Disease and Democracy: The Industrialized World Faces AIDS

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Disease and Democracy is the first comparative analysis of how Western democratic nations have coped with AIDS. Peter Baldwin's exploration of divergent approaches to the epidemic in the United States and several European nations is a springboard for a wide-ranging and sophisticated historical analysis of public health practices and policies. In addition to his comprehensive presentation of information on approaches to AIDS, Baldwin's authoritative book provides a new perspective on our most enduring political ...
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Overview

Disease and Democracy is the first comparative analysis of how Western democratic nations have coped with AIDS. Peter Baldwin's exploration of divergent approaches to the epidemic in the United States and several European nations is a springboard for a wide-ranging and sophisticated historical analysis of public health practices and policies. In addition to his comprehensive presentation of information on approaches to AIDS, Baldwin's authoritative book provides a new perspective on our most enduring political dilemma: how to reconcile individual liberty with the safety of the community.

Baldwin finds that Western democratic nations have adopted much more varied approaches to AIDS than is commonly recognized. He situates the range of responses to AIDS within the span of past attempts to control contagious disease and discovers the crucial role that history has played in developing these various approaches. Some countries have relied on voluntary, consensual tactics based on education, information dissemination, and behavioral change. Elsewhere, less consensual methods have been employed, with the civil rights of the infected and the at-risk restricted in favor of the community's well-being. Baldwin's analysis reveals that these various tactics have sprung largely from those adopted against the classic epidemic diseases of the nineteenth century-especially cholera-and that they reflect the long institutional memories embodied in public health institutions. His study illuminates key issues facing both developed and developing nations attempting to curtail epidemics today and in the future.

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Meet the Author


Peter Baldwin is Professor of History at the University of California, Los Angeles. Among his books are Contagion and the State in Europe, 1830-1930 (1999) and The Politics of Social Solidarity: Class Bases of the European Welfare State, 1875-1975 (1990).
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Table of Contents

Foreword
Introduction : slaves to the past 1
1 Bodily fluids and citizenship 7
2 What came first 41
3 Fighting the previous war : traditional public health strategies and AIDS 51
4 Patients into prisoners : responsibility, crime, and health 86
5 Discrimination and its discontents : protecting the victims 99
6 Every man his own quarantine officer : the voluntary approach 125
7 The polymorphous politics of prevention 153
8 To die laughing : gays and other interest groups 165
9 Vox Populi Suprema Lex Est : expertise, authority, and democracy 202
10 Clio intervenes : the effect of the past on public health 227
11 Liberty, authority, and the state in the AIDS era 244
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