front cover of Making Americans Healthier
Making Americans Healthier
Social and Economic Policy as Health Policy
Robert F. Schoeni
Russell Sage Foundation, 2008
The United States spends billions of dollars annually on social and economic policies aimed at improving the lives of its citizens, but the health consequences associated with these policies are rarely considered. In Making Americans Healthier, a group of multidisciplinary experts shows how social and economic policies seemingly unrelated to medical well-being have dramatic consequences for the health of the American people. Most previous research concerning problems with health and healthcare in the United States has focused narrowly on issues of medical care and insurance coverage, but Making Americans Healthier demonstrates the important health consequences that policymakers overlook in traditional cost-benefit evaluations of social policy. The contributors examine six critical policy areas: civil rights, education, income support, employment, welfare, and neighborhood and housing. Among the important findings in this book, David Cutler and Adriana Lleras-Muney document the robust relationship between educational attainment and health, and estimate that the health benefits of education may exceed even the well-documented financial returns of education. Pamela Herd, James House, and Robert Schoeni discover notable health benefits associated with the Supplemental Security Income Program, which provides financial support for elderly and disabled Americans. George Kaplan, Nalini Ranjit, and Sarah Burgard document a large and unanticipated improvement in the health of African-American women following the enactment of civil rights legislation in the 1960s. Making Americans Healthier presents ground-breaking evidence that the health impact of many social policies is substantial. The important findings in this book pave the way for promising new avenues for intervention and convincingly demonstrate that ultimately social and economic policy is health policy. A Volume in the National Poverty Center Series on Poverty and Public Policy
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Making Uncertainty
Tuberculosis, Substance Use, and Pathways to Health in South Africa
Anna Versfeld
Rutgers University Press, 2023
In Cape Town, South Africa, many people with tuberculosis also use substances. This sets up a seemingly impossible problem: People who use substances are at increased risk of tuberculosis disease; and substance use seems to result in erratic behavior that makes successful treatment of people affected by tuberculosis extremely difficult. People affected don’t get healthy, healthcare providers are frustrated, and families seek to balance love and care for those who are ill with self-protection. How are we to understand this? Where does the responsibility for poor health and healing lie? What are the possibilities for an effective healthcare response? Through a close look at lives and care, Making Uncertainty: Tuberculosis, Substance Use, and Pathways to Health shows how patterns of substance use, tuberculosis disease, and their interaction are shaped by history, social context, and political economy. This, in turn, generates new perspectives on what makes poor health, and what good care might look like.
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The Man with a Shattered World
The History of a Brain Wound
A. R. Luria
Harvard University Press, 1987

Russian psychologist A. R. Luria presents a compelling portrait of a man’s heroic struggle to regain his mental faculties. A soldier named Zasetsky, wounded in the head at the battle of Smolensk in 1943, suddenly found himself in a frightening world: he could recall his childhood but not his recent past; half his field of vision had been destroyed; he had great difficulty speaking, reading, and writing.

Much of the book consists of excerpts from Zasetsky’s own diaries. Laboriously, he records his memories in order to reestablish his past and to affirm his existence as an intelligent being. Luria’s comments and interpolations provide a valuable distillation of the theory and techniques that guided all of his research. His “digressions” are excellent brief introductions to the topic of brain structure and its relation to higher mental functions.

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Managing the Fiscal Metropolis
The Financial Policies, Practices, and Health of Suburban Municipalities
Rebecca M. Hendrick
Georgetown University Press, 2013

Managing the Fiscal Metropolis: The Financial Policies, Practices, and Health of Suburban Municipalities is an important book. This first comprehensive analysis of the financial condition, management, and policy making of local governments in a metropolitan region offers local governments currently dealing with the Great Recession a better understanding of what affects them financially and how to operate with less revenue.

Hendrick’s groundbreaking study covers 264 Chicago suburban municipalities from the late 1990s to the present. In it she identifies and describes the primary factors and events that affect municipal financial decisions and financial conditions, explores the strategies these governments use to manage financial conditions and solve financial problems, and looks at the impact of contextual factors and stresses on government financial decisions. Managing the Fiscal Metropolis offers new evidence about the role of contextual factors— including other local governments—in the financial condition of municipalities and how municipal financial decisions and practices alter these effects. The wide economic and social diversity of the municipalities studied make its findings relevant on a national scale.

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Marriage and Health
The Well-Being of Same-Sex Couples
Hui Liu
Rutgers University Press, 2020
Studies have shown that married couples have better mental and physical health than unmarried people. Leading scholars and policy makers propose that marriage can provide similar benefits to people in both same-sex and different-sex relationships. Though research on the health and well-being of same-sex couples is a new and growing field, Marriage and Health: The Well-Being of Same-Sex Couples represents the forefront of marriage and health research and the far-reaching policy implications for the health of same-sex couples. This collection of essays presents new perspectives that address current opportunities and challenges faced by people in same-sex unions in multiple domains of well-being, including physical and mental health, social support, socialized behaviors, and stigmas. The book offers a broad view of same-sex couples’ experiences by examining not only marriage and civil unions, but also dating and cohabiting relationships as well as same-sex sexual experiences outside of relationships.
 
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front cover of Meaning Of A Disability
Meaning Of A Disability
The Lived Experience of Paralysis
Albert Robillard
Temple University Press, 1999
When ethnomethodologist Albert Robillard began to suffer the  symptoms of motor-neuron disease, he realized he was a living laboratory for revealing the countless taken-for-granted methods people use to produce being together. Meaning of a Disability is a detailed autobiography of the experiences and trained observations of a university professor who became paralyzed in mid-life.

With his loss of speech, Robillard was forced to communicate through a lip-reading system developed by his wife and student assistants. Restricted by this form of communication and his paralysis, he soon learned the frustrations of making his  meaning known. Hospital nurses wrongly anticipated his words. Those who translated for him inevitably distorted his meaning. Most of all, the casual pace of conversational  give-and-take was disrupted. Old friends would leave before Robillard could provide the expected interactional response.

Finding himself isolated due to his lack of both mobility and vocalization, Robillard threw himself into his academic work and began to develop settings and methods where he could satisfactorily interact with others. A researcher and writer experienced in describing the bodily and verbal methods used to coordinate and construct the most ordinary of social forms, Robillard joins in this book both his years of sociological training and his time with illness to talk with moving and illuminating analysis about a  broad range of matters. Moving gracefully from examinations of narratives about disability and illness, the stigmatizing things that healthcare providers unwittingly say to their patients, and communication problems in the intensive care unit, to more personal reflections on anger, isolation, and stories of tragedy, Robillard also discusses disability in the workplace and such seemingly simple topics as computers and vacations. Meaning of a Disability is the personal story of a highly trained observer forced to confront simultaneously the limits of the disabled person's social world and the unspoken assumptions about meaningful interaction -- as he struggles with the daily difficulties of maintaining his identity.

Meaning of a Disability will interest a wide audience, including healthcare professionals, disabled people, and caretakers as well as academics studying ethnomethodology, health and illness, conversation, symbolic interaction, storytelling, and most aspects of lived experience.
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Measuring the Health of the Liberal International Order
Michael J. Mazarr
RAND Corporation, 2017
As part of a larger study on the future of the post–World War II liberal international order, RAND researchers analyze the health of the existing order and offer implications for future U.S. policy. The study’s overall conclusion is that the postwar order continues to enjoy many elements of stability but is increasingly threatened by major geopolitical and domestic socioeconomic trends that call into question the order’s fundamental assumptions.
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front cover of Medicine and Health in Africa
Medicine and Health in Africa
Multidisciplinary Perspectives
Paula Viterbo
Michigan State University Press, 2011
Over the last two decades, the implosion of economies under the burden of debt, the negative repercussions of structural adjustment programs, the crisis of legitimacy, civil wars, and the collapse of some states have resulted in serious health issues across the African continent. Newly emerging diseases, such as Ebola virus and HIV/AIDS have killed and disabled millions. Some “old diseases,” such as yellow fever, tuberculosis, and polio have reappeared. Malaria, cholera, and meningitis continue to kill thousands. In many countries, the medical infrastructure has collapsed, while an increasing number of physicians and nurses have migrated to more hospitable places. Stigmatization of the affected people has exacerbated social and racial discrimination and has affected the implementation of national and international public health programs. The complexity of the situation requires an interdisciplinary approach. This collection, including contributions by historians, sociologists, anthropologists, and biologists, emphasizes the social and cultural contexts of African health, paying particular attention to the history of the colonial public health system and its legacy.
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Medicine and the Saints
Science, Islam, and the Colonial Encounter in Morocco, 1877-1956
By Ellen J. Amster
University of Texas Press, 2013

The colonial encounter between France and Morocco took place not only in the political realm but also in the realm of medicine. Because the body politic and the physical body are intimately linked, French efforts to colonize Morocco took place in and through the body. Starting from this original premise, Medicine and the Saints traces a history of colonial embodiment in Morocco through a series of medical encounters between the Islamic sultanate of Morocco and the Republic of France from 1877 to 1956.

Drawing on a wealth of primary sources in both French and Arabic, Ellen Amster investigates the positivist ambitions of French colonial doctors, sociologists, philologists, and historians; the social history of the encounters and transformations occasioned by French medical interventions; and the ways in which Moroccan nationalists ultimately appropriated a French model of modernity to invent the independent nation-state. Each chapter of the book addresses a different problem in the history of medicine: international espionage and a doctor’s murder; disease and revolt in Moroccan cities; a battle for authority between doctors and Muslim midwives; and the search for national identity in the welfare state. This research reveals how Moroccans ingested and digested French science and used it to create a nationalist movement and Islamist politics, and to understand disease and health. In the colonial encounter, the Muslim body became a seat of subjectivity, the place from which individuals contested and redefined the political.

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Medicine, Religion, and Health
Where Science and Spirituality Meet
Harold G Koenig
Templeton Press, 2008

Medicine, Religion, and Health: Where Science and Spirituality Meet will be the first title published in the new Templeton Science and Religion Series, in which scientists from a wide range of fields distill their experience and knowledge into brief tours of their respective specialties. In this, the series' maiden volume, Dr. Harold G. Koenig, provides an overview of the relationship between health care and religion that manages to be comprehensive yet concise, factual yet inspirational, and technical yet easily accessible to nonspecialists and general readers.

Focusing on the scientific basis for integrating spirituality into medicine, Koenig carefully summarizes major trends, controversies, and the latest research from various disciplines and provides plausible and compelling theoretical explanations for what has thus far emerged in this relatively young field of study. Medicine, Religion, and Health begins by defining the principal terms and then moves on to a brief history of religion's role in medicine before delving into the current state of research. Koenig devotes several chapters to exploring the outcomes of specific studies in fields such as mental health, cardiovascular disease, and mortality. The book concludes with a review of the clinical applications derived from the research. Koenig also supplies several detailed appendices to aid readers of all levels looking for further information.
 
Medicine, Religion, and Health will shed new light on critical contemporary issues. They will whet readers' appetites for more information on this fascinating, complex, and controversial area of research, clinical activity, and widespread discussion. It will find a welcome home on the bookshelves of students, researchers, clinicians, and other health professionals in a variety of disciplines.
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Message in a Bottle
The Making of Fetal Alcohol Syndrome
Janet Golden
Harvard University Press, 2006

A generation has passed since a physician first noticed that women who drank heavily while pregnant gave birth to underweight infants with disturbing tell-tale characteristics. Women whose own mothers enjoyed martinis while pregnant now lost sleep over a bowl of rum raisin ice cream. In Message in a Bottle, Janet Golden charts the course of Fetal Alcohol Syndrome (FAS) through the courts, media, medical establishment, and public imagination.

Long considered harmless during pregnancy (doctors even administered it intravenously during labor), alcohol, when consumed by pregnant women, increasingly appeared to be a potent teratogen and a pressing public health concern. Some clinicians recommended that women simply moderate alcohol consumption; others, however, claimed that there was no demonstrably safe level for a developing fetus, and called for complete abstinence. Even as the diagnosis gained acceptance and labels appeared on alcoholic beverages warning pregnant women of the danger, FAS began to be de-medicalized in some settings. More and more, FAS emerged in court cases as a viable defense for people charged with serious, even capital, crimes and their claims were rejected.

Golden argues that the reaction to FAS was shaped by the struggle over women's relatively new abortion rights and the escalating media frenzy over "crack" babies. It was increasingly used as evidence of the moral decay found within marginalized communities--from inner-city neighborhoods to Indian reservations. With each reframing, FAS became a currency traded by politicians and political commentators, lawyers, public health professionals, and advocates for underrepresented minorities, each pursuing separate aims.

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Mexican Americans and Health
¡Sana! ¡Sana!
Adela de la Torre and Antonio Estrada
University of Arizona Press, 2015

Given recent developments in health care and policy and a steadily increasing population of people of Mexican origin in the United States, a comprehensive look at Mexican American health has never been more necessary. Adela de la Torre and Antonio Estrada first accomplished such an overview with Mexican Americans and Health in 2001, and they have since continued to revise and expand their initial work. With a multitude of additions and renovations, Mexican Americans and Health, 2nd Edition provides a timely and accessible description of current topics in Latino health.

De la Torre and Estrada once again present a broad and nuanced understanding of recent issues involving Mexican American health and well-being, this time with the addition of discussions on:

* the new U.S. Human Development Index to contextualize the health, education, and income status of Mexican Americans relative to other population groups,
* emerging diseases, such as diabetes and obesity,
* recent health-care reforms under the Obama administration,
* substance abuse, sexual risk, and psychological distress among HIV-positive individuals in the gay/bisexual community,
* and predictions of future trends for the next decade.
 
This new volume has been updated throughout to reflect the many developments in health care since its first edition. Mexican Americans and Health, 2nd Edition continues to present data on a large number of health issues that are important and relevant to the Mexican American population, while describing the social contexts in which they are occurring. Its comprehensive and interdisciplinary approach brings originality and focus to a dynamic literature.

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Mexican Americans and Health
¡Sana! ¡Sana!
Adela de la Torre and Antonia Estrada
University of Arizona Press, 2001
By the middle of the twenty-first century, one out of every six Americans will be of Mexican descent; and as health care becomes of increasing concern to all Americans, the particular needs of Mexican Americans will have to be more thoroughly addressed. Mexican Americans and Health explains how the health of Mexican-origin people is often related to sociodemographic conditions and genetic factors, while historical and political factors influence how Mexican Americans enter the health care system and how they are treated once they access it. It considers such issues as occupational hazards for Mexican-origin agricultural workers—including pesticide poisoning, heat-related conditions, and musculoskeletal disorders—and women's health concerns, such as prenatal care, preventable cancers, and domestic violence. The authors clearly discuss the health status of Mexican Americans relative to the rest of the U.S. population, interweaving voices of everyday people to explain how today's most pressing health issues have special relevance to the Mexican American community:
- how values such as machismo, familismo, and marianismo influence care-seeking decisions and treatment of illness;
- how factors such as cultural values, socioeconomic status, peer pressure, and family concerns can contribute to substance abuse;
- how cultural attitudes toward sex can heighten the risk of AIDS—and how approaches to AIDS prevention and education need to reflect core cultural values such as familismo, respeto, and confianza. The book also addresses concerns of Mexican Americans regarding the health care system. These include not only access to care and to health insurance but also the shortage of bilingual and bicultural health care professionals. This coverage stresses not only the importance of linguistic competency but also the need to understand folklore illnesses, herbal remedies, and spiritual practices that can delay the treatment of illness and either complement or compromise treatment. Of all the issues that face the contemporary Mexican American community, none is as important to its very survival as health and health care. This timely book gives readers a broad understanding of these complex issues and points the way toward a healthier future for all people of Mexican origin. Mexican Americans and Health and
Chicano Popular Culture are the first volumes in the series The Mexican American Experience, a cluster of modular texts designed to provide greater flexibility in undergraduate education. Each book deals with a single topic concerning the Mexican American population. Instructors can create a semester-length course from any combination of volumes, or may choose to use one or two volumes to complement other texts.
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Migration and Health
Edited by Sandro Galea, Catherine K. Ettman, and Muhammad H. Zaman
University of Chicago Press, 2022
A new introduction to a timeless dynamic: how the movement of humans affects health everywhere.

International migrants compose more than three percent of the world’s population, and internal migrants—those migrating within countries—are more than triple that number. Population migration has long been, and remains today, one of the central demographic shifts shaping the world around us. The world’s history—and its health—is shaped and colored by stories of migration patterns, the policies and political events that drive these movements, and narratives of individual migrants. 

Migration and Health offers the most expansive framework to date for understanding and reckoning with human migration’s implications for public health and its determinants. It interrogates this complex relationship by considering not only the welfare of migrants, but also that of the source, destination, and ensuing-generation populations. The result is an elevated, interdisciplinary resource for understanding what is known—and the considerable territory of what is not known—at an intersection that promises to grow in importance and influence as the century unfolds.
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front cover of The Mirage of Health
The Mirage of Health
Utopia, Progress, and Biological Change
Dubos, Jean
Rutgers University Press, 1987
'Complete freedom from disease and from struggle is almost incompatible with the process of living, ' Rene Dubos asserted in this classic essay on ecology and health. All the accomplishments of science and technology, he argued, will not bring the utopian dream of universal well-being, because they ignore the dynamic process of adaptation to a constantly changing environment that every living organism must face.
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Mixed Medicines
Health and Culture in French Colonial Cambodia
Sokhieng Au
University of Chicago Press, 2011

During the first half of the twentieth century, representatives of the French colonial health services actively strove to expand the practice of Western medicine in the frontier colony of Cambodia. But as the French physicians ventured beyond their colonial enclaves, they found themselves negotiating with the plurality of Cambodian cultural practices relating to health and disease. These negotiations were marked by some success, a great deal of misunderstanding, and much failure.


Bringing together colorful historical vignettes, social and anthropological theory, and quantitative analyses, Mixed Medicines examines these interactions between the Khmer, Cham, and Vietnamese of Cambodia and the French, documenting the differences in their understandings of medicine and revealing the unexpected transformations that occurred during this period—for both the French and the indigenous population.

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