann situates trans- health as a crucible within which sweeping changes are taking place—with potentially far-reaching effects on the economic and racial barriers to accessing care.
One of the major concerns about the changing U.S. health-care systems is whether they will improve or diminish the quality and cost-effectiveness of medical care. The shift from a fee-for-service to a prepaid method of reimbursement has greatly changed the incentives of patients to seek care as well as those of providers to supply it. This change poses a particular challenge for care of depressed patients, a vulnerable population that often does not advocate for its own care. This book documents the inefficiencies of our national systems--prepaid as well as fee-for-service--for treating depression and explores how they can be improved.
Although depression is a major illness affecting millions of people, it is seriously undertreated in the United States. The ongoing shift of mental-health care away from specialists and toward primary medical-care providers is causing fewer depressed patients to be appropriately diagnosed and treated. Depression is frequently more devastating than other major illnesses, such as arthritis and heart disease, because it often begins at a younger age, when people are at their productive peak and thus at risk of permanently damaging their careers. It also differs from many medical conditions in that its indirect costs are usually much higher than direct treatment costs.
The authors urge the integration of both medical and economic considerations in designing policies for the treatment of depression. They show that by spending more money efficiently on care, the nation will gain greater health improvements per dollar invested and a more productive population.
Children of the Atomic Bomb is Dr. Yamazaki’s account of a lifelong effort to understand and document the impact of nuclear explosions on children, particularly the children conceived but not yet born at the time of the explosions. Assigned in 1949 as Physician-in-Charge of the United States Atomic Bomb Casualty Commission in Nagasaki, Yamazaki had served as a combat surgeon at the Battle of the Bulge where he had been captured and held as a prisoner of war by the Germans. In Japan he was confronted with violence of another dimension—the devastating impact of a nuclear blast and the particularly insidious effects of radiation on children.
Yamazaki’s story is also one of striking juxtapositions, an account of a Japanese-American’s encounter with racism, the story of a man who fought for his country while his parents were interned in a concentration camp in Arkansas. Once the object of discrimination at home, Yamazaki paradoxically found himself in Japan for the first time as an American, part of the Allied occupation forces, and again an outsider. This experience resonates through his work with the children of Nagasaki and Hiroshima and with the Marshallese people who bore the brunt of America’s postwar testing of nuclear weapons in the Pacific.
Recalling a career that has spanned five decades, Dr. Yamazaki chronicles the discoveries that helped chart the dangers of nuclear radiation and presents powerful observations of both the medical and social effects of the bomb. He offers an indelible picture of human tragedy, a tale of unimaginable suffering, and a dedication to healing that is ultimately an unwavering, impassioned plea for peace.
Organized by Dr. James Brown McCaw, Chimborazo was an innovative hospital with well-trained physicians, efficient stewards, and a unique supply system. Physicians had access to the latest medical knowledge and specialists in Richmond. The hospital soon became a model for other facilities. The hospital’s clinical reputation grew as it established connections with the Medical College of Virginia and hosted several drug and treatment trials requested by the Confederate Medical Department.
In fascinating detail, Chimborazo recounts the issues, trials, and triumphs of a Civil War hospital. Based on an extensive study of hospital and Confederate Medical Department records found at the National Archives, along with other primary sources, the study includes information on the patients, hospital stewards, matrons, and slaves who served as support staff. Since Chimborazo was designated as an independent army post, the book discusses other features of its organization, staff, and supply system as well. This careful examination describes the challenges facing the hospital and reveals the humanity of those who lived and worked there.
You are old, ill, in pain, and your doctor asks you what you want to do about it. You may be uncertain but you're definitely not alone. By the year 2020, some 50 million Americans will be over sixty-five, and as the nation ages we must all ask what we ought to do about the health and medical care of our elderly. Our response will have profound consequences, not just for individuals and families, but for society as a whole. This book helps us start to form an answer.
To make decisions about medical care in old age, we need to know more about the reality of being elderly and sick, and Choosing Medical Care in Old Age gives us the opportunity. Muriel Gillick, a noted physician who specializes in the care of the elderly and in medical ethics, presents a panoply of stories drawn from her clinical experience. These encounters, with the robust and the frail, the demented and the dying, capture the texture of the experience of being old and faced with critical medical questions. From the stories of older people struggling to make choices in the face of acute illness, stories that are often poignant and sometimes tragic, Gillick develops broad guidelines for medical decision–making for the elderly. Within this framework, she confronts particular concerns and questions. When are certain procedures too burdensome to be justified? What are unacceptable risks? Should family members serve as exclusive spokespersons for relatives who can no longer speak for themselves? Gillick's bold and personal prescription for medical care for the elderly calls for a change in the way medicine is understood and practiced, as well as for changes in the institutions that serve the elderly, such as hospitals and nursing homes. An intelligent and deeply compassionate inquiry into the difficult issues and real–life dilemmas raised by current practices, her book offers a first step toward those changes.
An enduring paradox of urban public health is that many communities around hospitals are economically distressed and, counterintuitively, medically underserved. In The City and the Hospital two sociologists, Jonathan R. Wynn and Berkeley Franz, and a political scientist, Daniel Skinner, track the multiple causes of this problem and offer policy solutions.
Focusing on three urban hospitals—Connecticut’s Hartford Hospital, the flagship of the Hartford Healthcare system; the Cleveland Clinic, which coordinates with other providers for routine care while its main campus provides specialty care; and the University of Colorado Hospital, a rare example of an urban institution that relocated to a new community—the authors analyze the complicated relationship between a hospital and its neighborhoods. On the one hand, hospitals anchor the communities that surround them, often staying in a neighborhood for decades. Hospitals also craft strategies to engage with the surrounding community, many of those focused on buying locally and hiring staff from their surrounding area. On the other hand, hospitals will often only provide care to the neighboring community through emergency departments, reserving advanced medical care and long-term treatment for those who can pay a premium for it. In addition, the authors show, hospitals frequently buy neighborhood real estate and advocate for development programs that drive gentrification and displacement.
To understand how urban healthcare institutions work with their communities, the authors address power, history, race, and urbanity as much as the workings of the medical industry. These varied initiatives and effects mean that understanding urban hospitals requires seeing them in a new light—not only as medical centers but as complicated urban forces.
As a subgenre of war literature, the Civil War nurse narrative offered realistic reportage of medical experiences and declined to engage with military strategies or Congressional politics. Instead, nurse narrators chronicled the details of attending wounded soldiers in the hospital, where a kind of microcosm of US democracy-in-progress emerged. As the war reshaped the social and political ideologies of the republic, nurses labored in a workplace that reflected cultural changes in ideas about gender, race, and class. Through interactions with surgeons and other officials they tested women’s rights convictions, and through interactions with formerly enslaved workers they wrestled with the need to live up to their own often abolitionist convictions and support social equality.
By putting these accounts in conversation with each other, Civil War Nurse Narratives productively explores a developing genre of war literature that has rarely been given its due and that offers refreshing insights into women’s contributions to the war effort. Taken together, these stories offer an impressive and important addition to the literary history of the Civil War.
Winner (first edition), Archivists and Librarians in the History of the Health Sciences, Best Book Award
“I always tried to succor the wounded until medical aid and supplies could come up—I could run the risk; it made no difference to anyone if I were shot or taken prisoner.” So recorded Clara Barton, the most famous woman to emerge from the American Civil War. In an age when few women worked in hospitals, much less at the front, Barton served in at least four Union armies, providing food and assistance to wounded soldiers on battlefields stretching from Maryland to South Carolina. Thousands of soldiers benefited from her actions, and she is unquestionably an American heroine. But how much do we really know about her actual wartime service? Most information about Barton’s activities comes from Barton herself. After the war, she toured the country recounting her wartime experiences to overflowing audiences. In vivid language, she described crossing the Rappahannock River under fire to succor wounded Union soldiers at Fredericksburg, transporting critical supplies to field hospitals at Antietam, and enduring searing heat and brackish water on the sunscorched beaches of South Carolina. She willingly braved hardship and danger in order to help the young men under her care, receiving in return their love and respect. Most of Barton’s biographers have accepted her statements at face value, but in doing so, they stand on shaky ground, for Barton was a relentless selfpromoter and often embellished her stories in an effort to enhance her accomplishments.
In Clara Barton’s Civil War: Between Bullet and Hospital, distinguished historian Donald Pfanz revisits Barton’s claims, comparing the information in her speeches with contemporary documents, including Barton’s own wartime diary and letters. In doing so, he provides the first balanced and accurate account of her wartime service—a service that in the end needed no exaggeration.
When the beautiful, up-to-date hospital opened, it attracted more black residents than any other such program in the United States. Patients also flocked to the hospital, as did nursing students who found there excellent training, ready employment, and a boost into the middle class. For decades, the hospital thrived; by the 1950s, three-quarters of African-American babies in St. Louis were born at Homer G.
But the 1960s and 1970s brought less need for all-black hospitals, as faculty, residents, and patients were increasingly welcome in the many newly integrated institutions. Ever-tightening city budgets meant less money for the hospital, and in 1979, despite protests from the African-American community, HGPH closed. Years later, the venerated, long-vacant building came to life again as the Homer G. Phillips Senior Living Community.
Candace O’Connor draws upon contemporary newspaper articles, institutional records, and dozens of interviews with former staff members to create the first, full history of the Homer G. Phillips Hospital. She also brings new facts and insights into the life and mysterious murder (still an unsolved case) of the hospital’s namesake, a pioneering Black attorney and civil rights activist who led the effort to build the sorely needed medical facility in the Ville neighborhood.
Cooper and Waldby examine the rapidly expanding transnational labor markets surrounding assisted reproduction and experimental drug trials. As they discuss, the pharmaceutical industry demands ever greater numbers of trial subjects to meet its innovation imperatives. The assisted reproductive market grows as more and more households look to third-party providers for fertility services and sectors of the biomedical industry seek reproductive tissues rich in stem cells. Cooper and Waldby trace the historical conditions, political economy, and contemporary trajectory of clinical labor. Ultimately, they reveal clinical labor to be emblematic of labor in twenty-first-century neoliberal economies.
In The Colonial Politics of Global Health, Jessica Lynne Pearson explores the collision between imperial and international visions of health and development in French Africa as decolonization movements gained strength.
After World War II, French officials viewed health improvements as a way to forge a more equitable union between France and its overseas territories. Through new hospitals, better medicines, and improved public health, French subjects could reimagine themselves as French citizens. The politics of health also proved vital to the United Nations, however, and conflicts arose when French officials perceived international development programs sponsored by the UN as a threat to their colonial authority. French diplomats also feared that anticolonial delegations to the United Nations would use shortcomings in health, education, and social development to expose the broader structures of colonial inequality. In the face of mounting criticism, they did what they could to keep UN agencies and international health personnel out of Africa, limiting the access Africans had to global health programs. French personnel marginalized their African colleagues as they mapped out the continent’s sanitary future and negotiated the new rights and responsibilities of French citizenship. The health disparities that resulted offered compelling evidence that the imperial system of governance should come to an end.
Pearson’s work links health and medicine to postwar debates over sovereignty, empire, and human rights in the developing world. The consequences of putting politics above public health continue to play out in constraints placed on international health organizations half a century later.
In previous decades, when younger Americans far outnumbered older ones, retirees could depend on financial support through taxes from the population at large. But as "Boomers" retire and the work force begins to shrink, there will be a disproportionately large population of retirees to workers. With such a big jump in the percentage of older Americans in the population, fewer workers will be able to to transfer funds, through taxes, to retirees. Moreover, other traditionally reliable sources of financial assistance—Social Security, Medicare, and Medicaid—have faced serious financial difficulties in recent years. Who will the aged turn to for assistance?
The Coming Health Crisis suggests that as funds from all quarters dwindle, older Americans will have to look to alternative programs for financial assistance. Wolfe urges immediate action to develop new saving programs and increase existing transfer schemes to head off an imminent crisis. Although tax increases might provide some resources, he demonstrates that it is more important to accumulate capital to create solid reserves for the future. Wolfe also explores two roles for government: prefunding new or existing social insurance programs and promoting private insurance options. By exempting insurance fund income from corporate taxation and permitting people at all income levels to defer income tax on accounts earmarked for long-term care, he shows how government could greatly encourage and expand personal saving.
Finally, this work assesses the value of other recent health and long-term-care innovations: social/health maintenance organizations, long-term-care individual retirement accounts, and reverse annuity mortgages, in addition to vouchers, care rationing, mandatory public insurance, and expanded private coverage. Through this wide-ranging survey, Wolfe demonstrates that, through a combination of these programs, we can care for the aging "Baby Boom" generation by anticipating their needs and saving now.
In 1917, shortly after the United States’ declaration of war on Germany, Guy Emerson Bowerman, Jr., enlisted in the American army’s ambulance service. Like other young ambulance drivers—Hemingway, Dos Passos, Cummings, Cowley—Bowerman longed to “see the show.” He was glad to learn that the ambulance units were leaving for France right away.
For seventeen months, until the armistice of November 1918, Bowerman kept an almost daily diary of the war. To read his words today is to live the war with an immediacy and vividness of detail that is astonishing.
Only twenty when he enlisted, Bowerman was an idealistic, if snobbish, young man who exulted that his section was made up mostly of young “Yalies” like himself. But he expected the war to change him, and it did. In the end he writes that he and his compatriots scarcely remember a world at peace. "The old life was gone forever. . ."
Guy Bowerman’s unit was attached to a French infantry division stationed near Verdun. Sent to halt the German drive to Paris in 1918, the division participated in the decisive counterattack of July and tracked the routed Germans through Belgium. Then, “unwarned,” Bowerman and his comrades were “plunged into … a life of peace.” Into this life, he writes, they walked “bewildered,” like “men fearing ambush.”
This remarkable chronicle of one young man’s rite of passage is destined to become a classic in the literature of the Great War.
As David Kelly writes, "Catholic moral theology has not been completely constant over the centuries; it has learned and developed." In Contemporary Catholic Health Care Ethics he demonstrates how Catholic health care ethics can—and should—evolve similarly in response to the lightning speed of modern medical advances. Kelly draws on and analyzes the Catholic tradition of medical ethics—but he does not shy away from criticizing it as well, giving health care professionals, hospital ethics committees, and students a fresh treatment of Catholic health care ethics emphasizing theology, methodology, and application.
First discussing the Catholic understanding of the human person, Kelly proposes a Catholic Christian approach to the meaning of human life as it applies specifically to health care. He includes a brief history of the relationship between religion and medicine, and makes strong claims about how theology ought and ought not to be applied in health care ethics. Drawing from the terminology and approaches used by secular bioethics, he suggests how a Catholic perspective on health care can utilize certain secular moral-philosophical positions, even as they apply to the issues of birth control, and end-of life concerns. As practitioners, patients, and families face the difficult decision to continue or stop treatment for dying patients, Kelly compassionately, but practically, explores their concerns in light of American law and ethics. Finally, he provides measured insight on pain management, hospital ethics committees, stem cell research, genetic engineering, and allocation of health care resources.
Contemporary Catholic Health Care Ethics is informed, challenging, articulate, and bold—bringing to the extremely important field of Catholic health care ethics a much-needed and welcome voice, unafraid to speak to the most difficult issues of the 21st century.
Contemporary Catholic Health Care Ethics, Second Edition, integrates theology, methodology, and practical application into a detailed and practical examination of the bioethical issues that confront students, scholars, and practitioners. Noted bioethicists Gerard Magill, Henk ten Have, and David F. Kelly contribute diverse backgrounds and experience that inform the richness of new material covered in this second edition.
The book is organized into three sections: theology (basic issues underlying Catholic thought), methodology (how Catholic theology approaches moral issues, including birth control), and applications to current issues. New chapters discuss controversial end-of-life issues such as forgoing treatment, killing versus allowing patients to die, ways to handle decisions for incompetent patients, advance directives, and physician-assisted suicide. Unlike anthologies, the coherent text offers a consistent method in order to provide students, scholars, and practitioners with an understanding of ethical dilemmas as well as concrete examples to assist in the difficult decisions they must make on an everyday basis.
This is the first book to examine challenges in the healthcare sector in the six Gulf Cooperation Council (GCC) countries (Saudi Arabia, Oman, the United Arab Emirates, Qatar, Kuwait, and Bahrain). These countries experienced remarkably swift transformations from small fishing and pearling communities at the beginning of the twentieth century to wealthy petro-states today. Their healthcare systems, however, are only now beginning to catch up.
Rapid changes to the population and lifestyles of the GCC states have completely changed—and challenged—the region’s health profile and infrastructure. While major successes in combatting infectious diseases and improving standards of primary healthcare are reflected in key health indicators, new trends have developed; increasingly “lifestyle” or “wealthy country” diseases, such as diabetes, heart disease, and cancer, have replaced the old maladies. To meet these emerging healthcare needs, GCC states require highly trained and skilled healthcare workers, an environment that supports local training, state-of-the-art diagnostic laboratories and hospitals, research production and dissemination, and knowledge acquisition. They face shortages in most if not all of these areas. This book provides a comprehensive study of the rapidly changing health profile of the region, the existing conditions of healthcare systems, and the challenges posed to healthcare management across the six states of the GCC.
“[Anderson] writes with passion, wit, and panache, and the principal virtues of The Cultivation of Whiteness are the old-fashioned ones of thoroughness, accuracy, and impeccable documentation. . . . [His] sensitive study is a model of how contentious historical issues can be confronted.”—W. F. Bynum, Times Literary Supplement
“One of the virtues of The Cultivation of Whiteness is that it brings together aspects of Australian life and history that are now more often separated—race and environment, blood and soil, medicine and geography, tropical science and urban health, biological thought and national policy, Aboriginality and immigration, the body and the mind. The result is a rich and subtle history of ideas that is both intellectual and organic, and that vividly evokes past states of mind and their lingering, haunting power.”—Tom Griffiths, Sydney Morning Herald
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