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The Hidden History of American Healthcare: A Journey Through Unseen Influences
Introduction:
We often perceive American healthcare as a modern system grappling with issues of cost and access. But the reality is far richer, and significantly more complex. This post delves into the hidden history of American healthcare, revealing the often-overlooked forces – social, economic, political, and even racial – that have shaped the system we know today. We’ll explore the surprising origins of insurance, the impact of landmark legislation, and the enduring legacy of inequality woven into the very fabric of American medicine. Prepare to uncover a story far more fascinating, and unsettling, than you ever imagined.
I. The Pre-Insurance Era: A Landscape of Inequality
Before the rise of widespread health insurance, healthcare in America was a chaotic patchwork. Access was primarily determined by wealth, with the poor relying on charity hospitals (often overcrowded and under-resourced) and self-treatment. This period, stretching from the nation's founding to the mid-20th century, saw a stark disparity in care. Rural communities lacked access to qualified physicians, while urban centers often saw overcrowded slums with rampant disease and limited sanitation. This wasn't simply a matter of limited resources; it reflected deeply ingrained societal beliefs about who deserved care and who didn't. The prevailing laissez-faire economic approach reinforced this inequality, viewing healthcare as a personal responsibility, not a societal one.
II. The Rise of Health Insurance: A Shift in Paradigm (But Not Equality)
The emergence of health insurance in the early 20th century was a pivotal moment. Initially targeted towards industrial workers as a form of employee benefit, it began to reshape the healthcare landscape. However, this shift didn't magically erase existing inequalities. Insurance primarily benefited employed populations, leaving out the unemployed, the self-employed, and the poor. The very structure of early insurance plans often excluded pre-existing conditions, limiting access for those most in need. Furthermore, the growth of for-profit insurance companies introduced a powerful economic incentive to restrict coverage and control costs, often at the expense of patient care.
III. The Role of Government Intervention: From Limited Involvement to Landmark Legislation
The federal government's role in healthcare evolved slowly, initially characterized by a hands-off approach. However, the 20th century witnessed a series of landmark legislative actions that fundamentally altered the landscape. The Social Security Act of 1935 laid the groundwork for government involvement in healthcare, although its initial focus was primarily on elderly assistance. Medicare and Medicaid, enacted in 1965, marked a dramatic expansion of government's role, providing healthcare coverage for the elderly and the poor, respectively. These programs significantly improved access to care for millions, but they also exposed the challenges of balancing cost containment with equitable access.
IV. The Impact of Racial and Economic Disparities: A Persistent Legacy
The history of American healthcare is inextricably intertwined with racial and economic disparities. Throughout its history, marginalized communities have faced significant barriers to accessing quality care, experiencing higher rates of disease, lower life expectancies, and poorer health outcomes. These disparities are not simply historical relics; they persist to this day, reflecting deep-seated systemic issues rooted in historical injustices and ongoing inequalities in wealth, education, and access to resources. Understanding this legacy is critical to addressing the persistent health inequities plaguing the nation.
V. The Modern Era: Challenges and Ongoing Debates
Today's American healthcare system is a complex tapestry woven from historical threads of inequality, technological innovation, and economic pressures. The ongoing debates surrounding healthcare reform reflect the enduring tensions between access, affordability, and the role of government versus private enterprise. The rising costs of healthcare, the complexities of insurance coverage, and the persistent disparities in access continue to shape the national conversation and challenge the system's very foundations. The search for solutions requires confronting the historical baggage and acknowledging the systemic inequities that have shaped – and continue to shape – American healthcare.
Book Outline: "Unmasking American Healthcare: A Historical Perspective"
Introduction: Setting the stage: A brief overview of American healthcare's evolution and the central theme of hidden histories.
Chapter 1: The Colonial Era and Early Republic: Healthcare practices, accessibility, and the influence of social hierarchies.
Chapter 2: The Industrial Revolution and the Birth of Insurance: The rise of employer-sponsored health plans and their impact on access and inequality.
Chapter 3: The Great Depression and the New Deal: Early government interventions and their limitations.
Chapter 4: The Mid-20th Century: The enactment of Medicare and Medicaid, their successes and shortcomings.
Chapter 5: The Late 20th and Early 21st Centuries: Managed care, the rise of pharmaceutical costs, and ongoing debates about healthcare reform.
Chapter 6: Racial and Economic Disparities: A detailed examination of the persistent inequalities and their historical roots.
Conclusion: Reflections on the past, present, and future of American healthcare, emphasizing the importance of learning from history to shape a more equitable system.
Detailed Explanation of Outline Points:
(Each chapter would be expanded upon significantly, with detailed historical analysis, primary source quotations, and relevant statistical data.)
Chapter 1: This chapter would explore healthcare practices in the colonial era and early republic, focusing on the role of traditional medicine, the limited availability of trained physicians, and the significant disparities in care based on class and race.
Chapter 2: This chapter would delve into the emergence of health insurance in the late 19th and early 20th centuries, examining the motivations behind its development, the early forms it took, and the ways it both improved and exacerbated existing inequalities in access to healthcare.
Chapter 3: This chapter would analyze the impact of the Great Depression on healthcare and the early government interventions of the New Deal era, highlighting the limitations of these efforts and the ongoing debate about the role of the federal government in healthcare.
Chapter 4: This chapter would examine the landmark legislation of 1965, focusing on the enactment of Medicare and Medicaid and their profound impact on healthcare access for the elderly and the poor, as well as the challenges and controversies they generated.
Chapter 5: This chapter would analyze the evolution of healthcare in the late 20th and early 21st centuries, exploring the rise of managed care, the increasing costs of pharmaceuticals, and the ongoing debates about healthcare reform in the United States.
Chapter 6: This chapter would provide a comprehensive analysis of racial and economic disparities in healthcare, tracing their historical roots and examining their ongoing impact on health outcomes and access to care.
FAQs:
1. What was the role of the American Medical Association (AMA) in shaping the history of American healthcare? The AMA played a significant role, often advocating for the interests of physicians, influencing policy, and impacting the development of medical practices and regulations.
2. How did the rise of for-profit hospitals affect healthcare access and costs? For-profit hospitals, prioritizing profits, sometimes led to increased costs and potentially compromised access for low-income patients.
3. What impact did the rise of technology have on the evolution of American healthcare? Technological advancements dramatically changed medical treatments and procedures, but often increased costs and raised ethical questions about accessibility.
4. How did World War II affect the development of employer-sponsored health insurance? Wage freezes during WWII made employer-sponsored health insurance a more attractive benefit to attract and retain workers.
5. What are some of the key ethical dilemmas facing American healthcare today? Ethical concerns include cost containment vs. patient care, allocation of scarce resources, and ensuring equitable access.
6. How has the Affordable Care Act (ACA) impacted the American healthcare system? The ACA significantly expanded health insurance coverage but faced challenges in affordability and coverage gaps.
7. What role did public health initiatives play in shaping the history of American healthcare? Public health measures like sanitation improvements and vaccination campaigns were critical in improving overall health outcomes.
8. What are some of the most significant challenges facing American healthcare in the future? Challenges include rising costs, aging population, technological advancements, and ensuring equitable access.
9. What lessons can be learned from the history of American healthcare to improve the system? Understanding historical inequalities and systemic issues can guide future reforms towards a more equitable and accessible system.
Related Articles:
1. The Impact of the Social Security Act on American Healthcare: Explores the early foundations of government involvement in healthcare.
2. The Rise of Managed Care and Its Consequences: Analyzes the impact of managed care on patient choice and healthcare quality.
3. The Pharmaceutical Industry and the Cost of Drugs in America: Examines the role of pharmaceutical companies in driving up healthcare costs.
4. Racial Disparities in Maternal Mortality in the United States: Focuses on one specific area of persistent healthcare inequality.
5. The History of Mental Health Treatment in America: Explores the evolution of mental health care and the stigma surrounding it.
6. The Affordable Care Act: A Decade of Reform and Challenges: A comprehensive look at the ACA's impact and continuing debates.
7. The Role of Public Health in Preventing Pandemics: Examines public health initiatives crucial for preventing health crises.
8. Healthcare Access for Rural Communities in America: Highlights the unique challenges faced by rural populations.
9. The Future of Telemedicine and Its Potential to Improve Healthcare Access: Discusses the transformative potential of remote healthcare.
| the hidden history of american healthcare: The Hidden History of American Healthcare Thom Hartmann, 2021-09-07 Popular progressive radio host and New York Times bestselling author Thom Hartmann reveals how and why attempts to implement affordable universal healthcare in the United States have been thwarted and what we can do to finally make it a reality. For-profit health insurance is the largest con job ever perpetrated on the American people—one that has cost trillions of dollars and millions of lives since the 1940s,” says Thom Hartmann. Other countries have shown us that affordable universal healthcare is not only possible but also effective and efficient. Taiwan's single-payer system saved the country a fortune as well as saving lives during the coronavirus pandemic, enabling the country to implement a nationwide coronavirus test-and-contact-trace program without shutting down the economy. This resulted in just ten deaths, while more than 500,000 people have died in the United States. Hartmann offers a deep dive into the shameful history of American healthcare, showing how greed, racism, and oligarchic corruption led to the current “sickness for profit” system. Modern attempts to create versions of government healthcare have been hobbled at every turn, including Obamacare. There is a simple solution: Medicare for all. Hartmann outlines the extraordinary benefits this system would provide the American people and economy and the steps we need to take to make it a reality. It's time for America to join every industrialized country in the world and make health a right, not a privilege. |
| the hidden history of american healthcare: The History and Evolution of Healthcare in America Thomas W. Loker, 2012-04 From the beginning of mankind, health and health issues have played a major role in life, but the issues and care have evolved enormously from the time when the first settlers set foot in America to the present. In The History and Evolution of Healthcare in America, author Thomas W. Loker provides a historical perspective on the state of healthcare and offers fresh views on changes to Obamacare. Insightful and thorough, The History and Evolution of Healthcare in America offers a look at - what healthcare was like at the birth of the nation; - how the practice of providing healthcare has changed for both caregivers and receivers; - why the process has become so corrupt and expensive; - what needs to happen to provide both choice and effective and efficient care for all; - where we need to most focus efforts to get the biggest change; - what is needed to get control over this out-of-control situation. Loker narrates a journey through the history of American healthcare-where we've been, how we arrived where we are today, and determine where we might need to go tomorrow. The history illustrates how parts of the problem have been solved in the past and helps us understand what might be necessary to solve our remaining problems in the future. |
| the hidden history of american healthcare: The Hidden History of Monopolies Thom Hartmann, 2020-08-25 “This is the most important, dynamic book on the cancers of monopoly by giant corporations written in our generation.”—from the foreword by Ralph Nader American monopolies dominate, control, and consume most of the energy of our entire economic system; they function the same as cancer does in a body, and, like cancer, they weaken our systems while threatening to crash the entire body economic. American monopolies have also seized massive political power and use it to maintain their obscene profits and CEO salaries while crushing small competitors. But Thom Hartmann, America's #1 progressive radio host, shows we've broken the control of behemoths like these before, and we can do it again. Hartmann takes us from the birth of America as a revolt against monopoly (remember the Boston Tea Party?), to the largely successful efforts of both Presidents Theodore and Franklin Roosevelt and other like-minded leaders to restrain corporations' monopolistic urges, to the massive changes in the rules of business starting during the “Reagan Revolution” that have brought us to the cancer stage of capitalism. He shows the damage monopolies have done to so many industries: agriculture, healthcare, the media, and more. Individuals have taken a hit as well: the average American family pays a $5,000 a year “monopoly tax” in the form of higher prices for everything from pharmaceuticals to airfare to household goods and food. But Hartmann also describes commonsense, historically rooted measures we can take—such as revitalizing antitrust regulation, taxing great wealth, and getting money out of politics—to pry control of our country from the tentacles of the monopolists. |
| the hidden history of american healthcare: The Hidden History of American Oligarchy Thom Hartmann, 2021-02-01 Thom Hartmann, the most popular progressive radio host in America and a New York Times bestselling author, looks at the history of the battle against oligarchy in America—and how we can win the latest round. Billionaire oligarchs want to own our republic, and they're nearly there thanks to legislation and Supreme Court decisions that they have essentially bought. They put Trump and his political allies into office and support a vast network of think tanks, publications, and social media that every day push our nation closer and closer to police-state tyranny. The United States was born in a struggle against the oligarchs of the British aristocracy, and ever since then the history of America has been one of dynamic tension between democracy and oligarchy. And much like the shock of the 1929 crash woke America up to glaring inequality and the ongoing theft of democracy by that generation's oligarchs, the coronavirus pandemic of 2020 has laid bare how extensively oligarchs have looted our nation's economic system, gutted governmental institutions, and stolen the wealth of the former middle class. Thom Hartmann traces the history of this struggle against oligarchy from America's founding to the United States' war with the feudal Confederacy to President Franklin Roosevelt's struggle against “economic royalists,” who wanted to block the New Deal. In each of those cases, the oligarchs lost the battle. But with increasing right-wing control of the media, unlimited campaign contributions, and a conservative takeover of the judicial system, we're at a crisis point. Now is the time for action, before we flip into tyranny. We've beaten the oligarchs before, and we can do it again. Hartmann lays out practical measures we can take to break up media monopolies, limit the influence of money in politics, reclaim the wealth stolen over decades by the oligarchy, and build a movement that will return control of America to We the People. |
| the hidden history of american healthcare: The Hidden History of the War on Voting Thom Hartmann, 2020-02-04 Hartmann's history of voter suppression in America is necessary information given current news about voter registration purges and redistricting...a particularly timely topic for an election year, and anyone who is seriously concerned about the survival of American democracy will want to read this book and apply its lessons.—Booklist America's #1 progressive radio host looks at how elites have long tried to disenfranchise citizens—particularly people of color, women, and the poor—and shows what we can do to ensure everyone has a voice in this democracy. In today's America, only a slim majority of people register to vote, and a large percentage of registered voters don't bother to show up: Donald Trump was elected by only 26 percent of eligible voters. Unfortunately, this is not a bug in our system, it's a feature. Thom Hartmann unveils the strategies and tactics that conservative elites in this country have used, from the foundation of the Electoral College to the latest voter ID laws, to protect their interests by preventing “the wrong people”—such as the poor, women, and people of color—from voting while making it more convenient for the wealthy and white. But he also lays out a wide variety of simple, commonsense ways that we the people can fight back and reclaim our right to rule through the ballot box. |
| the hidden history of american healthcare: The Hidden History of Neoliberalism Thom Hartmann, 2022-09-13 America's most popular progressive radio host and New York Times bestselling author Thom Hartmann reveals how and why neoliberalism became so prevalent in the United States and why it's time for us to turn our backs to it. With four decades of neoliberal rule coming to an end, America is at a crossroads. In this powerful and accessible book, Thom Hartmann demystifies neoliberalism and explains how we can use this pivotal point in time to create a more positive future. This book traces the history of neoliberalism-a set of capitalistic philosophies favoring free trade, low taxes on the rich, financial austerity, and deregulation of big business-up to the present day. Hartmann explains how neoliberalism was sold as a cure for wars and the Great Depression. He outlines the destructive impact that it has had on America, looking at how it has increased poverty, damaged the middle class, and corrupted our nation's politics. America is standing on the edge of a new progressive era. We can continue down the road to a neoliberal oligarchy, as supported by many of the nation's billionaires and giant corporations. Or we can choose to return to Keynesian economics and Alexander Hamilton's American Plan by raising taxes on the rich, reversing free trade, and building a society that works for all. |
| the hidden history of american healthcare: The Hidden History of the Supreme Court and the Betrayal of America Thom Hartmann, 2019-10-01 “Hartmann delivers a full-throated indictment of the U.S. Supreme Court in this punchy polemic. —Publishers Weekly Thom Hartmann, the most popular progressive radio host in America and a New York Times bestselling author, explains how the Supreme Court has spilled beyond its Constitutional powers and how we the people should take that power back. Taking his typically in-depth, historically informed view, Thom Hartmann asks, What if the Supreme Court didn't have the power to strike down laws? According to the Constitution, it doesn't. From the founding of the republic until 1803, the Supreme Court was the final court of appeals, as it was always meant to be. So where did the concept of judicial review start? As so much of modern American history, it began with the battle between the Federalists and Anti-Federalists, and with Marbury v. Madison. Hartmann argues it is not the role of the Supreme Court to decide what the law is but rather the duty of the people themselves. He lays out the history of the Supreme Court of the United States, since Alexander Hamilton's defense to modern-day debates, with key examples of cases where the Supreme Court overstepped its constitutional powers. The ultimate remedy to the Supreme Court's abuse of power is with the people--the ultimate arbiter of the law--using the ballot box. America does not belong to the kings and queens; it belongs to the people. |
| the hidden history of american healthcare: The Hidden History of Guns and the Second Amendment Thom Hartmann, 2019-06-04 “In this precise primer on firearms practices and policies, progressive talk-show host Hartmann examines the history of routine gun usage and extreme gun violence and assesses the influence of gun ownership on contemporary political, economic, and social norms…A brief but powerful analysis of a searing national crisis.” —Booklist Thom Hartmann, the most popular progressive radio host in America and a New York Times bestselling author, looks at the real history of guns in America and what we can do to limit both their lethal impact and the power of the gun lobby. Taking his typically in-depth, historically informed view, Hartmann examines the brutal role guns have played in American history, from the genocide of the Native Americans to the enforcement of slavery (Slave Patrols are in fact the Second Amendment's “well-regulated militias”) and the racist post–Civil War social order. He shows how the NRA and conservative Supreme Court justices used specious logic to invent a virtually unlimited individual right to own guns, which has enabled the ever-growing number of mass shootings in the United States. But Hartmann also identifies a handful of powerful, commonsense solutions that would break the power of the gun lobby and restore the understanding of the Second Amendment that the Framers of the Constitution intended. This is the kind of brief, brilliant analysis for which Hartmann is justly renowned. |
| the hidden history of american healthcare: The Hidden History of Big Brother in America Thom Hartmann, 2022-03-08 America’s most popular progressive radio host and New York Times bestselling author Thom Hartmann reveals how the government and corporate America misuse our personal data and shows how we can reclaim our privacy. Most Americans are worried about how companies like Facebook invade their privacy and harvest their data, but many people don’t fully understand the details of how their information is being adapted and misused. In this thought-provoking and accessible book, Thom Hartmann reveals exactly how the government and corporations are tracking our every online move and using our data to buy elections, employ social control, and monetize our lives. Hartmann uses extensive, vivid examples to highlight the consequences of Big Data on all aspects of our lives. He traces the history of surveillance and social control, looking back to how Big Brother invented whiteness to keep order and how surveillance began to be employed as a way to modify behavior. As he states, “The goal of those who violate privacy and use surveillance is almost always social control and behavior modification.” Along with covering the history, Hartmann shows how we got to where we are today, how China—with its new Social Credit System—serves as a warning, and how we can and must avoid a similarly dystopian future. By delving into the Constitutional right to privacy, Hartmann reminds us of our civil right and shows how we can restore it. |
| the hidden history of american healthcare: White Market Drugs David Herzberg, 2020-10-23 The contemporary opioid crisis is widely seen as new and unprecedented. Not so. It is merely the latest in a long series of drug crises stretching back over a century. In White Market Drugs, David Herzberg explores these crises and the drugs that fueled them, from Bayer’s Heroin to Purdue’s OxyContin and all the drugs in between: barbiturate “goof balls,” amphetamine “thrill pills,” the “love drug” Quaalude, and more. As Herzberg argues, the vast majority of American experiences with drugs and addiction have taken place within what he calls “white markets,” where legal drugs called medicines are sold to a largely white clientele. These markets are widely acknowledged but no one has explained how they became so central to the medical system in a nation famous for its “drug wars”—until now. Drawing from federal, state, industry, and medical archives alongside a wealth of published sources, Herzberg re-connects America’s divided drug history, telling the whole story for the first time. He reveals that the driving question for policymakers has never been how to prohibit the use of addictive drugs, but how to ensure their availability in medical contexts, where profitability often outweighs public safety. Access to white markets was thus a double-edged sword for socially privileged consumers, even as communities of color faced exclusion and punitive drug prohibition. To counter this no-win setup, Herzberg advocates for a consumer protection approach that robustly regulates all drug markets to minimize risks while maintaining safe, reliable access (and treatment) for people with addiction. Accomplishing this requires rethinking a drug/medicine divide born a century ago that, unlike most policies of that racially segregated era, has somehow survived relatively unscathed into the twenty-first century. By showing how the twenty-first-century opioid crisis is only the most recent in a long history of similar crises of addiction to pharmaceuticals, Herzberg forces us to rethink our most basic ideas about drug policy and addiction itself—ideas that have been failing us catastrophically for over a century. |
| the hidden history of american healthcare: The Price We Pay Marty Makary, 2019-09-10 New York Times bestseller Business Book of the Year--Association of Business Journalists From the New York Times bestselling author comes an eye-opening, urgent look at America's broken health care system--and the people who are saving it--now with a new Afterword by the author. A must-read for every American. --Steve Forbes, editor-in-chief, FORBES One in five Americans now has medical debt in collections and rising health care costs today threaten every small business in America. Dr. Makary, one of the nation's leading health care experts, travels across America and details why health care has become a bubble. Drawing from on-the-ground stories, his research, and his own experience, The Price We Pay paints a vivid picture of the business of medicine and its elusive money games in need of a serious shake-up. Dr. Makary shows how so much of health care spending goes to things that have nothing to do with health and what you can do about it. Dr. Makary challenges the medical establishment to remember medicine's noble heritage of caring for people when they are vulnerable. The Price We Pay offers a road map for everyday Americans and business leaders to get a better deal on their health care, and profiles the disruptors who are innovating medical care. The movement to restore medicine to its mission, Makary argues, is alive and well--a mission that can rebuild the public trust and save our country from the crushing cost of health care. |
| the hidden history of american healthcare: America's Bitter Pill Steven Brill, 2015-01-05 NEW YORK TIMES BESTSELLER • A NEW YORK TIMES NOTABLE BOOK • “A tour de force . . . a comprehensive and suitably furious guide to the political landscape of American healthcare . . . persuasive, shocking.”—The New York Times America’s Bitter Pill is Steven Brill’s acclaimed book on how the Affordable Care Act, or Obamacare, was written, how it is being implemented, and, most important, how it is changing—and failing to change—the rampant abuses in the healthcare industry. It’s a fly-on-the-wall account of the titanic fight to pass a 961-page law aimed at fixing America’s largest, most dysfunctional industry. It’s a penetrating chronicle of how the profiteering that Brill first identified in his trailblazing Time magazine cover story continues, despite Obamacare. And it is the first complete, inside account of how President Obama persevered to push through the law, but then failed to deal with the staff incompetence and turf wars that crippled its implementation. But by chance America’s Bitter Pill ends up being much more—because as Brill was completing this book, he had to undergo urgent open-heart surgery. Thus, this also becomes the story of how one patient who thinks he knows everything about healthcare “policy” rethinks it from a hospital gurney—and combines that insight with his brilliant reporting. The result: a surprising new vision of how we can fix American healthcare so that it stops draining the bank accounts of our families and our businesses, and the federal treasury. Praise for America’s Bitter Pill “An energetic, picaresque, narrative explanation of much of what has happened in the last seven years of health policy . . . [Brill] has pulled off something extraordinary.”—The New York Times Book Review “A thunderous indictment of what Brill refers to as the ‘toxicity of our profiteer-dominated healthcare system.’ ”—Los Angeles Times “A sweeping and spirited new book [that] chronicles the surprisingly juicy tale of reform.”—The Daily Beast “One of the most important books of our time.”—Walter Isaacson “Superb . . . Brill has achieved the seemingly impossible—written an exciting book about the American health system.”—The New York Review of Books |
| the hidden history of american healthcare: Ensuring America's Health Christy Ford Chapin, 2015-05-28 This book provides an in-depth evaluation of the U.S. health care system's development in the twentieth century. It shows how a unique economic design - the insurance company model - came to dominate health care, bringing with it high costs; corporate medicine; and fragmented, poorly distributed care. |
| the hidden history of american healthcare: Making Healthcare Safe Lucian L. Leape, 2021-05-28 This unique and engaging open access title provides a compelling and ground-breaking account of the patient safety movement in the United States, told from the perspective of one of its most prominent leaders, and arguably the movement’s founder, Lucian L. Leape, MD. Covering the growth of the field from the late 1980s to 2015, Dr. Leape details the developments, actors, organizations, research, and policy-making activities that marked the evolution and major advances of patient safety in this time span. In addition, and perhaps most importantly, this book not only comprehensively details how and why human and systems errors too often occur in the process of providing health care, it also promotes an in-depth understanding of the principles and practices of patient safety, including how they were influenced by today’s modern safety sciences and systems theory and design. Indeed, the book emphasizes how the growing awareness of systems-design thinking and the self-education and commitment to improving patient safety, by not only Dr. Leape but a wide range of other clinicians and health executives from both the private and public sectors, all converged to drive forward the patient safety movement in the US. Making Healthcare Safe is divided into four parts: I. In the Beginning describes the research and theory that defined patient safety and the early initiatives to enhance it. II. Institutional Responses tells the stories of the efforts of the major organizations that began to apply the new concepts and make patient safety a reality. Most of these stories have not been previously told, so this account becomes their histories as well. III. Getting to Work provides in-depth analyses of four key issues that cut across disciplinary lines impacting patient safety which required special attention. IV. Creating a Culture of Safety looks to the future, marshalling the best thinking about what it will take to achieve the safe care we all deserve. Captivatingly written with an “insider’s” tone and a major contribution to the clinical literature, this title will be of immense value to health care professionals, to students in a range of academic disciplines, to medical trainees, to health administrators, to policymakers and even to lay readers with an interest in patient safety and in the critical quest to create safe care. |
| the hidden history of american healthcare: The Healing of America T. R. Reid, 2010-08-31 A New York Times Bestseller, with an updated explanation of the 2010 Health Reform Bill Important and powerful . . . a rich tour of health care around the world. —Nicholas Kristof, The New York Times Bringing to bear his talent for explaining complex issues in a clear, engaging way, New York Times bestselling author T. R. Reid visits industrialized democracies around the world--France, Britain, Germany, Japan, and beyond--to provide a revelatory tour of successful, affordable universal health care systems. Now updated with new statistics and a plain-English explanation of the 2010 health care reform bill, The Healing of America is required reading for all those hoping to understand the state of health care in our country, and around the world. T. R. Reid's latest book, A Fine Mess: A Global Quest for a Simpler, Fairer, and More Efficient Tax System, is also available from Penguin Press. |
| the hidden history of american healthcare: Health Justice Now Timothy Faust, 2019-08-06 The best concise explanation of why the United States needs single-payer health care — and needs to widen the definition of health care itself.— The Washington Post Single payer healthcare is not complicated: the government pays for all care for all people. It’s cheaper than our current model, and most Americans (and their doctors) already want it. So what’s the deal with our current healthcare system, and why don’t we have something better? In Health Justice Now, Timothy Faust explains what single payer is, why we don’t yet have it, and how it can be won. He identifies the actors that have misled us for profit and political gain, dispels the myth that healthcare needs to be personally expensive, shows how we can smoothly transition to a new model, and reveals the slate of humane and progressive reforms that we can only achieve with single payer as the springboard. In this impassioned playbook, Faust inspires us to believe in a world where we could leave our job without losing healthcare for ourselves and our kids; where affordable housing is healthcare; and where social justice links arm-in-arm with health justice for us all. |
| the hidden history of american healthcare: Catastrophic Care David Goldhill, 2013-01-08 A visionary investigation that will change the way we think about health care: how and why it is failing, why expanding coverage will actually make things worse, and how our health care can be transformed into a transparent, affordable, successful system. In 2007, David Goldhill’s father died from infections acquired in a hospital, one of more than two hundred thousand avoidable deaths per year caused by medical error. The bill was enormous—and Medicare paid it. These circumstances left Goldhill angry and determined to understand how world-class technology and personnel could coexist with such carelessness—and how a business that failed so miserably could be paid in full. Catastrophic Care is the eye-opening result. Blending personal anecdotes and extensive research, Goldhill presents us with cogent, biting analysis that challenges the basic preconceptions that have shaped our thinking for decades. Contrasting the Island of health care with the Mainland of our economy, he demonstrates that high costs, excess medicine, terrible service, and medical error are the inevitable consequences of our insurance-based system. He explains why policy efforts to fix these problems have invariably produced perverse results, and how the new Affordable Care Act is more likely to deepen than to solve these issues. Goldhill steps outside the incremental and wonkish debates to question the conventional wisdom blinding us to more fundamental issues. He proposes a comprehensive new way, where the customer (the patient) is first—a system focused on health and maintaining it, a system strong and vibrant enough for our future. If you think health care is interesting only to institutes and politicians, think again: Catastrophic Care is surprising, engaging, and brimming with insights born of questions nobody has thought to ask. Above all it is a book of new ideas that can transform the way we understand a subject we often take for granted. |
| the hidden history of american healthcare: Under the Skin Linda Villarosa, 2022-06-14 PULITZER PRIZE FINALIST • A stunning exposé of why Black people in our society 'live sicker and die quicker'—an eye-opening game changer.—Oprah Daily From an award-winning writer at the New York Times Magazine and a contributor to the 1619 Project comes a landmark book that tells the full story of racial health disparities in America, revealing the toll racism takes on individuals and the health of our nation. In 2018, Linda Villarosa's New York Times Magazine article on maternal and infant mortality among black mothers and babies in America caused an awakening. Hundreds of studies had previously established a link between racial discrimination and the health of Black Americans, with little progress toward solutions. But Villarosa's article exposing that a Black woman with a college education is as likely to die or nearly die in childbirth as a white woman with an eighth grade education made racial disparities in health care impossible to ignore. Now, in Under the Skin, Linda Villarosa lays bare the forces in the American health-care system and in American society that cause Black people to “live sicker and die quicker” compared to their white counterparts. Today's medical texts and instruments still carry fallacious slavery-era assumptions that Black bodies are fundamentally different from white bodies. Study after study of medical settings show worse treatment and outcomes for Black patients. Black people live in dirtier, more polluted communities due to environmental racism and neglect from all levels of government. And, most powerfully, Villarosa describes the new understanding that coping with the daily scourge of racism ages Black people prematurely. Anchored by unforgettable human stories and offering incontrovertible proof, Under the Skin is dramatic, tragic, and necessary reading. |
| the hidden history of american healthcare: Medical Apartheid Harriet A. Washington, 2008-01-08 NATIONAL BOOK CRITICS CIRCLE AWARD WINNER • The first full history of Black America’s shocking mistreatment as unwilling and unwitting experimental subjects at the hands of the medical establishment. No one concerned with issues of public health and racial justice can afford not to read this masterful book. [Washington] has unearthed a shocking amount of information and shaped it into a riveting, carefully documented book. —New York Times From the era of slavery to the present day, starting with the earliest encounters between Black Americans and Western medical researchers and the racist pseudoscience that resulted, Medical Apartheid details the ways both slaves and freedmen were used in hospitals for experiments conducted without their knowledge—a tradition that continues today within some black populations. It reveals how Blacks have historically been prey to grave-robbing as well as unauthorized autopsies and dissections. Moving into the twentieth century, it shows how the pseudoscience of eugenics and social Darwinism was used to justify experimental exploitation and shoddy medical treatment of Blacks. Shocking new details about the government’s notorious Tuskegee experiment are revealed, as are similar, less-well-known medical atrocities conducted by the government, the armed forces, prisons, and private institutions. The product of years of prodigious research into medical journals and experimental reports long undisturbed, Medical Apartheid reveals the hidden underbelly of scientific research and makes possible, for the first time, an understanding of the roots of the African American health deficit. At last, it provides the fullest possible context for comprehending the behavioral fallout that has caused Black Americans to view researchers—and indeed the whole medical establishment—with such deep distrust. |
| the hidden history of american healthcare: Improving Diagnosis in Health Care National Academies of Sciences, Engineering, and Medicine, Institute of Medicine, Board on Health Care Services, Committee on Diagnostic Error in Health Care, 2015-12-29 Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety. |
| the hidden history of american healthcare: The Hidden History of International Law in the Americas Juan Pablo Scarfi, 2017 This book offers the first exploration of the deployment of international law for the legitimization of U.S. ascendancy as an informal empire in Latin America. This book explores the intellectual history of a distinctive idea of American international law in the Americas, focusing principally on the evolution of the American Institute of International Law (AIIL). |
| the hidden history of american healthcare: The Crash of 2016 Thom Hartmann, 2013-11-12 The United States is more vulnerable today than ever before-including during the Great Depression and the Civil War-because the pillars of democracy that once supported a booming middle class have been corrupted, and without them, America teeters on the verge of the next Great Crash. The United States is in the midst of an economic implosion that could make the Great Depression look like child's play. In THE CRASH OF 2016, Thom Hartmann argues that the facade of our once-great United States will soon disintegrate to reveal the rotting core where corporate and billionaire power and greed have replaced democratic infrastructure and governance. Our once-enlightened political and economic systems have been manipulated to ensure the success of only a fraction of the population at the expense of the rest of us. The result is a for the rich, by the rich scheme leading to policies that only benefit the highest bidders. Hartmann outlines the destructive forces-planted by Lewis Powell in 1971 and come to fruition with the Reagan Revolution-that have looted our nation over the past decade, and how their actions fit into a cycle of American history that lets such forces rise to power every four generations. However, a backlash is now palpable against the economic royalists-a term coined by FDR to describe those hoarding power and wealth-including the banksters, oligarchs, and politicians who have plunged our nation into economic chaos and social instability. Although we are in the midst of what could become the most catastrophic economic crash in American History, a way forward is emerging, just as it did in the previous great crashes of the 1760s, 1856, and 1929. The choices we make now will redefine American culture. Before us stands a genuine opportunity to embrace the moral motive over the profit motive-and to rebuild the American economic model that once yielded great success. Thoroughly researched and passionately argued, THE CRASH OF 2016 is not just a roadmap to redemption in post-Crash America, but a critical wake-up call, challenging us to act. Only if the right reforms are enacted and the moral choices are made, can we avert disaster and make our nation whole again. |
| the hidden history of american healthcare: Exploring American Healthcare through 50 Historic Treasures Tegan Kehoe, 2022-02-15 Healthcare history is more than leeches and drilling holes in skulls. It is stories of scientific failures and triumphs. Exploring American Healthcare through 50 Historic Treasures presents a visual and narrative history of health and medicine in the United States, tracing paradigm shifts such as the introduction of anesthesia, the adoption of germ theory, and advances in public health. In this book, museum artifacts are windows into both famous and ordinary people’s experiences with healthcare throughout American history, from patent medicines and faith healing to laboratory science. With 50 vignette-like chapters and 50 color photographs, Exploring American Healthcare through 50 Historic Treasures showcases little-known objects that illustrate the complexities of our relationship with health, such as a bottle from the short period when the Schlitz beer company sold lager that was supposed to be high in vitamin D during the first vitamin craze. It also highlights famous moments in medicine, such as the discovery of penicillin, as illustrated by a mold-culturing pan. Each artifact tells some piece of the story of how its creators or users approached fundamental questions in health. Some of these questions are, “What causes sickness, and what causes health?” and “How much can everyone master the principles of health, and how much do laypeople need to rely on outside authorities?” Exploring American Healthcare through 50 Historic Treasures describes the days when surgeons worked on patients without anesthesia and wiped their scalpels on their coats, and the day that EMTs raced to provide help when the Twin Towers were attacked in 2001. The book discusses social and cultural influences that have shaped healthcare, providing insight relevant to today’s problems and colorful anecdotes along the way. |
| the hidden history of american healthcare: The Future of the Public's Health in the 21st Century Institute of Medicine, Board on Health Promotion and Disease Prevention, Committee on Assuring the Health of the Public in the 21st Century, 2003-02-01 The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists. |
| the hidden history of american healthcare: Coverage Matters Institute of Medicine, Board on Health Care Services, Committee on the Consequences of Uninsurance, 2001-10-27 Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers. |
| the hidden history of american healthcare: Sickening John Abramson, 2022-02-08 The inside story of how Big Pharma’s relentless pursuit of ever-higher profits corrupts medical knowledge—misleading doctors, misdirecting American health care, and harming our health. The United States spends an excess $1.5 trillion annually on health care compared to other wealthy countries—yet the amount of time that Americans live in good health ranks a lowly 68th in the world. At the heart of the problem is Big Pharma, which funds most clinical trials and therefore controls the research agenda, withholds the real data from those trials as corporate secrets, and shapes most of the information relied upon by health care professionals. In this no-holds-barred exposé, Dr. John Abramson—one of the foremost experts on the drug industry’s deceptive tactics—combines patient stories with what he learned during many years of serving as an expert in national drug litigation to reveal the tangled web of financial interests at the heart of the dysfunction in our health-care system. For example, one of pharma’s best-kept secrets is that the peer reviewers charged with ensuring the accuracy and completeness of the clinical trial reports published in medical journals do not even have access to complete data and must rely on manufacturer-influenced summaries. Likewise for the experts who write the clinical practice guidelines that define our standards of care. The result of years of research and privileged access to the inner workings of the U.S. medical-industrial complex, Sickening shines a light on the dark underbelly of American health care—and presents a path toward genuine reform. |
| the hidden history of american healthcare: The Sum of Us Heather McGhee, 2022-02-08 NEW YORK TIMES BESTSELLER • LONGLISTED FOR THE NATIONAL BOOK AWARD • One of today’s most insightful and influential thinkers offers a powerful exploration of inequality and the lesson that generations of Americans have failed to learn: Racism has a cost for everyone—not just for people of color. WINNER OF THE PORCHLIGHT BUSINESS BOOK AWARD • ONE OF THE BEST BOOKS OF THE YEAR: Time, The Washington Post, St. Louis Post-Dispatch, Ms. magazine, BookRiot, Library Journal “This is the book I’ve been waiting for.”—Ibram X. Kendi, #1 New York Times bestselling author of How to Be an Antiracist Look for the author’s podcast, The Sum of Us, based on this book! Heather McGhee’s specialty is the American economy—and the mystery of why it so often fails the American public. From the financial crisis of 2008 to rising student debt to collapsing public infrastructure, she found a root problem: racism in our politics and policymaking. But not just in the most obvious indignities for people of color. Racism has costs for white people, too. It is the common denominator of our most vexing public problems, the core dysfunction of our democracy and constitutive of the spiritual and moral crises that grip us all. But how did this happen? And is there a way out? McGhee embarks on a deeply personal journey across the country from Maine to Mississippi to California, tallying what we lose when we buy into the zero-sum paradigm—the idea that progress for some of us must come at the expense of others. Along the way, she meets white people who confide in her about losing their homes, their dreams, and their shot at better jobs to the toxic mix of American racism and greed. This is the story of how public goods in this country—from parks and pools to functioning schools—have become private luxuries; of how unions collapsed, wages stagnated, and inequality increased; and of how this country, unique among the world’s advanced economies, has thwarted universal healthcare. But in unlikely places of worship and work, McGhee finds proof of what she calls the Solidarity Dividend: the benefits we gain when people come together across race to accomplish what we simply can’t do on our own. The Sum of Us is not only a brilliant analysis of how we arrived here but also a heartfelt message, delivered with startling empathy, from a black woman to a multiracial America. It leaves us with a new vision for a future in which we finally realize that life can be more than a zero-sum game. LONGLISTED FOR THE ANDREW CARNEGIE MEDAL |
| the hidden history of american healthcare: Rockefeller Medicine Men E. Richard Brown, 1979 |
| the hidden history of american healthcare: The Hidden History of American Fashion Nancy Deihl, 2018-02-08 This book is the first in-depth exploration of the revolutionary designers who defined American fashion in its emerging years and helped build an industry with global impact, yet have been largely forgotten. Focusing on female designers, the authors reclaim a place in history for the women who created not only for celebrities and socialites, but for millions of fashion-conscious customers across the United States. From one of America's first couturiers, Jessie Franklin Turner, to Zelda Wynn Valdes, the book captures the lost histories of the luminaries who paved the way in the world of American fashion design. This fully illustrated collection takes us from Hollywood to Broadway, from sportswear to sustainable fashion, and explores important crossovers between film, theater, and fashion. Uncovering fascinating histories of the design pioneers we should know about, the book enlarges the prevailing narrative of fashion history and will be an important reference for fashion students, historians, costume curators, and fashion enthusiasts alike. |
| the hidden history of american healthcare: Healing Thomas Insel, MD, 2022-02-22 A bold, expert, and actionable map for the re-invention of America’s broken mental health care system. “Healing is truly one of the best books ever written about mental illness, and I think I’ve read them all. —Pete Earley, author of Crazy As director of the National Institute of Mental Health, Dr. Thomas Insel was giving a presentation when the father of a boy with schizophrenia yelled from the back of the room, “Our house is on fire and you’re telling me about the chemistry of the paint! What are you doing to put out the fire?” Dr. Insel knew in his heart that the answer was not nearly enough. The gargantuan American mental health industry was not healing millions who were desperately in need. He left his position atop the mental health research world to investigate all that was broken—and what a better path to mental health might look like. In the United States, we have treatments that work, but our system fails at every stage to deliver care well. Even before COVID, mental illness was claiming a life every eleven minutes by suicide. Quality of care varies widely, and much of the field lacks accountability. We focus on drug therapies for symptom reduction rather than on plans for long-term recovery. Care is often unaffordable and unavailable, particularly for those who need it most and are homeless or incarcerated. Where was the justice for the millions of Americans suffering from mental illness? Who was helping their families? But Dr. Insel also found that we do have approaches that work, both in the U.S. and globally. Mental illnesses are medical problems, but he discovers that the cures for the crisis are not just medical, but social. This path to healing, built upon what he calls the three Ps (people, place, and purpose), is more straightforward than we might imagine. Dr. Insel offers a comprehensive plan for our failing system and for families trying to discern the way forward. The fruit of a lifetime of expertise and a global quest for answers, Healing is a hopeful, actionable account and achievable vision for us all in this time of mental health crisis. |
| the hidden history of american healthcare: The Hidden History of Coined Words Ralph Keyes, 2021-02-19 Successful word-coinages--those that stay in currency for a good long time--tend to conceal their beginnings. We take them at face value and rarely when and where they were first minted. Engaging, illuminating, and authoritative, Ralph Keyes's The Hidden History of Coined Words explores the etymological underworld of terms and expressions and uncovers plenty of hidden gems. He also finds some fascinating patterns, such as that successful neologisms are as likely to be created by chance as by design. A remarkable number of new words were coined whimsically, originally intended to troll or taunt. Knickers, for example, resulted from a hoax; big bang from an insult. Casual wisecracking produced software, crowdsource, and blog. More than a few resulted from happy accidents, such as typos, mistranslations, and mishearing (bigly and buttonhole), or from being taken entirely out of context (robotics). Neologizers (a Thomas Jefferson coinage) include not just scholars and writers but cartoonists, columnists, children's book authors. Wimp originated with a book series, as did goop, and nerd from a book by Dr. Seuss. Coinages are often contested, controversy swirling around such terms as gonzo, mojo, and booty call. Keyes considers all contenders, while also leading us through the fray between new word partisans, and those who resist them strenuously. He concludes with advice about how to make your own successful coinage. The Hidden History of Coined Words will appeal not just to word mavens but history buffs, trivia contesters, and anyone who loves the immersive power of language. |
| the hidden history of american healthcare: The Hidden History of Women's Ordination Gary Macy, 2007-11-30 The Roman Catholic leadership still refuses to ordain women officially or even to recognize that women are capable of ordination. But is the widely held assumption that women have always been excluded from such roles historically accurate? In the early centuries of Christianity, ordination was the process and the ceremony by which one moved to any new ministry (ordo) in the community. By this definition, women were in fact ordained into several ministries. A radical change in the definition of ordination during the eleventh and twelfth centuries not only removed women from the ordained ministry, but also attempted to eradicate any memory of women's ordination in the past. The debate that accompanied this change has left its mark in the literature of the time. However, the triumph of a new definition of ordination as the bestowal of power, particularly the power to confect the Eucharist, so thoroughly dominated western thought and practice by the thirteenth century that the earlier concept of ordination was almost completely erased. The ordination of women, either in the present or in the past, became unthinkable. References to the ordination of women exist in papal, episcopal and theological documents of the time, and the rites for these ordinations have survived. Yet, many scholars still hold that women, particularly in the western church, were never really ordained. A survey of the literature reveals that most scholars use a definition of ordination that would have been unknown in the early middle ages. Thus, the modern determination that women were never ordained, Macy argues, is a premise based on false terms. Not a work of advocacy, this important book applies indispensable historical background for the ongoing debate about women's ordination. |
| the hidden history of american healthcare: Crossing the Global Quality Chasm National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Health Care Services, Board on Global Health, Committee on Improving the Quality of Health Care Globally, 2019-01-27 In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care. |
| the hidden history of american healthcare: The Racial Divide in American Medicine Richard D. deShazo, 2018-07-30 Contributions by Richard D. deShazo, John Dittmer, Keydron K. Guinn, Lucius M. Lampton, Wilson F. Minor, Rosemary Moak, Sara B. Parker, Wayne J. Riley, Leigh Baldwin Skipworth, Robert Smith, and William F. Winter The Racial Divide in American Medicine documents the struggle for equity in health and health care by African Americans in Mississippi and the United States and the connections between what happened there and the national search for social justice in health care. Dr. Richard D. deShazo and the contributors to the volume trace the dark journey from a system of slave hospitals in the state, through Reconstruction, Jim Crow, and the civil rights era, to the present day. They substantiate that current health disparities are directly linked to America’s history of separation, neglect, struggle, and disparities. Contributors reveal details of individual physicians’ journeys for recognition both as African Americans and as professionals in Mississippi. Despite discrimination by their white colleagues and threats of violence, a small but fearless group of African American physicians fought for desegregation of American medicine and society. For example, T. R. M. Howard, MD, in the all-black city of Mound Bayou led a private investigation of the Emmett Till murder that helped trigger the civil rights movement. Later, other black physicians risked their lives and practices to provide care for white civil rights workers during the civil rights movement. Dr. deShazo has assembled an accurate account of the lives and experiences of black physicians in Mississippi, one that gives full credit to the actions of these pioneers. Dr. deShazo’s introduction and the essays address ongoing isolation and distrust among black and white colleagues. This book will stimulate dialogue, apology, and reconciliation, with the ultimate goal of improving disparities in health and health care and addressing long-standing injustices in our country. |
| the hidden history of american healthcare: Cracking the Code Thom Hartmann, 2008-09 According to Air America radio host Hartmann, the apologists of the Right have become masters of the subtle and subconscious aspects of political communication. Conservatives didn't intuit the path to persuasive messaging and, as Hartmann shows, there is no reason why progressives can't learn them too. |
| the hidden history of american healthcare: The Invisible Work of Nurses Davina Allen, 2014-08-27 Nursing is typically understood, and understands itself, as a care-giving occupation. It is through its relationships with patients – whether these are absent, present, good, bad or indifferent – that modern day nursing is defined. Yet nursing work extends far beyond direct patient care activities. Across the spectrum of locales in which they are employed, nurses, in numerous ways, support and sustain the delivery and organisation of health services. In recent history, however, this wider work has generally been regarded as at best an adjunct to the core nursing function, and at worse responsible for taking nurses away from their ‘real work’ with patients. Beyond its identity as the ‘other’ to care-giving, little is known about this element of nursing practice. Drawing on extensive observational research of the everyday work in a UK hospital, and insights from practice-based approaches and actor network theory, the aim of this book is to lay the empirical and theoretical foundations for a reappraisal of the nursing contribution to society by shining a light on this invisible aspect of nurses’ work. Nurses, it is argued, can be understood as focal actors in health systems and through myriad processes of ‘translational mobilisation’ sustain the networks through which care is organised. Not only is this work an essential driver of action, it also operates as a powerful countervailing force to the centrifugal tendencies inherent in healthcare organisations which, for all their gloss of order and rationality, are in reality very loose arrangements. The Invisible Work of Nurses will be interest to academics and students across a number of fields, including nursing, medical sociology, organisational studies, health management, science and technology studies, and improvement science. |
| the hidden history of american healthcare: Engineering a Learning Healthcare System National Academy of Engineering, Institute of Medicine, 2011-07-14 Improving our nation's healthcare system is a challenge which, because of its scale and complexity, requires a creative approach and input from many different fields of expertise. Lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. The fundamental notion of a high-performing healthcare system-one that increasingly is more effective, more efficient, safer, and higher quality-is rooted in continuous improvement principles that medicine shares with engineering. As part of its Learning Health System series of workshops, the Institute of Medicine's Roundtable on Value and Science-Driven Health Care and the National Academy of Engineering, hosted a workshop on lessons from systems and operations engineering that could be applied to health care. Building on previous work done in this area the workshop convened leading engineering practitioners, health professionals, and scholars to explore how the field might learn from and apply systems engineering principles in the design of a learning healthcare system. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary focuses on current major healthcare system challenges and what the field of engineering has to offer in the redesign of the system toward a learning healthcare system. |
| the hidden history of american healthcare: Medicare for All Abdul El-Sayed, Micah Johnson, 2021 A citizen's guide to America's most debated policy-in-waitingAfter languishing for decades on the fringes of political discussion, Medicare-for-All has quickly entered the mainstream debate over what to do about America's persistent healthcare problems. But for most informed Americans, this surge of public and political interest in Medicare-for-All has outpaced a strong understanding of the issues involved. This book seeks to fill this gap in our national discourse, offering an expert analysis of the policy and politics behind Medicare-for-All for theinformed American. |
| the hidden history of american healthcare: For-Profit Enterprise in Health Care Institute of Medicine, Committee on Implications of For-Profit Enterprise in Health Care, 1986-01-01 [This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care, says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. The report makes a lasting contribution to the health policy literature. â€Journal of Health Politics, Policy and Law. |
| the hidden history of american healthcare: How To Avoid Being a Victim of the American Healthcare System: A Patient's Handbook for Survival David Wilcox, 2021-06 A narrative non-fiction book to educate anyone accessing the American Healthcare System proactively. |
