Unevenly distributed resources and rising costs have become enduring problems in the American health care system. Health care is more expensive in the United States than in other wealthy nations, and access varies significantly across space and social classes. James A. Schafer Jr. shows that these problems are not inevitable features of modern medicine, but instead reflect the informal organization of health care in a free market system in which profit and demand, rather than social welfare and public health needs, direct the distribution and cost of crucial resources.

The Business of Private Medical Practice is a case study of how market forces influenced the office locations and career paths of doctors in one early twentieth-century city, Philadelphia, the birthplace of American medicine. Without financial incentives to locate in poor neighborhoods, Philadelphia doctors instead clustered in central business districts and wealthy suburbs. In order to differentiate their services in a competitive marketplace, they also began to limit their practices to particular specialties, thereby further restricting access to primary care. Such trends worsened with ongoing urbanization.

Illustrated with numerous maps of the Philadelphia neighborhoods he studies, Schafer’s work helps underscore the role of economic self-interest in shaping the geography of private medical practice and the growth of medical specialization in the United States.

Despite their twin positions as two of North America’s most iconic Italian neighborhoods, South Philly and Toronto’s Little Italy have functioned in dramatically different ways since World War II. Inviting readers into the churches, homes, and businesses at the heart of these communities, Staying Italian reveals that daily experience in each enclave created two distinct, yet still Italian, ethnicities.

As Philadelphia struggled with deindustrialization, Jordan Stanger-Ross shows, Italian ethnicity in South Philly remained closely linked with preserving turf and marking boundaries. Toronto’s thriving Little Italy, on the other hand, drew Italians together from across the wider region. These distinctive ethnic enclaves, Stanger-Ross argues, were shaped by each city’s response to suburbanization, segregation, and economic restructuring. By situating malleable ethnic bonds in the context of political economy and racial dynamics, he offers a fresh perspective on the potential of local environments to shape individual identities and social experience.