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In our rapidly advancing scientific and technological world, many take great pride and comfort in believing that we are on the threshold of new ways of thinking, living, and understanding ourselves. But despite dramatic discoveries that appear in every way to herald the future, legacies still carry great weight. Even in swiftly developing fields such as health and medicine, most systems and policies embody a sequence of earlier ideas and preexisting patterns. In History and Health Policy in the United States, seventeen leading scholars of history, the history of medicine, bioethics, law, health policy, sociology, and organizational theory make the case for the usefulness of history in evalua...
Was the founding director of the US Veterans Bureau a criminal—or a scapegoat? In the early 1920s, with the nation still recovering from World War I, President Warren G. Harding founded a huge new organization to treat disabled veterans: the US Veterans Bureau, now known as the Department of Veterans Affairs. He appointed his friend, decorated veteran Colonel Charles R. Forbes, as founding director. Forbes lasted in the position for only eighteen months before stepping down under a cloud of criticism and suspicion. In 1926—after being convicted of conspiracy to defraud the federal government by rigging government contracts—he was sent to Leavenworth Penitentiary. Although he was known ...
Before World War II, the great majority of practicing doctors in England and Wales were general practitioners. They performed their own surgery, and were accustomed to treating a wide variety of illnesses and symptoms. Specialists were few in number, tended to practice in large towns, and were often associated with major hospitals. But rapidly changing medical institutions and services in the twentieth century have compelled specialization even among more modest doctors and hospitals. While medical specialization was not new-for centuries physicians were differentiated from surgeons-twentieth-century science and technology emphasized and accelerated this difference rapidly. Medical care bega...
This volume contains a comprehensive study of the Medicaid programme in the United States.
This reissue offers an opportunity to consider the state of the American health care system. The text chronicles the development of the medical profession and shows how increasing emphasis on specialization has influenced medical education and public policy. It details specialization's effects on health care costs and on health care providers, as well as the implications of technology and the resulting ethical dilemmas, the issues of insurance, and many people's limited access to care.
The distinctive mixing and continuous remixing of public and private roles is a defining feature of health care in the United States. The Public-Private Health Care State explores the interweaving of public and private enterprise in health care in the United States as a basis for thinking about health care in terms of its history and its continuing evolution today. Historian and policy analyst Rosemary Stevens has selected and edited seventeen essays from both her published and unpublished work to illustrate continuing themes, such as: the flexible meanings of the terms "public" and "private," and how useful their ambiguity has been and is; the role of ideology as ratifying rather than preor...
American hospitals are unique: a combination of public and private institutions that are at once charities and businesses, social welfare institutions and icons of U.S. science, wealth, and technical achievement. In Sickness and in Wealth helps us understand this huge and often contradictory "industry" and shows that throughout this century the voluntary not-for-profit hospitals have been profit-maximizing enterprises, even though they have viewed themselves as charities serving the community. Although our hospitals have provided the most advanced medical care for acutely sick and curable patients, they have been much less successful in meeting the needs of the chronically ill and the socially disadvantaged. That, Stevens concludes, is the next urgent task of social policy.
"Beau Brummell continues to charm" ("Publishers Weekly") in the fourth book in this mystery series set in Regency, England.
"Stevens brilliantly views the hospital as a prism of the values and mores of society . . . She sees the stratification of the hospital population into private, semi-private, and charity patients as a manifestation of the social stratifications of America