A City without Care
A City without Care

Author: Kevin McQueeney

Publisher: UNC Press Books

Published: 2023-03-16

Total Pages: 287

ISBN-13: 1469673932

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New Orleans is a city that is rich in culture, music, and history. It has also long been a site of some of the most intense racially based medical inequities in the United States. Kevin McQueeney traces that inequity from the city's founding in the early eighteenth century through three centuries to the present. He argues that racist health disparities emerged as a key component of the city's slave-based economy and quickly became institutionalized with the end of Reconstruction and the rise of Jim Crow. McQueeney also shows that, despite legislation and court victories in the civil rights era, a segregated health care system still exists today. In addition to charting this history of neglect, McQueeney also suggests pathways to fix the deeply entrenched inequities, taking inspiration from the "long civil rights" framework and reconstructing the fight for improved health and access to care that started long before the boycotts, sit-ins, and marches of the 1950s and 1960s. In telling the history of how New Orleans has treated its Black citizens in its hospitals, McQueeney uncovers the broader story of how urban centers across the country have ignored Black Americans and their health needs for the entire history of the nation.

Science and Medicine in the Old South
Science and Medicine in the Old South

Author: Ronald Numbers

Publisher: LSU Press

Published: 1999-03-01

Total Pages: 388

ISBN-13: 9780807124956

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With a few notable exceptions, historians have tended to ignore the role that science and medicine played in the antebellum South. The fourteen essays in Science and Medicine in the Old South help to redress that neglect by considering scientific and medical developments in the early nineteenth-century South and by showing the ways in which the South’s scientific and medical activities differed from those of other regions. The book is divided into two sections. The essays in the first section examine the broad background of science in the South between 1830 and 1860; the second section addresses medicine specifically. The essays frequently counterpoint each other. In the first section, Ronald Numbers and Janet Numbers argue that he South’s failure to “keep pace” with the North in scientific areas resulted from demographic factors. William Scarborough asserts that slavery produced a social structure that encouraged agricultural and political careers rather than scientific and industrial ones. Charles Dew offers a strong indictment of slavery, suggesting that the conservative influence of the institution severely discouraged the adoption of modern technologies. Other essays examine institutions of higher learning in the South, southern scientific societies, and the relationship between science and theology. The section on medicine in the Old South also examines the ways in which the medical needs and practices of the Old South were both similar to and distinct from those of other regions. K. David Patterson argues that slavery in effect imported African diseases into the Southeast and created a “modified West African disease environment.” James H. Cassedy points out that land-management policies determined by slavery—land clearing, soil exhaustion—also helped created a distinctive disease environment. Other contributors discuss southern public health problems, domestic medicine, slave folk beliefs, and the special medical needs of blacks. Science and Medicine in the Old South is a long-overdue examination of these segments of the southern cultural milieu. These essays will do much to clarify misconceptions about the time and the region; moreover, they suggest directions for future research.

Birthing a Slave
Birthing a Slave

Author: Marie Jenkins Schwartz

Publisher: Harvard University Press

Published: 2010-03-30

Total Pages: 414

ISBN-13: 067426715X

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The deprivations and cruelty of slavery have overshadowed our understanding of the institution's most human dimension: birth. We often don't realize that after the United States stopped importing slaves in 1808, births were more important than ever; slavery and the southern way of life could continue only through babies born in bondage. In the antebellum South, slaveholders' interest in slave women was matched by physicians struggling to assert their own professional authority over childbirth, and the two began to work together to increase the number of infants born in the slave quarter. In unprecedented ways, doctors tried to manage the health of enslaved women from puberty through the reproductive years, attempting to foster pregnancy, cure infertility, and resolve gynecological problems, including cancer. Black women, however, proved an unruly force, distrustful of both the slaveholders and their doctors. With their own healing traditions, emphasizing the power of roots and herbs and the critical roles of family and community, enslaved women struggled to take charge of their own health in a system that did not respect their social circumstances, customs, or values. Birthing a Slave depicts the competing approaches to reproductive health that evolved on plantations, as both black women and white men sought to enhance the health of enslaved mothers--in very different ways and for entirely different reasons. Birthing a Slave is the first book to focus exclusively on the health care of enslaved women, and it argues convincingly for the critical role of reproductive medicine in the slave system of antebellum America.