front cover of Unaffordable
Unaffordable
American Healthcare from Johnson to Trump
Jonathan Engel
University of Wisconsin Press, 2018
Written for nonexperts, this is a brisk, engaging history of American healthcare from the advent of Medicare and Medicaid in the 1960s to the impact of the Affordable Care Act in the 2010s. Step by step, Jonathan Engel shows how we arrived at our present convoluted situation, where generic drugs prices can jump 1,000 percent in a day and primary care physicians can lose 20 percent of their income at the stroke of a Congressional pen.

Unaffordable covers, in a conversational style punctuated by apt examples, topics ranging from health insurance, pharmaceutical pricing, and physician training to health maintenance organizations and hospital networks. Along the way, Engel introduces approaches that other nations have taken in organizing and paying for healthcare and offers insights on ethical quandaries around end-of-life decisions, neonatal care, life-sustaining treatments, and the limits of our ability to define death. While describing the political origins of many of the federal and state laws that govern our healthcare system today, he never loses sight of the impact that healthcare delivery has on our wallets and on the balance sheets of hospitals, doctors' offices, government agencies, and private companies.
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front cover of Undocumented Motherhood
Undocumented Motherhood
Conversations on Love, Trauma, and Border Crossing
Elizabeth Farfán-Santos
University of Texas Press, 2022

2023 SANA Book Award, Society for the Anthro­pology of North Amer­ica
2023 Honorable Mention, Outstanding Book Award NACCS Tejas Foco Award for Non-Fiction, National Association for Chicana and Chicano Studies
2022 Nonfiction Discovery Prize, Writers' League of Texas

An intimate portrayal of the hardships faced by an undocumented family navigating the medical and educational systems in the United States.


Claudia Garcia crossed the border because her toddler, Natalia, could not hear. Leaving behind everything she knew in Mexico, Claudia recounts the terror of migrating alone with her toddler and the incredible challenges she faced advocating for her daughter’s health in the United States. When she arrived in Texas, Claudia discovered that being undocumented would mean more than just an immigration status—it would be a way of living, of mothering, and of being discarded by even those institutions we count on to care.

Elizabeth Farfán-Santos spent five years with Claudia. As she listened to Claudia’s experiences, she recalled her own mother’s story, another life molded by migration, the US-Mexico border, and the quest for a healthy future on either side. Witnessing Claudia’s struggles with doctors and teachers, we see how the education and medical systems enforce undocumented status and perpetuate disability. At one point, in the midst of advocating for her daughter, Claudia suddenly finds herself struck by debilitating pain. Claudia is lifted up by her comadres, sent to the doctor, and reminded why she must care for herself.

A braided narrative that speaks to the power of stories for creating connection, this book reveals what remains undocumented in the motherhood of Mexican women who find themselves making impossible decisions and multiple sacrifices as they build a future for their families.

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front cover of Unequal Cures
Unequal Cures
Public Health and Political Change in Bolivia, 1900–1950
Ann Zulawski
Duke University Press, 2007
Unequal Cures illuminates the connections between public health and political change in Bolivia from the beginning of the twentieth century, when the country was a political oligarchy, until the eve of the 1952 national revolution that ushered in universal suffrage, agrarian reform, and the nationalization of Bolivia’s tin mines. Ann Zulawski examines both how the period’s major ideological and social transformations changed medical thinking and how ideas of public health figured in debates about what kind of country Bolivia should become. Zulawski argues that the emerging populist politics of the 1930s and 1940s helped consolidate Bolivia’s medical profession and that improved public health was essential to the creation of a modern state. Yet she finds that at mid-century, women, indigenous Bolivians, and the poor were still considered inferior and consequently received often inadequate medical treatment and lower levels of medical care.

Drawing on hospital and cemetery records, censuses, diagnoses, newspaper accounts, and interviews, Zulawski describes the major medical problems that Bolivia faced during the first half of the twentieth century, their social and economic causes, and efforts at their amelioration. Her analysis encompasses the Rockefeller Foundation’s campaign against yellow fever, the almost total collapse of Bolivia’s health care system during the disastrous Chaco War with Paraguay (1932–35), an assessment of women’s health in light of their socioeconomic realities, and a look at Manicomio Pacheco, the national mental hospital.

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front cover of Unseen Flesh
Unseen Flesh
Gynecology and Black Queer Worth-Making in Brazil
Nessette Falu
Duke University Press, 2023
In Unseen Flesh Nessette Falu explores how Black lesbians in Brazil define and sustain their well-being and self-worth against persistent racial, sexual, class, and gender-based prejudice. Focusing on the trauma caused by interactions with gynecologists, Falu draws on in-depth ethnographic work among the Black lesbian community to reveal their profoundly negative affective experiences within Brazil’s deeply biased medical system. In the face of such entrenched, intersectional intimate violence, Falu’s informants actively pursue well-being in ways that channel their struggle for self-worth toward broader goals of social change, self care, and communal action. Demonstrating how the racist and heteronormative underpinnings of gynecology erase Black lesbian subjecthood through mental, emotional, and physical traumas, Falu explores the daily resistance and abolitionist practices of worth-making that claim and sustain Black queer identity and living. Falu rethinks the medicalization of race, sex, and gender in Brazil and elsewhere while offering a new perspective on Black queer life through well-being grounded in relationships, socioeconomic struggles, the erotic, and freedom strivings.
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