The Unheralded Triumph
The Unheralded Triumph

Author: Jon C. Teaford

Publisher: JHU Press

Published: 2019-12-01

Total Pages: 484

ISBN-13: 142143525X

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Originally published in 1984. In 1888 the British observer James Bryce declared "the government of cities" to be "the one conspicuous failure of the United States." During the following two decades, urban reformers would repeat Bryce's words with ritualistic regularity; nearly a century later, his comment continues to set the tone for most assessments of nineteenth-century city government. Yet by the end of the century, as Jon Teaford argues in this important reappraisal, American cities boasted the most abundant water supplies, brightest street lights, grandest parks, largest public libraries, and most efficient systems of transportation in the world. Far from being a "conspicuous failure," municipal governments of the late nineteenth century had successfully met challenges of an unprecedented magnitude and complexity. The Unheralded Triumph draws together the histories of the most important cities of the Gilded Age—especially New York, Chicago, Boston, Philadelphia, St. Louis, and Baltimore—to chart the expansion of services and the improvement of urban environments between 1870 and 1900. It examines the ways in which cities were transformed, in a period of rapid population growth and increased social unrest, into places suitable for living. Teaford demonstrates how, during the last decades of the nineteenth century, municipal governments adapted to societal change with the aid of generally compliant state legislatures. These were the years that saw the professionalization of city government and the political accommodation of the diverse ethnic, economic, and social elements that compose America's heterogeneous urban society. Teaford acknowledges that the expansion of urban services dangerously strained city budgets and that graft, embezzlement, overcharging, and payroll-padding presented serious problems throughout the period. The dissatisfaction with city governments arose, however, not so much from any failure to achieve concrete results as from the conflicts between those hostile groups accommodated within the newly created system: "For persons of principle and gentlemen who prized honor, it seemed a failure yet American municipal government left as a legacy such achievements as Central Park, the new Croton Aqueduct, and the Brooklyn Bridge, monuments of public enterprise that offered new pleasures and conveniences for millions of urban citizens."

Public Health Administration
Public Health Administration

Author: Lloyd Novick

Publisher: Jones & Bartlett Learning

Published: 2008-03-03

Total Pages: 821

ISBN-13: 0763738425

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Public health has undergone enormous change in recent years - the growing epidemics of obesity and diabetes; the events of September 11, 2001; devastating natural disasters such as the 2004 tsunami and Hurricane Katrina; and the threats of emerging infectious diseases have redefined the field, making the role of the public health administrator more important than ever before.With contributions from top leaders in areas ranging from workforce to community-based prevention to emergency preparedness, the second edition of Public Health Administration: Principles for Population-Based Management offers detailed, comprehensive coverage of current, relevant issues for new as well as seasoned public health administrators.

No One Was Turned Away
No One Was Turned Away

Author: Sandra Opdycke

Publisher: Oxford University Press

Published: 2000-09-28

Total Pages: 265

ISBN-13: 0195349814

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No One Was Turned Away is a book about the importance of public hospitals to New York City. At a time when less and less value seems to be placed on public institutions, argues author Sandra Opdycke, it is both useful and prudent to consider what this particular set of public institutions has meant to this particular city over the last hundred years, and to ponder what its loss might mean as well. Opdycke suggests that if these public hospitals close or convert to private management--as is currently being discussed--then a vital element of the civic life of New York City will be irretrievably lost. The story is told primarily through the history of Bellevue Hospital, the largest public hospital in the city and the oldest in the nation. Following Bellevue through the twentieth century, Opdycke meticulously charts the fluctuating fortunes of the city's public hospital system. Readers will learn how medical technology, urban politics, changing immigration patterns, economic booms and busts, labor unions, health insurance, Medicaid, and managed care have interacted to shape both the social and professional environments of New York's public hospitals. Having entered the twentieth century with high hopes for a grand expansion, Bellevue now faces financial and political pressures so acute that its very future is in doubt. In order to give context to the Bellevue experience, Opdycke also tracks the history of a private facility over the same century: New York Hospital. By noting the points at which the paths of these two mighty institutions have overlapped--as well as the ways in which they have diverged--this book clearly and persuasively highlights the significance of public hospitals to the city. No One Was Turned Away shows that private facilities like New York Hospital have generally provided superb care for their patients, but that in every era they have also excluded certain groups. This exclusion has occurred for various reasons, such as patients' diagnoses, their social characteristics, behavior, or financial status--or simply because of a lack of unoccupied beds. Fortunately, however, year in and year out, Bellevue and its fellow public facilities have acted as the city's medical safety net. Opdycke's book maintains that public hospitals will be as essential in the future as they have been in the past. This is a thoughtful and well-written study that will appeal to anyone interested in the history of medicine, public policy, urban affairs, or the City of New York.

Novick and Morrow's Public Health Administration
Novick and Morrow's Public Health Administration

Author: James A. Johnson

Publisher: Jones & Bartlett Publishers

Published: 2013-07-12

Total Pages: 745

ISBN-13: 1449657427

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Under the direction of new lead editors Leiyu Shi and James Johnson, the new Third Edition of Public Health Administration examines the many events, advances, and challenges in the U.S. and the world since the publication of the last edition of the book. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.

The Health Marketplace
The Health Marketplace

Author: Eli Ginzberg

Publisher: Transaction Publishers

Published:

Total Pages: 164

ISBN-13: 9781412837156

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Health care provision in the United States remains a critical policy issue. Despite large-scale organizational transformations in hospitals, changes in the ways that health care is delivered, and changes in the relations between patients and the staffs who provide health care services, health institutions remain financially unstable even as they have grown in size. Mergers and new networks and systems have emerged, and revenue streams continue to grow. Experts no longer view such developments as holding the answer to continuing problems of the health care system. Focusing on changes in the health care sector in New York City during the 1990s, this volume considers physicians and other health care workers, primary and ambulatory care sites, and hospitals and medical centers. It explores the impact of institutional realignments and managed care in New York City. It examines the accelerated destabilization of health care financing and delivery at the end of the twentieth century in the nation at large as well as in New York State and New York City. Ginzberg and his colleagues describe what might happen in the next decade in the nation's largest metropolis and locate the probable outcome in the space between these two extremes. They focus on how the health marketplace may be altered by 2010 when it faces its greatest challenges, a year before the first members of the baby boom generation become eligible for Medicare. This literate and informative volume elucidates changes that have occurred in the health care sector during the decade of the 1990s and offers an expert assessment of what might happen over the next decade. Policymakers, health care officials, and medical personnel will find this highly informative reading. Eli Ginzberg is A. Barton Hepburn Professor Emeritus at the Graduate School of Business, and Director of the Eisenhower Center for the Conservation of Human Resources at Columbia University. His work in social policy, health care, human resources, the special needs of the poor, the young and the aged, place Ginzberg in a special category: activist scholar rather than academic-turned-activist. Howard Berliner is associate professor, Program in Health Services Management and Policy, Milano Graduate School of Management and Urban Policy, New School for Social Research. Panos Minogiannis is a political science doctoral candidate in the division of Sociomedical Sciences, Columbia University and a research associate at the Eisenhower Center. Miriam Ostow was the long term chief of health policy studies at the Eisenhower Center and co-author of many of its earlier publications on health policy.