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168 books match the query 'Health Policy' and 5 start with i

cover of Influenza and Inequality: One Town's Tragic Response to the Great Epidemic of 1918

Influenza and Inequality

One Town's Tragic Response to the Great Epidemic of 1918

Patricia J. Fanning

University of Massachusetts Press, 2010

The influenza epidemic of 1918 was one of the worst medical disasters in human history, taking close to thirty million lives worldwide in less than a year, including more than 500,000 in the United States. What made this pandemic even more frightening was the fact that it occurred when death rates for most common infectious diseases were diminishing. Still, an epidemic is not merely a medical crisis; it has sociological, psychological, and political dimensions as well. In Influenza and Inequality, Patricia J. Fanning examines these other dimensions and brings to life this terrible episode of epidemic disease by tracing its path through the town of Norwood, Massachusetts.

By 1918, Norwood was a small, ethnically diverse, industrialized, and stratified community. Ink, printing, and tanning factories were owned by wealthy families who lived privileged lives. These industries attracted immigrant laborers who made their homes in several ethnic neighborhoods and endured prejudice and discrimination at the hands of native residents. When the epidemic struck, the immigrant neighborhoods were most affected; a fact that played a significant role in the town's response—with tragic results.

This close analysis of one town's struggle illuminates how even well-intentioned elite groups may adopt and implement strategies that can exacerbate rather than relieve a medical crisis. It is a cautionary tale that demonstrates how social behavior can be a fundamental predictor of the epidemic curve, a community's response to crisis, and the consequences of those actions.
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cover of Insourced: How Importing Jobs Impacts the Healthcare Crisis Here and Abroad

Insourced

How Importing Jobs Impacts the Healthcare Crisis Here and Abroad

Dr. Kate Tulenko

Dartmouth College Press, 2012

For years, opponents of outsourcing have argued that offshoring American jobs destroys our local industries, lays waste to American job creation, and gives foreigners the good jobs and income that would otherwise remain on our shores. Yet few Americans realize that a parallel dynamic is occurring in the healthcare sector—previously one of the most consistent sources of stable, dependable living-wage jobs in the entire nation. Instead of outsourcing high-paying jobs overseas—as the manufacturing and service sectors do—hospitals and other healthcare companies insource healthcare labor from developing countries, giving the jobs to people who are willing to accept lower pay and worse working conditions than U.S. healthcare workers. As Dr. Tulenko shows, insourcing has caused tens of thousands of high-paying local jobs in the healthcare sector to effectively vanish from the reach of U.S. citizens, weakened the healthcare systems of developing nations, and constricted the U.S. health professional education system. She warns Americans about what she’s seeing—a stunning story they’re scarcely aware of, which impacts all of us directly and measurably—and describes how to create better American health professional education, more high-paying healthcare jobs, and improved health for the poor in the developing world.
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cover of Inventing Pollution: Coal, Smoke, and Culture in Britain since 1800

Inventing Pollution

Coal, Smoke, and Culture in Britain since 1800

Peter Thorsheim

Ohio University Press, 2006

Britain's supremacy in the nineteenth century depended in large part on its vast deposits of coal. This coal not only powered steam engines in factories, ships, and railway locomotives but also warmed homes and cooked food. As coal consumption skyrocketed, the air in Britain's cities and towns became filled with ever-greater and denser clouds of smoke.

In this far-reaching study, Peter Thorsheim explains that, for much of the nineteenth century, few people in Britain even considered coal smoke to be pollution. To them, pollution meant miasma: invisible gases generated by decomposing plant and animal matter. Far from viewing coal smoke as pollution, most people considered smoke to be a valuable disinfectant, for its carbon and sulfur were thought capable of rendering miasma harmless.

Inventing Pollution examines the radically new understanding of pollution that emerged in the late nineteenth century, one that centered not on organic decay but on coal combustion. This change, as Peter Thorsheim argues, gave birth to the smoke-abatement movement and to new ways of thinking about the relationships among humanity, technology, and the environment.

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cover of Is Social Security Broke?: A Cartoon Guide to the Issues

Is Social Security Broke?

A Cartoon Guide to the Issues

Barbara R. Bergmann and Jim Bush

University of Michigan Press, 2000

A funny, smart, and engaging book on Social Security? You bet! Let Bill and Betty Boomer, their parents Ed and Ethel Elderly, and the young married Steve and Sue Sprout take you through the thickets of this thorny issue. You will come to understand why people are so worried about Social Security, how it operates, how we can keep it going, the problems we would face under a privatized system, and why Americans have always chosen to shore up this important program. You will learn about the system and the current debates surrounding it--and find yourself enjoying it at the same time.
Barbara R. Bergmann is Professor Emerita, University of Maryland and The American University. Jim Bush is the editorial cartoonist for the Providence Journal.
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cover of It Shouldn't Be This Way: The Failure of Long-Term Care

It Shouldn't Be This Way

The Failure of Long-Term Care

Robert L. Kane

Vanderbilt University Press, 2005

The failure of long-term care is the country's best-kept embarrassing secret. Almost every adult in the United States will either enter a nursing home or have to deal with a parent or other relative who does. Studies show that 40 percent of all adults who live to age sixty-five will enter a nursing home before they die, while even more will use another form of long-term care.

Part memoir, part practical guide, part prescription for change, It Shouldn't Be This Way is a unique look at the problems of long-term care. Robert L. Kane, a highly experienced physician and gerontologist, and his sister, Joan C. West, tell the painful story of what happened to their mother after she suffered a debilitating stroke and spent the last years of her life in rehabilitation, assisted-living facilities, and finally a nursing home. Along the way, her adult children encountered some professionals who were kind and considerate but also many frustrations—inadequate care and the need to hire private duty aides, as well as poor communication and lack of coordination throughout the system. The situation, they found, proved far more difficult than it needed to be.

As the authors recount their mother's story, they impart various lessons they learned from each phase of the experience. They alert those who are confronting such situations for the first time about what they will likely face and how to approach the problems. Closing with a broader look at why long-term care is the way it is, they propose steps to make necessary reforms, including the development of national organizations to work for change. Their message to families, care professionals, and policy-makers could not be more urgent.
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