If not for the reproductive functions of women, would there be anything called women’s health care? A review of medical literature, practice, and policy in this country would suggest that the answer is no. Offering a startling view of the current state of health care for women in the United States and laying the foundation for a new, widely defined women’s medicine, Man-Made Medicine makes an urgent statement about gender bias in the medical establishment and its pernicious effects on the well-being of women and the care they receive.
These essays by physicians, lawyers, activists, and scholars present a rare interdisciplinary approach to a complex set of issues. Gender stereotyping and bias in the collection, analysis, and reporting of scientific data and in the ways health-related news is covered by the media are examined. The exclusion of women from the health care policy-making process and the effect such exclusion has on the determination of priorities among potential areas of research are also explored. With discussions of the plight of specific populations of women whose health care needs are not being sufficiently met—for example, immigrants, prisoners, the mentally ill, or women with HIV/AIDS, disabilities, or reproductive health problems—this book considers matters of race and class within the parameters of gender as it builds a fundamental challenge to the existing health care system. A range of current reform proposals are also evaluated in terms of their potential impact on women.
Suggesting no less than a radical rethinking of women’s medicine, Man-Made Medicine gives essential direction to the discussions that will shape the future of health care in this country. It will be of great interest to a wide audience, including health care advocates, policymakers, scholars, and readers generally concerned with women’s health issues.

Contributors. Ellen Barry, Laurie Beck, Joan Bertin, Janet Calvo, Wendy Chavkin, Kay Dickersin, Abigail English, Elizabeth Fee, Carol Gill, Nancy Krieger, Joyce McConnell, Judy Norsigian, Ann Scales, Susan Stefan, Lauren Schnaper, Catherine Teare

After decades of research by the author and her colleagues into what women do in positions such as bank teller, secretary, waitress, nurse, factory worker, and poultry processor, Karen Messing is astonished to find that for many policy-makers, researchers, and activists, the topic of women's occupational health doesn't exist.

Messing investigates different types of occupational health issues for women, notably the controversial topics of male/female differences in jobs, health, and basic biology. The pain and suffering of women workers is illustrated in vivid case studies of research into health risks for women in the workplace, including musculoskeletal disease, the hazards of office work, emotional stress, and reproductive hazards.

No longer can employers, administrators, and health professionals ignore the very real problems women encounter in their jobs. Throughout the book, Messing captures the everyday reality of workplace tasks and stress -- from lifting boxes to juggling mental tasks under pressure to the emotional labor of caring for upset or abusive people -- by combining on-site observing with listening to the workers' descriptions of their work lives.

Responding to the tough question, why are scientists so unresponsive to the needs of women workers, Messing describes long-standing difficulties in gaining attention for the occupational health of women, ranging from the structure of the grant process and the conferences crucial to the professional life of researchers to the basic assumptions of scientific practice. Messing laments the separation of even most feminist health researchers from workplace concerns and asserts that it is time to develop a science that can prevent women workers' pain and suffering.

What makes women sick? To an Ecuadorean woman, it’s nervios from constant worry about her children’s illnesses. To a woman working in a New Mexico electronics factory, it’s the solvents that leave her with a form of dementia. To a Ugandan woman, it’s HIV from her husband's sleeping with the widow of an AIDS patient. To a Bangladeshi woman, it’s a fatal infection following an IUD insertion. What they all share is a recognition that their sickness is somehow caused by  situations they face every day at home and at work.

In this clearly written and compelling book, Lesley Doyal investigates the effects of social, economic, and cultural conditions on women’s health. The “fault line” of gender that continues to divide all societies has, Doyal demonstrates, profound and pervasive consequences for the health of women throughout the world. Her broad synthesis highlights variations between men and women in patterns of health and illness, and it identifies inequalities in medical care that separate groups of women from each other. Doyal’s wide-ranging arguments, her wealth of data, her use of women’s voices from many cultures—and her examples of women mobilizing to find their own solutions—make this book required reading for everyone concerned with women’s health.