262 books match the query 'Public health' and 5 start with r

cover of RSF: The Russell Sage Foundation Journal of the Social Sciences: The Social, Political, and Economic Effects of the Affordable Care Act

RSF

The Russell Sage Foundation Journal of the Social Sciences: The Social, Political, and Economic Effects of the Affordable Care Act

Andrea Campbell

Russell Sage Foundation, 2020

The Patient Protection and Affordable Care Act, often referred to as the ACA or Obamacare, was enacted in 2010 in the wake of the Great Recession. The law transformed the way that Americans access healthcare, nearly halving the ranks of the 49 million uninsured Americans. Edited by political scientist Andrea Louise Campbell and economist Lara Shore-Sheppard, this issue of RSF examines the social, political, and economic effects of this landmark legislation.
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This journal issue explores the political dimensions of the rollout of the ACA and the attendant backlash. Contributors Helen Levy, Andrew Ying, and Nicholas Bagley argue that despite repeated efforts at repeal, over 80 percent of the Act has been implemented as it was originally intended.  Julianna Pacheco, Jake Haselswerdt, and Jamila Michener show that when Republican governors support Medicaid expansion, Republican voters become more favorable toward the ACA, and polarization between Republican and Democrat voters decreases. Yet Charles Courtemanche, James Marton, and Aaron Yelowitz find little impact of the ACA on voter participation. Lisa Beauregard and Edward Miller examine states’ adoption of the ACA’s home and community-based care services for the elderly and people with disabilities, finding that states with more liberal elected officials and more fiscal capacity were more likely to adopt these provisions. Paul Shafer, David Anderson, Seciah Aquino, Laura Baum, Erika Franklin Fowler, and Sarah Gollust probe the role of different types of health insurance and political advertising on insurance enrollment.  Richard Fording and Dana Patton explain the emergence of contentious Medicaid work requirements and patient co-pays that limit access to Medicaid. 

Other contributors address how the ACA affects marginalized populations. Carrie Fry, Thomas McGuire, and Richard Frank link Medicaid expansion to lower rates of recidivism among the formerly incarcerated. Radhika Gore, Ritu Dhar, Sadia Mohaimin, Priscilla Lopez, Anna Divney, Jennifer Zanowiak, Lorna Thorpe, and Nadia Islam study primary care practices serving South Asian immigrants in New York City and highlight the importance of social context and organizational constraints in designing population health interventions. The issue also examines the economic effects of the ACA, especially on access to private and public health insurance. Both Mark Hall and Jean Abraham study instability in ACA health insurance markets, with Hall focusing on uncertainty arising from political factors and Abraham examining the factors that lead local markets to face high premiums and low insurer participation. Philip Rocco and Andrew Kelly explore the mechanisms included in the ACA to try to spur innovations in care delivery that both improve health and generate long-term cost savings.
As the COVID-19 pandemic affects healthcare in unprecedented ways, affordable healthcare access is critical. This RSF journal issue offers a timely, thoughtful consideration of one of the most pressing issues in American life. 
 
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cover of Raw Material: Producing Pathology in Victorian Culture

Raw Material

Producing Pathology in Victorian Culture

Erin O'Connor

Duke University Press, 2000

Raw Material analyzes how Victorians used the pathology of disease to express deep-seated anxieties about a rapidly industrializing England’s relationship to the material world. Drawing on medicine, literature, political economy, sociology, anthropology, and popular advertising, Erin O’Connor explores “the industrial logic of disease,” the dynamic that coupled pathology and production in Victorian thinking about cultural processes in general, and about disease in particular.
O’Connor focuses on how four particularly troubling physical conditions were represented in a variety of literature. She begins by exploring how Asiatic cholera, which reached epidemic proportions on four separate occasions between 1832 and 1865, was thought to represent the dangers of cultural contamination and dissolution. The next two chapters concentrate on the problems breast cancer and amputation posed for understanding gender. After discussing how breast cancer was believed to be caused by the female body’s intolerance to urban life, O'Connor turns to men’s bodies, examining how new prosthetic technology allowed dismembered soldiers and industrial workers to reconstruct themselves as productive members of society. The final chapter explores how freak shows displayed gross deformity as the stuff of a new and improved individuality. Complicating an understanding of the Victorian body as both a stable and stabilizing structure, she elaborates how Victorians used disease as a messy, often strategically unintelligible way of articulating the uncertainties of chaotic change. Over the course of the century, O’Connor shows, the disfiguring process of disease became a way of symbolically transfiguring the self. While cholera, cancer, limb loss, and deformity incapacitated and even killed people, their dramatic symptoms provided opportunities for imaginatively adapting to a world where it was increasingly difficult to determine not only what it meant to be human but also what it meant to be alive.
Raw Material will interest an audience of students and scholars of Victorian literature, cultural history, and the history of medicine.
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cover of Reimagining Social Medicine from the South

Reimagining Social Medicine from the South

Abigail H. Neely

Duke University Press, 2021

In Reimagining Social Medicine from the South, Abigail H. Neely explores social medicine's possibilities and limitations at one of its most important origin sites: the Pholela Community Health Centre (PCHC) in South Africa. The PCHC's focus on medical and social factors of health yielded remarkable success. And yet South Africa's systemic racial inequality hindered health center work, and witchcraft illnesses challenged a program rooted in the sciences. To understand Pholela's successes and failures, Neely interrogates the “social” in social medicine. She makes clear that the social sciences the PCHC used failed to account for the roles that Pholela's residents and their environment played in the development and success of its program. At the same time, the PCHC's reliance on biomedicine prevented it from recognizing the impact on health of witchcraft illnesses and the social relationships from which they emerged. By rewriting the story of social medicine from Pholela, Neely challenges global health practitioners to recognize the multiple worlds and actors that shape health and healing in Africa and beyond.
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cover of Revolutionizing Women's Healthcare: The Feminist Self-Help Movement in America

Revolutionizing Women's Healthcare

The Feminist Self-Help Movement in America

Hannah Dudley-Shotwell

Rutgers University Press, 2020

Winner of the 2021 Frances Richardson Keller-Sierra Prize from the Western Association of Women Historians (WAWH)​

Revolutionizing Women’s Healthcare is the story of a feminist experiment: the self-help movement. This movement arose out of women’s frustration, anger, and fear for their health. Tired of visiting doctors who saw them as silly little girls, suffering shame when they asked for birth control, seeking abortions in back alleys, and holding little control over their own reproductive lives, women took action. Feminists created “self-help groups” where they examined each other’s bodies and read medical literature. They founded and ran clinics, wrote books, made movies, undertook nationwide tours, and raided and picketed offending medical institutions. Some performed their own abortions. Others swore off pharmaceuticals during menopause. Lesbian women found “at home” ways to get pregnant. Black women used self-help to talk about how systemic racism affected their health. Hannah Dudley-Shotwell engagingly chronicles these stories and more to showcase the creative ways women came together to do for themselves what the mainstream healthcare system refused to do.
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cover of Rhetorics of Refusal: Medical Dissent and the US-Somali Diaspora

Rhetorics of Refusal

Medical Dissent and the US-Somali Diaspora

Kari Campeau

The Ohio State University Press, 2025

Rhetorics of Refusal focuses on a recent public health crisis—Minnesota’s 2017 measles outbreak—to recast vaccine refusals less as products of poor health literacy or disinformation and more as strategic and generative acts of noncompliance. The outbreak, which primarily affected unvaccinated Somali children, occurred at the nexus of declining vaccination rates, spiking autism concerns, antivaccination predation, and a fraying public health infrastructure. However, during a year-long ethnographic study at a Somali health center, Kari Campeau found that personal stories from parents offered a much different picture of vaccine refusal than the one painted by news media. Tracking refusals across four sites, Campeau argues for the importance of approaching refusals as rhetorical and participatory strategies that hold institutions accountable, press for change, and practice care within emergent biosocial communities. Moreover, she views refusal as necessary and potentially transformative in situations where refusers have little access to power or platform. By contextualizing refusals in longer cultural and political histories, Campeau unsettles traditional narratives of medical dissent while offering new entry points into discussions on racialized biopolitics, care, disability, and public health.

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