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The American criminal justice system was in flux in 2020, a clash of possibilities for reform, retrenchment, and radical change—nowhere more so than in Massachusetts, which had just passed major criminal justice reform. The COVID-19 pandemic interrupted the moment with life-threatening force, ravaging people held in prisons and jails across the country. However, it did not so much create new deprivations and suffering as it exposed prisons as sites of physical, institutional, and psychological violence that do not make communities safer. At the same time, advocates for people in prisons—including many incarcerated and formerly incarcerated people—seized on the pandemic’s disruptions to demand change. Detailing the first year of the pandemic inside the Massachusetts state prison system, this book argues that the history of the pandemic inside prisons exposed both the cruelties of incarceration and the power of change when it is led by directly affected people. 

Health care workers are burned out. Health care leaders know that workers are burned out but do not yet have the right tools to fix the problem. Called to Care? argues that we can mitigate burnout by examining what is most meaningful about health care work. Using interviews and observation of a wide range of health care workers, Cain shows that workers who care for our most vulnerable adults find their work to be meaningful when they are able to connect to the work and make progress on something that matters. In most cases, these meaningful experiences are also consistent with better care for patients. And yet organizational practices, policy environments, and cultural meanings get in the way of meaningful work, creating burnout. But it doesn’t have to be this way. Called to Care? illustrates that workplaces can and should align meaningful work experiences with quality care for patients.

When health authorities quarantined guests aboard the Diamond Princess on February 5, 2020, the cruise ship abruptly shifted from a dream vacation vessel to a public health nightmare. Over the next three weeks, 712 passengers tested positive for coronavirus, with fourteen deaths, and the ship outbreak quickly became the largest cluster of cases outside of China. Guests began to routinely share quarantine updates on social media, ranging from the quality of the ship’s food to their sense of imprisonment. These Facebook, Twitter, Instagram, YouTube, and TikTok accounts became a key source of information for news outlets like the Associated Press, and they helped to set the tone for how the media would cover and frame the pandemic for the next several years.

Unlike past outbreaks, epidemics, and pandemics, COVID-19 emerged in a 21st-century digital landscape of instant communication and abundant online platforms, with older models of news and entertainment media mingling with new types of citizen-produced content. In Capturing COVID, Katherine A. Foss makes sense of how this contemporary media landscape shaped the public’s knowledge and perceptions of the new pandemic. The book focuses on crucial media moments, including the initial reporting from Wuhan; news and social media content on the Diamond Princess quarantine; stories of inequality, stigma, and injustice; narratives of the vaccine rollout; and representations of pandemic life in popular culture. Drawing on press releases, interviews, websites, blogs, social media posts, and other publicly available materials, and guided by critical media analysis, Foss illuminates how this new digital era profoundly shaped the progression of the pandemic. This media landscape kept people informed and connected, but also led to the politicization of the virus, rampant mis/disinformation, and stigmatizing messaging that contributed to public distrust and division. Capturing COVID deftly helps make sense of the entire affair.

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.

In Permeable Hospitals, medical sociologist Susan E. Bell makes an original contribution to understanding a complex and urgent global health issue – caring for an increasingly diverse and mobile patient population. Bell identifies the twenty-first-century hospital as the center of a complex network of social and health care interactions among patients and medical communities that are distinguished by transnational movement. She examines how culture and language are negotiated during face-to-face interactions in outpatient visits at one Maine hospital and shows how caring is done for refugee and immigrant patients. To capture this process, Bell advances a new theoretical framework, that twenty-first-century hospitals are nodes in transnational social networks. During appointments, temporary combinations of people, objects, practices, and ideas assemble at the hospital and disperse at the appointment’s end. Because the interactions take place in a teaching hospital, the thinking that underlies diagnosis and treatment is made explicit and evaluated in backstage teaching areas where residents report about their patients to senior physicians. Bell's landmark book is based on a qualitative study that included nine months at the hospital observing interactions among adult New Mainer patients and clinicians, interpreters, and staff.

Highlights the experiences of patients to examine how diagnostic uncertainty in cystic fibrosis has persisted despite the introduction of new technologies.

Using the critical case of cystic fibrosis (CF), Challenging Diagnosis probes the sociocultural and scientific factors that have contributed to diagnostic uncertainty in medicine while foregrounding its impact on patients and families. Though often described in medical and biology texts as a model genetic disease, making it straightforward to identify, diagnosing CF has long been fraught with challenges. As Michelle LaBonte shows, looking at CF illustrates how diagnostic uncertainty has persisted despite—and even because of—new technologies.

Drawing on her own experiences as a patient with pancreatic insufficiency, a condition often seen in people with CF, LaBonte examines shifts in CF’s screening and diagnosis, from the first comprehensive descriptions of the disease in the 1930s to contemporary genetic testing for carrier status. Today, the diagnosis of CF is no more straightforward than it was in the mid-twentieth century. Since many diagnostic technologies for CF (or their analogs) have been used throughout medicine, as LaBonte explains, these findings are broadly applicable beyond CF and demonstrate the significant harms associated with relying on test results that prioritize disease specificity over patient narratives. 

In her historical analysis and her personal story, LaBonte highlights the shortcomings of a reductionist biomedical model that’s overly reliant on diagnostic technologies, a concern that’s more relevant than ever now that direct-to-consumer genetic testing and use of whole genome sequencing in newborns are increasing.

In 2003, in the face of errors and accidents caused by medical and surgical trainees, the American Council of Graduate Medical Education mandated a reduction in resident work hours to eighty per week. Over the course of two and a half years spent observing residents and staff surgeons trying to implement this new regulation, Katherine C. Kellogg discovered that resistance to it was both strong and successful—in fact, two of the three hospitals she studied failed to make the change. Challenging Operations takes up the apparent paradox of medical professionals resisting reforms designed to help them and their patients. Through vivid anecdotes, interviews, and incisive observation and analysis, Kellogg shows the complex ways that institutional reforms spark resistance when they challenge long-standing beliefs, roles, and systems of authority.

At a time when numerous policies have been enacted to address the nation’s soaring medical costs, uneven access to care, and shortage of primary-care physicians, Challenging Operations sheds new light on the difficulty of implementing reforms and offers concrete recommendations for effectively meeting that challenge.

An exploration of the elaborate relationship between farmers, aerial sprayers, agriculturalists, crop pests, chemicals, and the environment.

The controversies in the 1960s and 1970s that swirled around indiscriminate use of agricultural chemicals—their long-term ecological harm versus food production benefits—were sparked and clarified by biologist Rachel Carson’s Silent Spring (1962). This seminal publication challenged long-held assumptions concerning the industrial might of American agriculture while sounding an alarm for the damaging persistence of pesticides, especially chlorinated hydrocarbons such as DDT, in the larger environment.

In Chemical Lands: Pesticides, Aerial Spraying, and Health in North America’s Grasslands since 1945 David D. Vail shows, however, that a distinctly regional view of agricultural health evolved. His analysis reveals a particularly strong ethic in the North American grasslands where practitioners sought to understand and deploy insecticides and herbicides by designing local scientific experiments, engineering more precise aircraft sprayers, developing more narrowly specific chemicals, and planting targeted test crops. Their efforts to link the science of toxicology with environmental health reveal how the practitioners of pesticides evaluated potential hazards in the agricultural landscape while recognizing the production benefits of controlled spraying. 

Chemical Lands adds to a growing list of books on toxins in the American landscape. This study provides a unique Grasslands perspective of the Ag pilots, weed scientists, and farmers who struggled to navigate novel technologies for spray planes and in the development of new herbicides/insecticides while striving to manage and mitigate threats to human health and the environment.