Health Divided

The United States’ health care system stands out for its strict division of policies dealing with public health and individual medicine. Seeking to explain how this division came to be, what alternative paths might have been taken, and how this shapes the contemporary landscape, Daniel Sledge offers nothing less than a reinterpretation of the making of modern American health policy in Health Divided. Where previous scholars have focused on failed attempts to adopt national health insurance, Sledge demonstrates that the development of health policy cannot be properly understood without considering the connections between public health policy and policies dealing with individual medicine. His work shows how the distinct politics of the formative years of health policy—and the presence of debilitating diseases in the American South—led to outcomes that have fundamentally shaped modern policies and disputes. Until the end of the nineteenth century, health care in the United States was seen as a local issue, with the sole exception being the government’s role in providing care to seamen and immigrants. Then, as Health Divided reveals, the health problems that plagued the American South in the early twentieth century, from malaria to hookworm and pellagra, along with the political power of the southern Democrats during the New Deal, fueled the emergence of national intervention in public health work. At the same time, divisions among policymakers, as well as the resistance of the American Medical Association, led to federal inaction in the realm of individual medical services—setting the stage for the growth of employer-sponsored health insurance. The vision of those who built the institutions that became the Centers for Disease Control and Prevention was, we see here, far more expansive and innovative than has previously been realized—and it came surprisingly close to succeeding. Exploring the history behind its failure, and tracing the inextricable links between public health and national health policy, this book provides a valuable new perspective on the origins of America’s disjointed health care system.

A vivid account of race and the organization of health services

Human remains have long been considered valuable material for use in medical science. Over time and in different places, they have been dissected, investigated, harvested for research purposes, collected to turn into museum specimens, and more. This book examines the history of such activities.

This book offers a reinterpretation of the making of modern American health policy. It explains why American health policy became divided into separate realms of public health and individual medicine and how this division shapes the contemporary landscape.

A thought-provoking and evocative account that considers both the policies we think of as "health policyand those that we don't, The Political Determinants of Health provides a novel, multidisciplinary framework for addressing the systemic barriers preventing the United States from becoming the healthiest nation in the world.

The Health-Care Divide takes a close look at the history of health care in the United States while addressing topics such as the Affordable Care Act and the health-care poverty gap for the elderly, children, and minority groups. Features include a glossary, references, websites, source notes, and an index. Aligned to Common Core Standards and correlated to state standards. Essential Library is an imprint of Abdo Publishing, a division of ABDO.

Publisher Description

"Many of the goals of South Africa’s new democracy depend on the production of professionals who have not only the knowledge and skills to make our country globally competitive, but also a commitment to working and living here. Despite numerous reforms, the South African health system, ten years into democracy, remains divided: first world private care that ranks with middle income countries internationally at the one end, and at the other extreme, in the rural public sector in particular, conditions that are superior only to the poorest of African countries. Much work has been done to change medical school curricula in line with the primary health-care focus of government policy, and international trends towards problem-based learning. The student profile in medical schools is now not only more representative of the demographics of South Africa, but also reveals a significant increase in female students. Whether these students will stay in the country after graduating, and serve where they are needed most, remains to be seen."--Publisher's website.

By many measures--commonsensical or statistical--the United States has not been more divided politically or economically in the last hundred years than it is now. How have we gone from the striking bipartisan cooperation and relative economic equality of the war years and post-war period to the extreme inequality and savage partisan divisions of today? In this sweeping look at American politics from the Depression to the present, Doug McAdam and Karina Kloos argue that party politics alone is not responsible for the mess we find ourselves in. Instead, it was the ongoing interaction of social movements and parties that, over time, pushed Democrats and Republicans toward their ideological margins, undermining the post-war consensus in the process. The Civil Rights struggle and the white backlash it provoked reintroduced the centrifugal force of social movements into American politics, ushering in an especially active and sustained period of movement/party dynamism, culminating in today's tug of war between the Tea Party and Republican establishment for control of the GOP. In Deeply Divided, McAdam and Kloos depart from established explanations of the conservative turn in the United States and trace the roots of political polarization and economic inequality back to the shifting racial geography of American politics in the 1960s. Angered by Lyndon Johnson's more aggressive embrace of civil rights reform in 1964, Southern Dixiecrats abandoned the Democrats for the first time in history, setting in motion a sustained regional realignment that would, in time, serve as the electoral foundation for a resurgent and increasingly more conservative Republican Party.

Partisan warfare and gridlock in Washington threaten to squander America’s opportunity to show the world that democracy can solve serious economic problems and ensure widely shared prosperity. Instead of working together to meet the challenges ahead—an aging work force, exploding inequality, climate change, rising debt—our elected leaders are sabotaging our economic future by blaming and demonizing each other in hopes of winning big in the next election. They are weakening America’s capacity for world leadership and the case for democracy here and abroad. Alice M. Rivlin, with decades of experience in economic policy making, argues that proven economic policies could lead to sustainable American prosperity and opportunity for all, but crafting them requires the tough, time-consuming work of consensus building and bipartisan negotiation. In a divided country with shifting majorities, major policies must have bipartisan buy-in and broad public support. Otherwise we will have either destabilizing swings in policy or total gridlock in the face of challenges looming at us. Rivlin believes that Americans can and must save our hyper-partisan politicians from themselves. She makes the case that on many practical economic issues the public is far less divided than partisan politicians and sensationalist media would have us believe. She draws attention to numerous hopeful efforts to bridge partisan and ideological divides in Washington, in state capitols and city governments, and communities around the country, and advocates a major national effort to enable citizens and future leaders to learn and practice the art of listening to each other and working together to find common ground. This book is a practical guide for Americans across the political spectrum who are agonizing over partisan warfare, incivility, and policy gridlock and looking for ways they can help to get our democratic policy process back on a constructive track before it is too late.