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Your request for similar items found 20 book(s). | Modify Search | Displaying 1 - 20 of 20 book(s) | |
| 1. |  | Title: What price better health?: hazards of the research imperative Author: Callahan, Daniel 1930- Published: University of California Press, 2003 Subjects: Medicine | Philosophy | Public Policy Publisher's Description: The idea that we have an unlimited moral imperative to pursue medical research is deeply rooted in American society and medicine. In this provocative work, Daniel Callahan exposes the ways in which such a seemingly high and humane ideal can be corrupted and distorted into a harmful practice. Medical research, with its power to attract money and political support, and its promise of cures for a wide range of medical burdens, has good and bad sides - which are often indistinguishable. In What Price Better Health?, Callahan teases out the distinctions and differences, revealing the difficulties that result when the research imperative is suffused with excessive zeal, adulterated by the profit motive, or used to justify cutting moral corners. Exploring the National Institutes of Health's annual budget, the inflated estimates of health care cost savings that result from research, the high prices charged by drug companies, the use and misuse of human subjects for medical testing, and the controversies surrounding human cloning and stem cell research, Callahan clarifies the fine line between doing good and doing harm in the name of medical progress. His work shows that medical research must be understood in light of other social and economic needs and how even the research imperative, dedicated to the highest human good, has its limits. [brief] Similar Items |
| 2. |  | Title: The elusive embryo: how women and men approach new reproductive technologies Author: Becker, Gaylene Published: University of California Press, 2000 Subjects: Anthropology | Cultural Anthropology | Sociology | Gender Studies | Medical Anthropology | Medicine | Women's Studies | Science Publisher's Description: In the first book to examine the industry of reproductive technology from the perspective of the consumer, Gay Becker scrutinizes the staggering array of medical options available to women and men with fertility problems and assesses the toll - both financial and emotional - that the quest for a biological child often exacts from would-be parents. Becker interviewed hundreds of people over a period of years; their stories are presented here in their own words. Absorbing, informative, and in many cases moving, these stories address deep-seated notions about gender, self-worth, and the cultural ideal of biological parenthood. Becker moves beyond people's personal experiences to examine contemporary meanings of technology and the role of consumption in modern life. What emerges is a clear view of technology as culture, with technology the template on which issues such as gender, nature, and the body are being rewritten and continuously altered. The Elusive Embryo chronicles the history and development of reproductive technology, and shows how global forces in consumer culture have contributed to the industry's growth. Becker examines how increasing use of reproductive technology has changed ideas about "natural" pregnancy and birth. Discussing topics such as in vitro fertilization, how men and women "naturalize" the use of a donor, and what happens when new reproductive technologies don't work, Becker shows how the experience of infertility has become increasingly politicized as potential parents confront the powerful forces that shape this industry. The Elusive Embryo is accessible, well written, and well documented. It will be an invaluable resource for people using or considering new reproductive technologies as well as for social scientists and health professionals. [brief] Similar Items |
| 3. |  | Title: Beyond second opinions: making choices about fertility treatment  Author: Turiel, Judith Steinberg 1948- Published: University of California Press, 1998 Subjects: Science | Sociology | Gender Studies | Medicine Publisher's Description: Beyond Second Opinions is both an exposé of the risks, errors, and distortions surrounding fertility medicine and an authoritative guide for people seeking treatment. Accessible, comprehensive, and extremely well-informed, this book takes the reader beyond hype to the hard data on diagnoses and treatments. Judith Steinberg Turiel, a consumer health activist and herself a veteran of fertility treatments, uses the most up-to-date medical literature to shed new light on difficult decisions patients face today and on reproductive questions society must begin to address now. Those who are seeking a more balanced perspective to help them make better, more informed decisions will find a wealth of information about current reproductive interventions - from simple fertility pills to dazzling experimental options - as well as a discussion of the non-medical forces (economic and political) that shape an individual's treatment choices and reproductive outcomes. Despite quantities of information showered upon patients, they remain woefully misinformed; some fertility treatments may actually reduce chances for a successful pregnancy and threaten a patient's health. Turiel looks beyond surface claims to the real information, often uncovering counterintuitive findings and sometimes scandalous revelations. She exposes a realm of unregulated expansion, unscientific experimentation, and recent scandal over stolen embryos. Weaving together first-hand accounts, compelling stories, a range of scientific information, and lively anecdotes, Turiel addresses the persistent gulfs that separate medical professionals and health care consumers. In the process she arms laypeople with what they might not learn about infertility practices from doctors, patient education brochures, and the newspaper. [brief] Similar Items |
| 4. |  | Title: Promoting human wellness: new frontiers for research, practice, and policy Author: Jamner, Margaret Schneider Published: University of California Press, 2001 Subjects: Medicine | Public Policy | Anthropology | Aging | Education Publisher's Description: This book is a state-of-the-art educational resource on the latest research and public-policy developments in the fields of wellness promotion and disease prevention. Based on award-winning lectures by University of California faculty on nine campuses as part of the Wellness Lectures Program jointly funded by The California Wellness Foundation, Health Net, and the University of California, the volume aims to widen the scope of health care research and policy to promote wellness rather than focus on illness and disease, and to incorporate proactive, interdisciplinary approaches to health care. The volume also contains chapters by distinguished scholars inthe fields of wellness promotion and disease prevention. Many of these articles fall outside the scope of what we conventionally call health promotion, bringing new perspectives to research and policy possibilities. Promoting Human Wellness is organized around core themes such as the importance of disease prevention programs that address multiple health risks, the link between poverty and minority status and disease susceptibility, and the challenge of evaluating health benefits and cost-effectiveness. The articles discuss such timely issues as genetic determinism as a paradigm in wellness promotion, adolescent health promotion and teen pregnancy prevention strategies, racial differences in cancer epidemiology, the California smokers' helpline, strategies for reducing youth violence, HIV/AIDS prevention, domestic violence education and prevention srategies, and the future of women's health research. Presented within the framework of social ecology, several of the chapters in this volume address new ideas and approaches in the wellness field that are only now beginning to be understood such as the social construction of variables including race, class, and gender. Promoting Human Wellness will be essential reading for health practitioners, policymakers, and others seeking to expand the ways we define and achieve health. Keywords: Public health, community health, medicine, nursing, social welfare, health education, health psychology, social ecology, public policy, aging, health promotion. [brief] Similar Items |
| 5. |  | Title: Sexual selections: what we can and can't learn about sex from animals Author: Zuk, M. (Marlene) Published: University of California Press, 2002 Subjects: Organismal Biology | Cultural Anthropology | Evolution | Gender Studies | Animal Behavior | Sociology | Biology Publisher's Description: Scientific discoveries about the animal kingdom fuel ideological battles on many fronts, especially battles about sex and gender. We now know that male marmosets help take care of their offspring. Is this heartening news for today's stay-at-home dads? Recent studies show that many female birds once thought to be monogamous actually have chicks that are fathered outside the primary breeding pair. Does this information spell doom for traditional marriages? And bonobo apes take part in female-female sexual encounters. Does this mean that human homosexuality is natural? This highly provocative book clearly shows that these are the wrong kinds of questions to ask about animal behavior. Marlene Zuk, a respected biologist and a feminist, gives an eye-opening tour of some of the latest developments in our knowledge of animal sexuality and evolutionary biology. Sexual Selections exposes the anthropomorphism and gender politics that have colored our understanding of the natural world and shows how feminism can help move us away from our ideological biases. As she tells many amazing stories about animal behavior--whether of birds and apes or of rats and cockroaches--Zuk takes us to the places where our ideas about nature, gender, and culture collide. Writing in an engaging, conversational style, she discusses such politically charged topics as motherhood, the genetic basis for adultery, the female orgasm, menstruation, and homosexuality. She shows how feminism can give us the tools to examine sensitive issues such as these and to enhance our understanding of the natural world if we avoid using research to champion a feminist agenda and avoid using animals as ideological weapons. Zuk passionately asks us to learn to see the animal world on its own terms, with its splendid array of diversity and variation. This knowledge will give us a better understanding of animals and can ultimately change our assumptions about what is natural, normal, and even possible. [brief] Similar Items |
| 6. |  | Title: Colonizing the body: state medicine and epidemic disease in nineteenth-century India Author: Arnold, David 1946- Published: University of California Press, 1993 Subjects: Asian Studies | South Asia | Asian History | Medicine | History Publisher's Description: In this innovative analysis of medicine and disease in colonial India, David Arnold explores the vital role of the state in medical and public health activities, arguing that Western medicine became a critical battleground between the colonized and the colonizers.Focusing on three major epidemic diseases - smallpox, cholera, and plague - Arnold analyzes the impact of medical interventionism. He demonstrates that Western medicine as practiced in India was not simply transferred from West to East, but was also fashioned in response to local needs and Indian conditions.By emphasizing this colonial dimension of medicine, Arnold highlights the centrality of the body to political authority in British India and shows how medicine both influenced and articulated the intrinsic contradictions of colonial rule. [brief] Similar Items |
| 7. |  | Title: Infertility around the globe: new thinking on childlessness, gender, and reproductive technologies Author: Inhorn, Marcia Claire 1957- Published: University of California Press, 2002 Subjects: Anthropology | Cultural Anthropology | Asian Studies | Medical Anthropology | Ethnic Studies | Gender Studies | Politics | Medicine | Sociology | Sociology Publisher's Description: This exceptional collection of essays breaks new ground by examining the global impact of infertility as a major reproductive health issue, one that has profoundly affected the lives of countless women and men. Based on original research by seventeen internationally acclaimed social scientists, it is the first book to investigate the use of reproductive technologies in non-Western countries. Provocative and incisive, it is the most substantial work to date on the subject of infertility. With infertility as the lens through which a wide range of social issues is explored, the contributors address a far-reaching array of topics: why infertility has been neglected in population studies, how the deeply gendered nature of infertility sets the blame squarely on women's shoulders, how infertility and its treatment transform family dynamics and relationships, and the distribution of medical and marital power. The chapters present informed and sophisticated investigations into cultural perceptions of infertility in numerous countries, including China, India, the nations of sub-Saharan Africa, Vietnam, Costa Rica, Egypt, Israel, the United States, and the nations of Europe. Poised to become the quintessential reference on infertility from an international social science perspective, Infertility around the Globe makes a powerful argument that involuntary childlessness is a complex phenomenon that has far-reaching significance worldwide. [brief] Similar Items |
| 8. |  | Title: The corporate practice of medicine: competition and innovation in health care Author: Robinson, James C 1953- Published: University of California Press, 1999 Subjects: Politics | Public Policy | Medicine | Economics and Business Publisher's Description: One of the country's leading health economists presents a provocative analysis of the transformation of American medicine from a system of professional dominance to an industry under corporate control. James Robinson examines the economic and political forces that have eroded the traditional medical system of solo practice and fee-for-service insurance, hindered governmental regulation, and invited the market competition and organizational innovations that now are under way. The trend toward health care corporatization is irreversible, he says, and it parallels analogous trends toward privatization in the world economy.The physician is the key figure in health care, and how physicians are organized is central to the health care system, says Robinson. He focuses on four forms of physician organization to illustrate how external pressures have led to health care innovations: multispecialty medical groups, Independent Practice Associations (IPAs), physician practice management firms, and physician-hospital organizations. These physician organizations have evolved in the past two decades by adopting from the larger corporate sector similar forms of ownership, governance, finance, compensation, and marketing.In applying economic principles to the maelstrom of health care, Robinson highlights the similarities between competition and consolidation in medicine and in other sectors of the economy. He points to hidden costs in fee-for-service medicine - overtreatment, rampant inflation, uncritical professional dominance regarding treatment decisions - factors often overlooked when newer organizational models are criticized.Not everyone will share Robinson's appreciation for market competition and corporate organization in American health care, but he challenges those who would return to the inefficient and inequitable era of medicine from which we've just emerged. Forcefully written and thoroughly documented, The Corporate Practice of Medicine presents a thoughtful - and optimistic - view of a future health care system, one in which physician entrepreneurship is a dynamic component. [brief] Similar Items |
| 9. |  | Title: Reproduction and social organization in Sub-Saharan Africa Author: Lesthaeghe, Ron J 1945- Published: University of California Press, 1989 Subjects: African Studies | Cultural Anthropology | Medical Anthropology Publisher's Description: Unlike most Asian and Latin American countries, sub-Saharan Africa has seen both an increase in population growth rates and a weakening of traditional patterns of child-spacing since the 1960s. It is tempting to conclude that sub-Saharan countries have simply not reached adequate levels of income, education, and urbanization for a fertility decline to occur. This book argues, however, that such a socioeconomic threshold hypothesis will not provide an adequate basis for comparison. These authors take the view that any reproductive regime is also anchored to a broader pattern of social organization, including the prevailing modes of production, rules of exchange, patterns of religious systems, kinship structure, division of labor, and gender roles. They link the characteristic features of the African reproductive regime with regard to nuptiality, polygyny, breastfeeding, postpartum abstinence, sterility, and child-fostering to other specifically African characteristics of social organization and culture. Substantial attention is paid to the heterogeneity that prevails among sub-Saharan societies and considerable use is made, therefore, of interethnic comparisons. As a result the book goes considerably beyond mere demographic description and builds bridges between demography and anthropology or sociology. [brief] Similar Items |
| 10. |  | Title: Politics of the womb: women, reproduction, and the state in Kenya Author: Thomas, Lynn M Published: University of California Press, 2003 Subjects: History | Women's Studies | African Studies | Anthropology Publisher's Description: In more than a metaphorical sense, the womb has proven to be an important site of political struggle in and about Africa. By examining the political significance - and complex ramifications - of reproductive controversies in twentieth-century Kenya, this book explores why and how control of female initiation, abortion, childbirth, and premarital pregnancy have been crucial to the exercise of colonial and postcolonial power. This innovative book enriches the study of gender, reproduction, sexuality, and African history by revealing how reproductive controversies challenged long-standing social hierarchies and contributed to the construction of new ones that continue to influence the fraught politics of abortion, birth control, female genital cutting, and HIV/AIDS in Africa. [brief] Similar Items |
| 11. |  | Title: From the fat of our souls: social change, political process, and medical pluralism in Bolivia Author: Crandon-Malamud, Libbet Published: University of California Press, 1991 Subjects: Anthropology | Latin American Studies | Politics | Medical Anthropology | Medicine Publisher's Description: From the Fat of Our Souls offers a revealing new perspective on medicine, and the reasons for choosing or combining indigenous and cosmopolitan medical systems, in the Andean highlands. Closely observing the dialogue that surrounds medicine and medical care among Indians and Mestizos, Catholics and Protestants, peasants and professionals in the rural town of Kachitu, Libbet Crandon-Malamud finds that medical choice is based not on medical efficacy but on political concerns. Through the primary resource of medicine, people have access to secondary resources, the principal one being social mobility. This investigation of medical pluralism is also a history of class formation and the fluidity of both medical theory and social identity in highland Bolivia, and it is told through the often heartrending, often hilarious stories of the people who live there. [brief] Similar Items |
| 12. |  | Title: Paths to Asian medical knowledge Author: Leslie, Charles M 1923- Published: University of California Press, 1992 Subjects: Anthropology | Medical Anthropology | Asian Studies Publisher's Description: Like its classic predecessor, Asian Medical Systems , Paths to Asian Medical Knowledge significantly expands the study of Asian medicine. These essays ask how patients and practitioners know what they know - what evidence of disease or health they consider convincing and what cultural traditions and symbols guide their thinking. Whether discussing Japanese anatomy texts, Islamic humoralism, Ayurvedic clinical practice, or a variety of other subjects, the authors offer an exciting range of information and suggest new theoretical avenues for medical anthropology. [brief] Similar Items |
| 13. |  | Title: Life without disease: the pursuit of medical utopia Author: Schwartz, William B 1922- Published: University of California Press, 1998 Subjects: Science | Medicine | Economics and Business | History and Philosophy of Science | Public Policy Publisher's Description: The chaotic state of today's health care is the result of an explosion of effective medical technologies. Rising costs will continue to trouble U.S. health care in the coming decades, but new molecular strategies may eventually contain costs. As life expectancy is dramatically extended by molecular medicine, a growing population of the aged will bring new problems. In the next fifty years genetic intervention will shift the focus of medicine in the United States from repairing the ravages of disease to preventing the onset of disease. Understanding the role of genes in human health, says Dr. William B. Schwartz, is the driving force that will change the direction of medical care, and the age-old dream of life without disease may come close to realization by the middle of the next century. Medical care in 2050 will be vastly more effective, Schwartz maintains, and it may also be less expensive than the resource-intensive procedures such as coronary bypass surgery that medicine relies on today.Schwartz's alluring prospect of a medical utopia raises urgent questions, however. What are the scientific and public policy obstacles that must be overcome if such a goal is to become a reality? Restrictions on access imposed by managed care plans, the corporatization of charitable health care institutions, the increasing numbers of citizens without health insurance, the problems with malpractice insurance, and the threatened Medicare bankruptcy - all are the legacy of medicine's great progress in mastering the human body and society's inability to assimilate that mastery into existing economic, ethical, and legal structures. And if the average American life span is 130 years, a genuine possibility by 2050, what social and economic problems will result?Schwartz examines the forces that have brought us to the current health care state and shows how those same forces will exert themselves in the decades ahead. Focusing on the inextricable link between scientific progress and health policy, he encourages a careful examination of these two forces in order to determine the kind of medical utopia that awaits us. The decisions we make will affect not only our own care, but also the system of care we bequeath to our children. [brief] Similar Items |
| 14. |  | Title: Public health law and ethics: a reader Author: Gostin, Larry O. (Larry Ogalthorpe) Published: University of California Press, 2002 Subjects: Law | Medicine | Health Care Publisher's Description: This incisive selection of government reports, scholarly articles, and court cases is designed to illuminate the ethical, legal, and political issues in the theory and practice of public health. A companion to the internationally acclaimed Public Health Law: Power, Duty, Restraint, this collection encourages debate and discourse about how courts, scholars, and policy makers respond to the salient legal and ethical dilemmas. The excerpts and commentaries in the reader analyze the legal and constitutional foundations of public health, juxtaposing them with the emerging importance of public health ethics and human rights. The book offers a systematic account of public health law, ethics, and human rights in promoting the common good. Gostin provides thoughtful commentary on the field of public health and carefully explains the meaning and importance of each selection. Scholars, legislators, and public health professionals, as well as faculty and students in schools of law, public health, medicine, nursing, government, and health administration, will benefit from the contemporary case studies covering a wide range of topics from bioterrorism to public health genetics. [brief] Similar Items |
| 15. |  | Title: Power and illness: the failure and future of American health policy Author: Fox, Daniel M Published: University of California Press, 1993 Subjects: Sociology | Medicine | History | American Studies | United States History Publisher's Description: During most of this century, American health policy has emphasized caring for acute conditions rather than preventing and managing chronic illness - even though chronic illness has caused most sickness and death since the 1920s. In this provocative and wide-ranging book, Daniel Fox explains why this has been so and offers a forceful argument for fundamental change in national health care priorities.Fox discusses how ideas about illness and health care, as well as the power of special interest groups, have shaped the ways in which Americans have treated illness. Those who make health policy decisions have increased support for hospitals, physicians, and medical research, believing that people then would become healthier. This position, implemented at considerable cost, has not adequately taken into account the growing burden of chronic disabling illness. While decision makers may have defined chronic disease as a high priority in research, they have not given it such a priority in the financing of health services.The increasing burden of chronic illness is critical. Fox suggests ways to solve this problem without increasing the already high cost of health care - but he does not underestimate the difficulties in such a strategy. Advocating the redistribution of resources within hospital and medical services, he targets those that are redundant or marginally effective.There could be no more timely subject today than American health care. And Daniel Fox is uniquely able to address its problems. A historian of medicine, with knowledge of how hospitals and physicians behave and how health policy is made at government levels, he has extensively researched published and unpublished documents on health care. What he proposes could profoundly affect all Americans. [brief] Similar Items |
| 16. |  | Title: American medicine: the quest for competence Author: Good, Mary-Jo DelVecchio Published: University of California Press, 1995 Subjects: Medicine | Science | Medical Anthropology | Public Policy Publisher's Description: What does it mean to be a good doctor in America today? How do such challenges as new biotechnologies, the threat of malpractice suits, and proposed health-care reform affect physicians' ability to provide quality care?These and many other crucial questions are examined in this book, the first to fully explore the meaning and politics of competence in modern American medicine. Based on Mary-Jo DelVecchio Good's recent ethnographic studies of three distinct medical communities - physicians in rural California, academics and students involved in Harvard Medical School's innovative "New Pathway" curriculum, and oncologists working on breast cancer treatment - the book demonstrates the centrality of the issue of competence throughout the medical world. Competence, it shows, provides the framework for discussing the power struggles between rural general practitioners and specialists, organizational changes in medical education, and the clinical narratives of high-technology oncologists. In their own words, practitioners, students, and academics describe what competence means to them and reveal their frustration with medical-legal institutions, malpractice, and the limitations of peer review and medical training.Timely and provocative, this study is essential reading for medical professionals, academics, anthropologists, and sociologists, as well as health-care policymakers. [brief] Similar Items |
| 17. |  | Title: Writing at the margin: discourse between anthropology and medicine Author: Kleinman, Arthur Published: University of California Press, 1997 Subjects: Anthropology | Medical Anthropology | Sociology | Medicine | Asian Studies | Social Problems Publisher's Description: One of the most influential and creative scholars in medical anthropology takes stock of his recent intellectual odysseys in this collection of essays. Arthur Kleinman, an anthropologist and psychiatrist who has studied in Taiwan, China, and North America since 1968, draws upon his bicultural, multidisciplinary background to propose alternative strategies for thinking about how, in the postmodern world, the social and medical relate. Writing at the Margin explores the border between medical and social problems, the boundary between health and social change. Kleinman studies the body as the mediator between individual and collective experience, finding that many health problems - for example the trauma of violence or depression in the course of chronic pain - are less individual medical problems than interpersonal experiences of social suffering. He argues for an ethnographic approach to moral practice in medicine, one that embraces the infrapolitical context of illness, the responses to it, the social institutions relating to it, and the way it is configured in medical ethics.Previously published in various journals, these essays have been revised, updated, and brought together with an introduction, an essay on violence and the politics of post-traumatic stress disorder, and a new chapter that examines the contemporary ethnographic literature of medical anthropology. [brief] Similar Items |
| 18. |  | Title: Lives at risk: public health in nineteenth-century Egypt Author: Kuhnke, LaVerne Published: University of California Press, 1990 Subjects: Anthropology | Medical Anthropology Publisher's Description: Lives at Risk describes the introduction of Western medicine into Egypt. The two major innovations undertaken by Muhammad Ali in the mid-nineteenth century were a Western-style school of medicine and an international Quarantine Board. The ways in which these institutions succeeded and failed will greatly interest historians of medicine and of modern Egypt. And because the author relates her narrative to twentieth-century health issues in developing countries, Lives at Risk will also interest medical and social anthropologists.The presence of the quarantine establishment and the medical school in Egypt resulted in a rudimentary public health service. Paramedical personnel were trained to provide primary health care for the peasant population. A vaccination program effectively freed the nation from smallpox. But the disease-oriented, individual-care practice of medicine derived from the urban hospital model of industrializing Europe was totally incompatible with the health care requirements of a largely rural, agrarian population. [brief] Similar Items |
| 19. |  | Title: Managing the medical arms race: public policy and medical device innovation Author: Foote, Susan Bartlett Published: University of California Press, 1992 Subjects: Politics | Medicine | Public Policy | Economics and Business Publisher's Description: The allure of medical innovation is powerful - it holds out the promise of perfect health, the end of pain, the deferral of death. Our insatiable appetite for costly new technologies, fed by a profusion of innovations and the profits they generate, has led to what has been dubbed the medical arms race. During the last several decades government has been called upon to manage the escalation of this race.Foote has written the first comprehensive examination of the profound influence of government policies on medical innovation. She explains how these policies have proliferated to affect every stage of the innovative process in medical device technology - from the first research idea to the patient's bedside. Drawing on case studies of technologies as diverse as lasers, cardiac pacemakers, CT scanners, and IUDs, she traces the interaction between the industry and government institutions, including the National Institutes of Health, the FDA, and the Medicare and Medicaid programs.Public policies during the 1950s and 1960s, Foote discovers, tended to promote innovation, while the regulation and cost controls of the 1970s and 1980s began to inhibit it. For the 1990s and beyond she proposes incremental policy improvements that will rationalize and streamline government intervention. She cautions that we must recognize the limits of medical technology and public policy to cure all ills.Medical innovation is a crucial part of health care reform, a subject of increasing complexity and controversy. Written clearly and accessibly, Managing the Medical Arms Race is an invaluable source for medical, industry, and policy professionals, but it also has much to say to anybody concerned with how we as a society choose to take care of our health. [brief] Similar Items |
| 20. |  | Title: Healing the masses: Cuban health politics at home and abroad Author: Feinsilver, Julie Margot Published: University of California Press, 1993 Subjects: Latin American Studies | Politics | Medicine | Public Policy Publisher's Description: How has Cuba, a small, developing country, achieved its stunning medical breakthroughs? Hampered by scarce resources and a long-standing U.S. embargo, Cuba nevertheless has managed to provide universal access to health care, comprehensive health education, and advanced technology, even amid desperate economic conditions. Moreover, Cuba has sent disaster relief, donations of medical supplies and technology, and cadres of volunteer doctors throughout the world, emerging, in Castro's phrase, as a "world medical power."In her significant and timely study, Julie Feinsilver explores the Cuban medical phenomenon, examining how a governmental obsession with health has reaped medical and political benefits at home and abroad. As a result of Cuba's forward strides in health care, infant mortality rates are low even by First World standards. Cuba has successfully dealt with the AIDS epidemic in a manner that has aroused controversy and that some claim has infringed on individual liberties - issues that Feinsilver succinctly evaluates.Feinsilver's research and travel in Cuba over many years give her a unique perspective on the challenges Cuba faces in this time of unprecedented economic and political uncertainty. Her book is a must-read for everyone concerned with health policy, international relations, and Third World societies. [brief] Similar Items |