In our rapidly advancing scientific and technological world, many take great pride and comfort in believing that we are on the threshold of new ways of thinking, living, and understanding ourselves. But despite dramatic discoveries that appear in every way to herald the future, legacies still carry great weight. Even in swiftly developing fields such as health and medicine, most systems and policies embody a sequence of earlier ideas and preexisting patterns.
In History and Health Policy in the United States, seventeen leading scholars of history, the history of medicine, bioethics, law, health policy, sociology, and organizational theory make the case for the usefulness of history in evaluating and formulating health policy today. In looking at issues as varied as the consumer economy, risk, and the plight of the uninsured, the contributors uncover the often unstated assumptions that shape the way we think about technology, the role of government, and contemporary medicine. They show how historical perspectives can help policymakers avoid the pitfalls of partisan, outdated, or merely fashionable approaches, as well as how knowledge of previous systems can offer alternatives when policy directions seem unclear.
Together, the essays argue that it is only by knowing where we have been that we can begin to understand health services today or speculate on policies for tomorrow.
|Publisher:||Rutgers University Press|
|Series:||Rutgers Series in Critical Issues in Health and Medicine|
|Edition description:||New Edition|
|Product dimensions:||152.40(w) x 228.60(h) x (d)|
About the Author
Rosemary A. Stevens is DeWitt Wallace distinguished scholar in social medicine and public policy at Weill Cornell Medical College and professor emerita of the history and sociology of science at the University of Pennsylvania.
Charles E. Rosenberg is a professor of the history of science and Ernest E. Monrad Professor in the social sciences at Harvard University.
Lawton R. Burns is the James Joo-Jin Kim Professor of health care systems at the University of Pennsylvania.
Table of Contents
Foreword David Mechanic vii
Introduction Rosemary A. Stevens 1
Actors and Interpretations
Anticipated Consequences: Historians, History, and Health Policy Charles E. Rosenberg 13
The More Things Stay the Same the More They Change: The Odd Interplay between Government and Ideology in the Recent Political History of the U.S. Health-Care System Lawrence D. Brown 32
Medical Specialization as American Health Policy: Interweaving Public and Private Roles Rosemary A. Stevens 49
Rhetoric, Rights, Responsibilities
Patients or Health-Care Consumers? Why the History of Contested Terms Matters Nancy Tomes 83
The Democratization of Privacy: Public-Health Surveillance and Changing Conceptions of Privacy in Twentieth-Century America Amy L. Fairchild 111
Building a Toxic Environment: Historical Controversies over the Past and Future of Public Health Gerald Markowitz David Rosner 130
Priorities and Politics
Situating Health Risks: An Opportunity for Disease-Prevention Policy Robert A. Aronowitz 153
The Jewel in the Federal Crown? History, Politics, and the National Institutes of Health Robert Cook-Deegan Michael McGeary 176
AMarriage of Convenience: The Persistent and Changing Relationship between Long-Term Care and Medicaid Colleen M. Grogan 202
Policy Management and Results
Rhetoric, Realities, and the Plight of the Mentally Ill in America David Mechanic Gerald N. Grob 229
Emergency Rooms: The Reluctant Safety Net Beatrix Hoffman 250
Policy Implications of Hospital System Failures: The Allegheny Bankruptcy Lawton R. Burns Alexandra P. Burns 273
The Rise and Decline of the HMO: A Chapter in U.S. Health-Policy History Bradford H. Gray 309