BiblioVault - Books about Rationing

Health Care for Some

Rights and Rationing in the United States since 1930

Beatrix Hoffman

University of Chicago Press, 2012

In Health Care for Some, Beatrix Hoffman offers an engaging and in-depth look at America’s long tradition of unequal access to health care. She argues that two main features have characterized the US health system: a refusal to adopt a right to care and a particularly American approach to the rationing of care. Health Care for Some shows that the haphazard way the US system allocates medical services—using income, race, region, insurance coverage, and many other factors—is a disorganized, illogical, and powerful form of rationing. And unlike rationing in most countries, which is intended to keep costs down, rationing in the United States has actually led to increased costs, resulting in the most expensive health care system in the world.

While most histories of US health care emphasize failed policy reforms, Health Care for Some looks at the system from the ground up in order to examine how rationing is experienced by ordinary Americans and how experiences of rationing have led to claims for a right to health care. By taking this approach, Hoffman puts a much-needed human face on a topic that is too often dominated by talking heads.

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Rationing the Constitution

How Judicial Capacity Shapes Supreme Court Decision-Making

Andrew Coan

Harvard University Press, 2019

In this groundbreaking analysis of Supreme Court decision-making, Andrew Coan explains how judicial caseload shapes the course of American constitutional law and the role of the Court in American society.

Compared with the vast machinery surrounding Congress and the president, the Supreme Court is a tiny institution that can resolve only a small fraction of the constitutional issues that arise in any given year. Rationing the Constitution shows that this simple yet frequently ignored fact is essential to understanding how the Supreme Court makes constitutional law.

Due to the structural organization of the judiciary and certain widely shared professional norms, the capacity of the Supreme Court to review lower-court decisions is severely limited. From this fact, Andrew Coan develops a novel and arresting theory of Supreme Court decision-making. In deciding cases, the Court must not invite more litigation than it can handle. On many of the most important constitutional questions—touching on federalism, the separation of powers, and individual rights—this constraint creates a strong pressure to adopt hard-edged categorical rules, or defer to the political process, or both.

The implications for U.S. constitutional law are profound. Lawyers, academics, and social activists pursuing social reform through the courts must consider whether their goals can be accomplished within the constraints of judicial capacity. Often the answer will be no. The limits of judicial capacity also substantially constrain the Court’s much touted—and frequently lamented—power to overrule democratic majorities. As Rationing the Constitution demonstrates, the Supreme Court is David, not Goliath.

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Riveting and Rationing in Dixie

Alabama Women and the Second World War

Mary Martha Thomas

University of Alabama Press, 1987

The first book to examine the impact of World War II on the roles of women in an individual state

Covers the experience of both black and white Alabama women as defense workers, volunteers, and homemakers. The most important change for women during the war years was their employment in jobs normally held by men, which posed an implicit challenge to traditional notions about femininity and female limitations.

Thomas describes the women employed in the defense industries—how they were recruited and trained, where they worked and under what conditions, and what changes employers made in the workplace to accommodate women, She also discusses the experience of the women who served as volunteers in the Ground Observer Corps, the Citizens’ Service Corps, the Red Cross, and other volunteer agencies. In addition, the author considers how homemakers coped during a time of rationing, housing shortages, lack of schools, and inadequate medical facilities.

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