The history of modern medicine is inseparable from the history of imperialism. Medicine and Empire provides an introduction to this shared history – spanning three centuries and covering British, French and Spanish imperial histories in Africa, Asia and America. Exploring the major developments in European medicine from the seventeenth century to the mid-twentieth century, Pratik Chakrabarti shows that the major developments in European medicine had a colonial counterpart and were closely intertwined with European activities overseas: - The increasing influence of natural history on medicine - The growth of European drug markets - The rise of surgeons in status - Ideas of race and racism - Advancements in sanitation and public health - The expansion of the modern quarantine system - The emergence of Germ theory and global vaccination campaigns Drawing on recent scholarship and primary texts, this book narrates a mutually constitutive history in which medicine was both a 'tool' and a product of imperialism, and provides an original, accessible insight into the deep historical roots of the problems that plague global health today.
The recent financial meltdown has brought notable changes to the global practice of health care changes that have often escaped the American news media. Although Western managed-care corporations previously had strengthened their influence abroad, now many countries are considering new approaches to health care for their citizens.The untold story of how corporations have influenced global health care and the impacts now in America as the system rapidly shifts is Dr. Waitzkin s subject in his provocative new book. We now live in a new era in which the prospects for more humane approaches to health care are taking root. Strengthening access and improving public health are at the heart of the many previously little-noted struggles and actions by individuals, groups, and whole nations to put control back in the hands of patients and practitioners, as Americans of many political stripes seem to universally seek. The impacts of these changes in the United States are considerable, and they are amply illustrated by Dr. Waitzkin as the United States attempts to reorient its own system of care.Selected as the 2012 winner of the Freidson Outstanding Publication Award by the American Sociological Association for its "bold and timely analysis of the global political economy of contemporary crises in health and medical care. By presenting the lessons learned from social medicine (past and present), [it] outlines a macro-sociologically informed response to these crises.""
A sweeping global history that looks beyond European urban centers to show how slavery, colonialism, and war propelled the development of modern medicine. Most stories of medical progress come with ready-made heroes. John Snow traced the origins of LondonÕs 1854 cholera outbreak to a water pump, leading to the birth of epidemiology. Florence NightingaleÕs contributions to the care of soldiers in the Crimean War revolutionized medical hygiene, transforming hospitals from crucibles of infection to sanctuaries of recuperation. Yet histories of individual innovators ignore many key sources of medical knowledge, especially when it comes to the science of infectious disease. Reexamining the foundations of modern medicine, Jim Downs shows that the study of infectious disease depended crucially on the unrecognized contributions of nonconsenting subjectsÑconscripted soldiers, enslaved people, and subjects of empire. Plantations, slave ships, and battlefields were the laboratories in which physicians came to understand the spread of disease. Military doctors learned about the importance of air quality by monitoring Africans confined to the bottom of slave ships. Statisticians charted cholera outbreaks by surveilling Muslims in British-dominated territories returning from their annual pilgrimage. The field hospitals of the Crimean War and the US Civil War were carefully observed experiments in disease transmission. The scientific knowledge derived from discarding and exploiting human life is now the basis of our ability to protect humanity from epidemics. Boldly argued and eye-opening, Maladies of Empire gives a full account of the true price of medical progress.
Examining the emerging figure of the woman doctor and her relationship to empire in Victorian culture, Narin Hassan traces both amateur and professional 'doctoring' by British women travelers in colonial India and the Middle East. Hassan sets the scene by offering examples from Victorian novels that reveal the rise of the woman doctor as a fictional trope. Similarly, medical advice manuals by Victorian doctors aimed at families traveling overseas emphasized how women should maintain and manage healthy bodies in colonial locales. For Lucie Duff Gordon, Isabel Burton, Anna Leonowens, among others, doctoring natives secured them access to their private lives and cultural traditions. Medical texts and travel guides produced by practicing women doctors like Mary Scharlieb illustrate the relationship between medical progress and colonialism. They also helped support women's medical education in Britain and the colonies of India and the Middle East. Colonial subjects themselves produced texts in response to colonial and medical reform, and Hassan shows that a number of "New" Indian women, including Krupabai Satthianadhan, participated actively in the public sphere through their involvement in health reform. In her epilogue, Hassan considers the continuing tradition of women's autobiographical narrative inspired by travel and medical knowledge, showing that in the twentieth- and twenty-first century memoirs of South Asian and Middle Eastern women doctors, the problem of the "Woman Question" as shaped by medical discourses endures.
Finalist, PEN Center USA Literary Awards, Research NonfictionRich in oil and strategically located between Russia and China, Kazakhstan is one of the most economically and geopolitically important of the so-called Newly Independent States that emerged after the USSR's collapse. Yet little is known in the West about the region's turbulent history under Soviet rule, particularly how the regime asserted colonial dominion over the Kazakhs and other ethnic minorities.Grappling directly with the issue of Soviet colonialism, Curative Powers offers an in-depth exploration of this dramatic, bloody, and transformative era in Kazakhstan's history. Paula Michaels reconstructs the Soviet government's use of medical and public health policies to change the society, politics, and culture of its outlying regions. At first glance the Soviets' drive to modernize medicine in Kazakhstan seems an altruistic effort to improve quality of life. Yet, as Michaels reveals, beneath the surface lies a story of power, legitimacy, and control. The Communist regime used biomedicine to reshape the function, self-perception, and practices of both doctors and patients, just as it did through education, the arts, the military, the family, and other institutions.Paying particular attention to the Kazakhs' ethnomedical customs, Soviet authorities designed public health initiatives to teach the local populace that their traditional medical practices were backward, even dangerous, and that they themselves were dirty and diseased. Through poster art, newsreels, public speeches, and other forms of propaganda, Communist authorities used the power of language to demonstrate Soviet might and undermine the power of local ethnomedical practitioners, while moving the region toward what the Soviet state defined as civilization and political enlightenment.As Michaels demonstrates, Kazakhs responded in unexpected ways to the institutionalization of this new pan-Soviet culture. Ethnomedical customs surreptitiously lived on, despite direct, sometimes violent, attacks by state authorities. While Communist officials hoped to exterminate all remnants of traditional healing practices, Michaels points to evidence that suggests the Kazakhs continued to rely on ethnomedicine even as they were utilizing the services of biomedical doctors, nurses, and midwives. The picture that ultimately emerges is much different from what the Soviets must have imagined. The disparate medical systems were not in open conflict, but instead both indigenous and alien practices worked side by side, becoming integrated into daily life.Combining colonial and postcolonial theory with intensive archival and ethnographic research, Curative Powers offers a detailed view of Soviet medical initiatives and their underlying political and social implications and impact on Kazakh society. Michaels also endeavors to link biomedical policies and practices to broader questions of pan-Soviet identity formation and colonial control in the non-Russian periphery.
Medicine in an age of Commerce and Empire explores the impact of commercial and imperial expansion on British medicine from the late seventeenth century to the early nineteenth century.
In A Medicated Empire, Timothy M. Yang explores the history of Japan's pharmaceutical industry in the early twentieth century through a close account of Hoshi Pharmaceuticals, one of East Asia's most influential drug companies from the late 1910s through the early 1950s. Focusing on Hoshi's connections to Japan's emerging nation-state and empire, and on the ways in which it embraced an ideology of modern medicine as a humanitarian endeavor for greater social good, Yang shows how the industry promoted a hygienic, middle-class culture that was part of Japan's national development and imperial expansion. Yang makes clear that the company's fortunes had less to do with scientific breakthroughs and medical innovations than with Japan's web of social, political, and economic relations. He lays bare Hoshi's business strategies and its connections with politicians and bureaucrats, and he describes how public health authorities dismissed many of its products as placebos at best and poisons at worst. Hoshi, like other pharmaceutical companies of the time, depended on resources and markets opened up, often violently, through colonization. Combining global histories of business, medicine, and imperialism, A Medicated Empire shows how the development of the pharmaceutical industry simultaneously supported and subverted regimes of public health at home and abroad.
The history of German medicine has undergone intense scrutiny because of its indelible connection to Nazi crimes. What is less well known is that Meiji Japan adopted German medicine as its official model in 1869. In Doctors of Empire, Hoi-eun Kim recounts the story of the almost 1,200 Japanese medical students who rushed to German universities to learn cutting-edge knowledge from the world leaders in medicine, and of the dozen German physicians who were invited to Japan to transform the country’s medical institutions and education. Shifting fluently between German, English, and Japanese sources, Kim’s book uses the colourful lives of these men to examine the impact of German medicine in Japan from its arrival to the pinnacle of its influence and its abrupt but temporary collapse at the outbreak of the First World War. Transnational history at its finest, Doctors of Empire not only illuminates the German origins of modern medical science in Japan but also reinterprets the nature of German imperialism in East Asia.
There are four major dilemmas at work in the rapid decline of the United States' healthcare system: the disappearing primary care sector, healthcare insurance reform, the influence of the pharmaceutical industry on the practice of medicine, and reform of malpractice litigation. In this book, Dr. Robert A. Linden provides a comprehensive explanation of these dilemmas, from the perspective of a primary care physician who has spent 30 years working directly with patients and seeing first-hand how changes in the system have impacted patients and physicians. Dr. Linden sorts out the fragments of information that most readers get through the media and fills in the blanks to provide a clear picture of what's wrong with the U.S. healthcare system, an impartial review of proposed solutions, and a look at what other countries have done to reform their healthcare systems. Unlike many academician authors who have covered the problems only in part with skewed information, this book will finally help the healthcare consumer understand the problems facing us and form their own assessments of what should be done to restore the American healthcare system.
Garcia de Orta’s Colloquies on the Simples and Drugs of India (1563) was printed in Goa, the capital of the Portuguese empire in the East and a port city that occupied a prominent role in the circuit of trade. Orta, a Portuguese physician who lived in Goa for thirty years, presents dialogues concerning more than eighty different drugs, fruits, spices, minerals and medical preparations, all of them native to India or observed in use there. This volume analyses the Colloquies, its history, context and reception, and its value to historians as a symbol of the impact of globalization in a sixteenth-century medical world.
