Artificial Hearts

Artificial Hearts

Author: Shelley McKellar

Publisher: JHU Press

Published: 2018-01-01

Total Pages: 373

ISBN-13: 1421423561

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A comprehensive history of the development of artificial hearts in the United States. Artificial hearts are seductive devices. Their promissory nature as a cure for heart failure aligned neatly with the twentieth-century American medical community’s view of the body as an entity of replacement parts. In Artificial Hearts, Shelley McKellar traces the controversial history of this imperfect technology beginning in the 1950s and leading up to the present day. McKellar profiles generations of researchers and devices as she traces the heart’s development and clinical use. She situates the events of Dr. Michael DeBakey and Dr. Denton Cooley’s professional fall-out after the first artificial heart implant case in 1969, as well as the 1982–83 Jarvik-7 heart implant case of Barney Clark, within a larger historical trajectory. She explores how some individuals—like former US Vice President Dick Cheney—affected the public profile of this technology by choosing to be implanted with artificial hearts. Finally, she explains the varied physical experiences, both negative and positive, of numerous artificial heart recipients. McKellar argues that desirability—rather than the feasibility or practicality of artificial hearts—drove the invention of the device. Technical challenges and unsettling clinical experiences produced an ambivalence toward its continued development by many researchers, clinicians, politicians, bioethicists, and the public. But the potential and promise of the artificial heart offset this ambivalence, influencing how success was characterized and by whom. Packed with larger-than-life characters—from dedicated and ardent scientists to feuding Texas surgeons and brave patients—this book is a fascinating case study that speaks to questions of expectations, limitations, and uncertainty in a high-technology medical world.


Machines in Our Hearts

Machines in Our Hearts

Author: Kirk Jeffrey

Publisher: JHU Press

Published: 2003-04-01

Total Pages: 387

ISBN-13: 0801876168

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Today hundreds of thousands of Americans carry pacemakers and implantable cardioverter-defibrillators (ICDs) within their bodies. These battery-powered machines—small computers, in fact—deliver electricity to the heart to correct dangerous disorders of the heartbeat. But few doctors, patients, or scholars know the history of these devices or how "heart-rhythm management" evolved into a multi-billion-dollar manufacturing and service industry. Machines in Our Hearts tells the story of these two implantable medical devices. Kirk Jeffrey, a historian of science and technology, traces the development of knowledge about the human heartbeat and follows surgeons, cardiologists, and engineers as they invent and test a variety of electronic devices. Numerous small manufacturing firms jumped into pacemaker production but eventually fell by the wayside, leaving only three American companies in the business today. Jeffrey profiles pioneering heart surgeons, inventors from the realms of engineering and medical research, and business leaders who built heart-rhythm management into an industry with thousands of employees and annual revenues in the hundreds of millions. As Jeffrey shows, the pacemaker (first implanted in 1958) and the ICD (1980) embody a paradox of high-tech health care: these technologies are effective and reliable but add billions to the nation's medical bill because of the huge growth in the number of patients who depend on implanted devices to manage their heartbeats.


Population Control

Population Control

Author: Steven Mosher

Publisher: Routledge

Published: 2017-07-05

Total Pages: 311

ISBN-13: 1351497928

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For over half a century, policymakers committed to population control have perpetrated a gigantic, costly, and inhumane fraud upon the human race. They have robbed people of the developing countries of their progeny and the people of the developed world of their pocketbooks. Determined to stop population growth at all costs, those Mosher calls "population controllers" have abused women, targeted racial and religious minorities, undermined primary health care programs, and encouraged dictatorial actions if not dictatorship. They have skewed the foreign aid programs of the United States and other developed countries in an anti-natal direction, corrupted dozens of well-intentioned nongovernmental organizations, and impoverished authentic development programs. Blinded by zealotry, they have even embraced the most brutal birth control campaign in history: China's infamous one-child policy, with all its attendant horrors. There is no workable demographic definition of "overpopulation." Those who argue for its premises conjure up images of poverty - low incomes, poor health, unemployment, malnutrition, overcrowded housing to justify anti-natal programs. The irony is that such policies have in many ways caused what they predicted - a world which is poorer materially, less diverse culturally, less advanced economically, and plagued by disease. The population controllers have not only studiously ignored mounting evidence of their multiple failures; they have avoided the biggest story of them all. Fertility rates are in free fall around the globe. Movements with billions of dollars at their disposal, not to mention thousands of paid advocates, do not go quietly to their graves. Moreover, many in the movement are not content to merely achieve zero population growth, they want to see negative population numbers. In their view, our current population should be reduced to one or two billion or so. Such a goal would keep these interest groups fully employed. It would also have dangerous consequences for a global environment.


The Temporary Assistance for Needy Families (TANF) Block Grant

The Temporary Assistance for Needy Families (TANF) Block Grant

Author: Gene Falk

Publisher:

Published: 2008

Total Pages: 90

ISBN-13:

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The Temporary Assistance for Needy Families (TANF) block grant provides federal grants to states for a wide range of benefits, services, and activities. It is best known for helping states pay for cash welfare for needy families with children, but it funds a wide array of additional activities. TANF was created in the 1996 welfare reform law (P.L. 104-193). TANF funding and program authority were extended through FY2010 by the Deficit Reduction Act of 2005 (DRA, P.L. 109-171). TANF provides a basic block grant of $16.5 billion to the 50 states and District of Columbia, and $0.1 billion to U.S. territories. Additionally, 17 states qualify for supplemental grants that total $319 million. TANF also requires states to contribute from their own funds at least $10.4 billion for benefits and services to needy families with children -- this is known as the maintenance-of-effort (MOE) requirement. States may use TANF and MOE funds in any manner "reasonably calculated" to achieve TANF's statutory purpose. This purpose is to increase state flexibility to achieve four goals: (1) provide assistance to needy families with children so that they can live in their own homes or the homes of relatives; (2) end dependence of needy parents on government benefits through work, job preparation, and marriage; (3) reduce out-of-wedlock pregnancies; and (4) promote the formation and maintenance of two-parent families. Though TANF is a block grant, there are some strings attached to states' use of funds, particularly for families receiving "assistance" (essentially cash welfare). States must meet TANF work participation standards or be penalised by a reduction in their block grant. The law sets standards stipulating that at least 50% of all families and 90% of two-parent families must be participating, but these statutory standards are reduced for declines in the cash welfare caseload. (Some families are excluded from the participation rate calculation.) Activities creditable toward meeting these standards are focused on work or are intended to rapidly attach welfare recipients to the workforce; education and training is limited. Federal TANF funds may not be used for a family with an adult that has received assistance for 60 months. This is the five-year time limit on welfare receipt. However, up to 20% of the caseload may be extended beyond the five years for reason of "hardship", with hardship defined by the states. Additionally, states may use funds that they must spend to meet the TANF MOE to aid families beyond five years. TANF work participation rules and time limits do not apply to families receiving benefits and services not considered "assistance". Child care, transportation aid, state earned income tax credits for working families, activities to reduce out-of-wedlock pregnancies, activities to promote marriage and two-parent families, and activities to help families that have experienced or are "at risk" of child abuse and neglect are examples of such "nonassistance".