Plagues and Politics presents the fascinating history of the United States Public Health Service, written to commemorate the 100th anniversary of the service's unique medical militia, the Commissioned Corps. 2-color illustrations.
Infectious diseases once thought to be controlled (such as malaria and tuberculosis) are now spreading rapidly across the globe, and lethal new disease agents (HIV/AIDS, ebola and BSE) continue to emerge at an ominous pace. Policymakers must consider the implications of disease proliferation for economic prosperity, general well-being, and national security in affected societies. This work represents a collection of articles from the premier authors in the field on the ramifications of disease emergence for international development, international law, and national security.
Our public health system is primarily concerned with the promotion of health and the prevention of disease. But while everyone may agree with these goals in principle, in practice public health is a highly contentious policy arena. that is inevitably entangled with sensitive issues ranging from occupational safety and environmental hazards to health education, immunization, and treatment of addiction and sexually transmitted disease. Today however, concern for protecting the population against bio-terrorism and new epidemics such as SARS is tipping the balance back toward increased support for public health. This book focuses on the politics, policies, and methodologies of public health and the twenty-first century challenges to the public health system of the United States. It explores the system's relatively weak position in the American political culture, medical establishment, and legal system; scientific and privacy issues in public health; and the challenges posed by ecological risk and the looming threat of bio-terrorist attack. Each chapter includes study questions. The volume also includes a chronology of major laws and events in public health policy along with an extensive bibliography.
Pioneer Science and the Great Plagues covers the century when infectious plagues—anthrax, tuberculosis, tetanus, plague, smallpox, and polio—were conquered, and details the important role that veterinary scientists played. The narrative is driven by astonishing events that centered on animal disease: the influenza pandemic of 1872, discovery of the causes of anthrax and tuberculosis in the 1880s, conquest of Texas cattle fever and then yellow fever, German anthrax attacks on the United States during World War I, the tuberculin war of 1931, Japanese biological warfare in the 1940s, and today’s bioterror dangers. Veterinary science in the rural Midwest arose from agriculture, but in urban Philadelphia it came from medicine; similar differences occurred in Canada between Toronto and Montreal. As land-grant colleges were established after the American Civil War, individual states followed divergent pathways in supporting veterinary science. Some employed a trade school curriculum that taught agriculturalists to empirically treat animal diseases and others emphasized a curriculum tied to science. This pattern continued for a century, but today some institutions have moved back to the trade school philosophy. Avoiding lessons of the 1910 Flexner Report on medical education reform, university-associated veterinary schools are being approved that do not have control of their own veterinary hospitals, diagnostic laboratories, and research institutes—components that are critical for training students in science. Underlying this change were twin idiosyncrasies of culture—disbelief in science and distrust of government—that spawned scientology, creationism, anti-vaccination movements, and other anti-science scams. As new infectious plagues continue to arise, Pioneer Science and the Great Plagues details the strategies we learned defeating plagues from 1860 to 1960—and the essential role veterinary science played. To defeat the plagues of today it is essential we avoid the digital cocoon of disbelief in science and cultural stasis now threatening progress.
An expert legal review of the US government’s response to epidemics through history—with larger conclusions about COVID-19, and reforms needed for the next plague In this narrative history of the US through major outbreaks of contagious disease, from yellow fever to the Spanish flu, from HIV/AIDS to Ebola, Polly J. Price examines how law and government affected the outcome of epidemics—and how those outbreaks in turn shaped our government. Price presents a fascinating history that has never been fully explored and draws larger conclusions about the gaps in our governmental and legal response. Plagues in the Nation examines how our country learned—and failed to learn—how to address the panic, conflict, and chaos that are the companions of contagion, what policies failed America again and again, and what we must do better next time.
The general practitioner was once America's doctor. The GP delivered babies, removed gallbladders, and sat by the bedsides of the dying. But as the twentieth century progressed, the pattern of medical care in the United States changed dramatically. By the 1960s, the GP was almost extinct. The later part of the twentieth century, however, saw a rebirth of the idea of the GP in the form of primary care practitioners. In this engrossing collection of oral histories and provocative essays about the past and future of generalism in health care, Fitzhugh Mullan—a pediatrician, writer, and historian—argues that primary care is a fascinating, important, and still endangered calling. In conveying the personal voices of primary care practitioners, Mullan sheds light on the political and economic contradictions that confront American medicine. Mullan interviewed dozens of primary care practitioners—family physicians, internists, pediatricians, nurse practitioners, and physician assistants—asking them about their lives and their work. He explains how, during the last forty years, the primary care movement has emerged built on the principles of "big doctoring"--coordinated, comprehensive care over time. This book is essential reading for understanding core issues of the current health care dilemma. As our country struggles with managed care, market reforms, and cost containment strategies in medicine, Big Doctoring in America provides an engrossing and illuminating look at those in the trenches of the profession.
How involved should the government be in American healthcare? Ronald Hamowy argues that to answer this pressing question, we must understand the genesis of the five main federal agencies charged with responsibility for our health: the Public Health Service, the Food and Drug Administration, the Veterans Administration, the National Institutes of Health, and Medicare. In examining these, he traces the growth of federal influence from its tentative beginnings in 1798 through the ambitious infrastructures of today and offers startling insights on the current debate. The author contends that until the twentieth century, governmental involvement in health care policy was nominal. With the sweeping food and drug reforms of 1906 and the Medicare amendments to Social Security in 1965, a whole new system of health care was brought to the American public. A careful analysis of the various programs generated by this legislation, however, shows a different picture of pet projects, budgetary lobbying, competitive bureaucracy and discord between the agencies and their opposition. Government and Public Health in America provides an illuminating look at the complicated forces that created these institutions and provokes discussion about their usefulness in the future. Hamowy s thoroughly researched analysis fills a substantial gap in the history of health policy. Economists, political scientists, historians, sociologists and health professionals concerned with the interface between government and health care will find much to recommend in this highly readable account of a fascinating topic.