Race, Place, and Medicine

Race, Place, and Medicine

Author: Julyan G. Peard

Publisher: Duke University Press

Published: 1999

Total Pages: 332

ISBN-13: 9780822323976

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DIVLooks at a group of 19th century Brazilian doctors, the Bahian Tropicalista School, and their efforts to both counter European assumptions about Brazilian racial and cultural inferiority and doomed health and to forge their own definition of tropical medi/div


Race, Place, and Medicine

Race, Place, and Medicine

Author: Julyan G. Peard

Publisher: Duke University Press

Published: 2000-04-10

Total Pages: 327

ISBN-13: 0822381281

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Race, Place, and Medicine examines the impact of a group of nineteenth-century Brazilian physicians who became known posthumously as the Bahian Tropicalista School of Medicine. Julyan G. Peard explores how this group of obscure clinicians became participants in an international debate as they helped change the scientific framework and practices of doctors in Brazil. Peard shows how the Tropicalistas adapted Western medicine and challenged the Brazilian medical status quo in order to find new answers to the old question of whether the diseases of warm climates were distinct from those of temperate Europe. They carried out innovative research on parasitology, herpetology, and tropical disorders, providing evidence that countered European assumptions about Brazilian racial and cultural inferiority. In the face of European fatalism about health care in the tropics, the Tropicalistas forged a distinctive medicine based on their beliefs that public health would improve only if large social issues—such as slavery and abolition—were addressed and that the delivery of health care should encompass groups hitherto outside the doctors’ sphere, especially women. But the Tropicalistas’ agenda, which included biting social critiques and broad demands for the extension of health measures to all of Brazil’s people, was not sustained. Race, Place, and Medicine shows how imported models of tropical medicine—constructed by colonial nations for their own needs—downplayed the connection between socioeconomic factors and tropical disorders. This study of a neglected episode in Latin American history will interest Brazilianists, as well as scholars of Latin American, medical, and scientific history.


Black Man in a White Coat

Black Man in a White Coat

Author: Damon Tweedy, M.D.

Publisher: Picador

Published: 2015-09-08

Total Pages: 302

ISBN-13: 1250044642

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A NEW YORK TIMES BESTSELLER • ONE OF TIME MAGAZINE'S TOP TEN NONFICTION BOOKS OF THE YEAR A LIBRARY JOURNAL BEST BOOK SELECTION • A BOOKLIST EDITORS' CHOICE BOOK SELECTION One doctor's passionate and profound memoir of his experience grappling with race, bias, and the unique health problems of black Americans When Damon Tweedy begins medical school,he envisions a bright future where his segregated, working-class background will become largely irrelevant. Instead, he finds that he has joined a new world where race is front and center. The recipient of a scholarship designed to increase black student enrollment, Tweedy soon meets a professor who bluntly questions whether he belongs in medical school, a moment that crystallizes the challenges he will face throughout his career. Making matters worse, in lecture after lecture the common refrain for numerous diseases resounds, "More common in blacks than in whites." Black Man in a White Coat examines the complex ways in which both black doctors and patients must navigate the difficult and often contradictory terrain of race and medicine. As Tweedy transforms from student to practicing physician, he discovers how often race influences his encounters with patients. Through their stories, he illustrates the complex social, cultural, and economic factors at the root of many health problems in the black community. These issues take on greater meaning when Tweedy is himself diagnosed with a chronic disease far more common among black people. In this powerful, moving, and deeply empathic book, Tweedy explores the challenges confronting black doctors, and the disproportionate health burdens faced by black patients, ultimately seeking a way forward to better treatment and more compassionate care.


Unequal Treatment

Unequal Treatment

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2009-02-06

Total Pages: 781

ISBN-13: 030908265X

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Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.


Medical Stigmata

Medical Stigmata

Author: Kirk A. Johnson

Publisher: Palgrave Macmillan

Published: 2018-10-30

Total Pages: 178

ISBN-13: 9789811329913

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This book observes the idea of race as a false representation for the cause of disease. Race-based medicine, an emerging field in pharmacology, aims to create a specialty market based on racial groups. Within this market, the drug BiDil set a precedent in this area of medicine targeting African Americans as its first racial group. Consequently, selecting African Americans as a “starter group” led to ethical questions regarding the motive behind race-based medicine within the context of the larger treatment of blacks in American medical history. This book therefore links medicine and American eugenics, examines race-based medicine’s influence on the perception of the black body, traces the influence of BiDil’s approval on the resurgence of race-based medicine, and assesses the black church’s response to race-based medicine using black liberation theology as a means to social justice.


Race and Medicine in Nineteenth- and Early-twentieth-century America

Race and Medicine in Nineteenth- and Early-twentieth-century America

Author: Todd Lee Savitt

Publisher:

Published: 2007

Total Pages: 472

ISBN-13:

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During the days of slavery in America, racism and often-faulty medical theories contributed to an atmosphere in which African Americans were seen as chattel: some white physicians claimed that African Americans had physiological and anatomical differences that made them well suited for slavery. These attitudes continued into the Reconstruction and Jim Crow eras. In Race and Medicine, historian Todd Savitt presents revised and updated versions of his seminal essays on the medical history of African Americans in the late nineteenth and early twentieth centuries, especially in the South. This collection examines a variety of aspects of African American medical history, including health and illnesses, medical experimentation, early medical schools and medical professionals, and slave life insurance. Savitt examines the history of sickle-cell anemia and identifies the first two patients with the disease noted in medical literature. He proposes an explanation of why the disease was not well known in the general African American population for at least 50 years after its discovery. Charleston Low Country and not elsewhere in the country. Other topics Savitt explores include African American medical schools, the formation of an African American medical profession, and SIDS among Virginia slaves. With its new research data and interpretations of existing materials, Race and Medicine will be a valuable resource to those interested in the history of medicine and African American history as well as to the medical community.


Unhealthy Cities

Unhealthy Cities

Author: Kevin Fitzpatrick

Publisher: Routledge

Published: 2013-06-17

Total Pages: 210

ISBN-13: 1136915281

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The purpose of this book is to show the important role that space and place plays in the health of urban residents, particularly those living in high poverty ghettos. The book brings together research and writing from a variety of disciplines to demonstrate the health costs of being poor in America’s cities. Both authors are committed to raising awareness of structural factors that promote poverty and injustice in a society that proclaims its commitment to equality of opportunity. Our health is often dramatically affected by where we live; some parts of the city seem to be designed to make people sick. The book is intended for students and professionals in urban sociology, medical sociology, public health, and community planning.


Medicine, Race and Liberalism in British Bengal

Medicine, Race and Liberalism in British Bengal

Author: Ishita Pande

Publisher: Routledge

Published: 2009-12-04

Total Pages: 542

ISBN-13: 1136972404

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This book focuses on the entwinement of politics and medicine and power and knowledge in India during the age of empire. Using the powerful metaphor of ‘pathology’ - the science of the origin, nature, and course of diseases - the author develops and challenges a burgeoning literature on colonial medicine, moving beyond discussions of state medicine and the control of epidemics to everyday life, to show how medicine was a fundamental ideology of empire. Related to this point, and engaging with postcolonial histories of biopower and modernity, the book highlights the use of this racially grounded medicine in the formulation of modern selves and subjectivities in late colonial India. In tracing the cultural determinants of biological race theory and contextualizing the understanding of race as pathology, the book demonstrates how racialism was compatible with the ideologies and policies of imperial liberalism. Medicine, Race and Liberalism in British Bengal brings together the study of modern South Asia, race theory, colonialism and empire and the history of medicine. It highlights the powerful role played by the idea of ‘pathology’ in the rationalization of imperial liberalism and the subsequent projects of modernity embraced by native experts in Bengal in the ‘long’ nineteenth century.


Just Medicine

Just Medicine

Author: Dayna Bowen Matthew

Publisher: NYU Press

Published: 2016-10-25

Total Pages: 310

ISBN-13: 1479888567

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Offers an innovative plan to eliminate inequalities in American health care and save the lives they endanger Over 84,000 black and brown lives are needlessly lost each year due to health disparities: the unfair, unjust, and avoidable differences between the quality and quantity of health care provided to Americans who are members of racial and ethnic minorities and care provided to whites. Health disparities have remained stubbornly entrenched in the American health care system—and in Just Medicine Dayna Bowen Matthew finds that they principally arise from unconscious racial and ethnic biases held by physicians, institutional providers, and their patients. Implicit bias is the single most important determinant of health and health care disparities. Because we have missed this fact, the money we spend on training providers to become culturally competent, expanding wellness education programs and community health centers, and even expanding access to health insurance will have only a modest effect on reducing health disparities. We will continue to utterly fail in the effort to eradicate health disparities unless we enact strong, evidence-based legal remedies that accurately address implicit and unintentional forms of discrimination, to replace the weak, tepid, and largely irrelevant legal remedies currently available. Our continued failure to fashion an effective response that purges the effects of implicit bias from American health care, Matthew argues, is unjust and morally untenable. In this book, she unites medical, neuroscience, psychology, and sociology research on implicit bias and health disparities with her own expertise in civil rights and constitutional law. In a time when the health of the entire nation is at risk, it is essential to confront the issues keeping the health care system from providing equal treatment to all.


Colonial Pathologies

Colonial Pathologies

Author: Warwick Anderson

Publisher: Duke University Press

Published: 2006-08-21

Total Pages: 367

ISBN-13: 0822388081

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Colonial Pathologies is a groundbreaking history of the role of science and medicine in the American colonization of the Philippines from 1898 through the 1930s. Warwick Anderson describes how American colonizers sought to maintain their own health and stamina in a foreign environment while exerting control over and “civilizing” a population of seven million people spread out over seven thousand islands. In the process, he traces a significant transformation in the thinking of colonial doctors and scientists about what was most threatening to the health of white colonists. During the late nineteenth century, they understood the tropical environment as the greatest danger, and they sought to help their fellow colonizers to acclimate. Later, as their attention shifted to the role of microbial pathogens, colonial scientists came to view the Filipino people as a contaminated race, and they launched public health initiatives to reform Filipinos’ personal hygiene practices and social conduct. A vivid sense of a colonial culture characterized by an anxious and assertive white masculinity emerges from Anderson’s description of American efforts to treat and discipline allegedly errant Filipinos. His narrative encompasses a colonial obsession with native excrement, a leper colony intended to transform those considered most unclean and least socialized, and the hookworm and malaria programs implemented by the Rockefeller Foundation in the 1920s and 1930s. Throughout, Anderson is attentive to the circulation of intertwined ideas about race, science, and medicine. He points to colonial public health in the Philippines as a key influence on the subsequent development of military medicine and industrial hygiene, U.S. urban health services, and racialized development regimes in other parts of the world.