front cover of Fit Nation
Fit Nation
The Gains and Pains of America's Exercise Obsession
Natalia Mehlman Petrzela
University of Chicago Press, 2022
How is it that Americans are more obsessed with exercise than ever, and yet also unhealthier? Fit Nation explains how we got here and imagines how we might create a more inclusive, stronger future.

If a shared American creed still exists, it’s a belief that exercise is integral to a life well lived. A century ago, working out was the activity of a strange subculture, but today, it’s almost impossible to avoid exhortations to exercise: Walk 5K to cure cancer! Awaken your inner sex kitten at pole-dancing class! Sweat like (or even with) a celebrity in spin class! Exercise is everywhere.

Yet the United States is hardly a “fit nation.” Only 20 percent of Americans work out consistently, over half of gym members don’t even use the facilities they pay for, and fewer than 30 percent of high school students get an hour of exercise a day. So how did fitness become both inescapable and inaccessible?

Spanning more than a century of American history, Fit Nation answers these questions and more through original interviews, archival research, and a rich cultural narrative. As a leading political and intellectual historian and a certified fitness instructor, Natalia Mehlman Petrzela is uniquely qualified to confront the complex and far-reaching implications of how our contemporary exercise culture took shape. She explores the work of working out not just as consumers have experienced it, but as it was created by performers, physical educators, trainers, instructors, and many others.

For Petrzela, fitness is a social justice issue. She argues that the fight for a more equitable exercise culture will be won only by revolutionizing fitness culture at its core, making it truly inclusive for all bodies in a way it has never been. Examining venues from the stage of the World’s Fair and Muscle Beach to fat farms, feminist health clinics, radical and evangelical college campuses, yoga retreats, gleaming health clubs, school gymnasiums, and many more, Fit Nation is a revealing history that shows fitness to be not just a matter of physical health but of what it means to be an American.
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front cover of Measuring the Gains from Medical Research
Measuring the Gains from Medical Research
An Economic Approach
Edited by Kevin M. Murphy and Robert H. Topel
University of Chicago Press, 2003
In 1998, health expenditures in the United States accounted for 12.9% of national income-the highest share of income devoted to health in the developed world. The United States also spends more on medical research than any other country-in 2000, the federal government dedicated $18.4 billion to it, compared with only $3.7 billion for the entire European Union. In this book, leading health economists ask whether we are getting our money's worth.

From an economic perspective, they find, the answer is a resounding "yes": in fact, considering the extraordinary value of improvements to health, we may even be spending too little on medical research. The evidence these papers present and the conclusions they reach are both surprising and convincing: that growth in longevity since 1950 has been as valuable as growth in all other forms of consumption combined; that medical advances producing 10% reductions in mortality from cancer and heart disease alone would add roughly $10 trillion-a year's GDP-to the national wealth; or that the average new drug approved by the FDA yields benefits worth many times its cost of development.

The papers in this book are packed with these and many other surprising revelations, their sophisticated analysis persuasively demonstrating the massive economic benefits we can gain from investments in medical research. For anyone concerned about the cost and the value of such research-from policy makers to health care professionals and economists-this will be a landmark book.
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