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Health divided : public health and individual medicine in the making of the modern American state / Daniel Sledge.

By: Sledge, Daniel [author.].
Material type: TextTextSeries: JSTOR eBooks.Publisher: Lawrence, Kansas : University Press of Kansas, [2017]Description: 1 online resource.Content type: text Media type: computer Carrier type: online resourceISBN: 9780700624324; 0700624325.Subject(s): Medical care -- United StatesAdditional physical formats: Print version:: Health divided.DDC classification: 362.10973 Other classification: POL029000 | HIS036120 Online resources: Click here to view this ebook. Summary: "The United States' health care system stands out for its strict division of policies dealing with public health and individual medicine. Seeking to explain how this division came to be, what alternative paths might have been taken, and how this shapes the contemporary landscape, Daniel Sledge offers nothing less than a reinterpretation of the making of modern American health policy in Health Divided. Where previous scholars have focused on failed attempts to adopt national health insurance, Sledge demonstrates that the development of health policy cannot be properly understood without considering the connections between public health policy and policies dealing with individual medicine. His work shows how the distinct politics of the formative years of health policy -- and the presence of debilitating diseases in the American South -- led to outcomes that have fundamentally shaped modern policies and disputes. Until the end of the nineteenth century, health care in the United States was seen as a local issue, with the sole exception being the government's role in providing care to seamen and immigrants. Then, as Health Divided reveals, the health problems that plagued the American South in the early twentieth century, from malaria to hookworm and pellagra, along with the political power of the southern Democrats during the New Deal, fueled the emergence of national intervention in public health work. At the same time, divisions among policymakers, as well as the resistance of the American Medical Association, led to federal inaction in the realm of individual medical services--setting the stage for the growth of employer-sponsored health insurance. The vision of those who built the institutions that became the Centers for Disease Control and Prevention was, we see here, far more expansive and innovative than has previously been realized--and it came surprisingly close to succeeding. Exploring the history behind its failure, and tracing the inextricable links between public health and national health policy, this book provides a valuable new perspective on the origins of America's disjointed health care system."-- Provided by publisher.
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Item type Current location Call number URL Status Date due Barcode
Electronic Book UT Tyler Online
Online
RA395.A3 S567 2017 (Browse shelf) https://ezproxy.uttyler.edu/login?url=http://www.jstor.org/stable/10.2307/j.ctt1pd2kd4 Available ocn984926541

Includes bibliographical references and index.

"The United States' health care system stands out for its strict division of policies dealing with public health and individual medicine. Seeking to explain how this division came to be, what alternative paths might have been taken, and how this shapes the contemporary landscape, Daniel Sledge offers nothing less than a reinterpretation of the making of modern American health policy in Health Divided. Where previous scholars have focused on failed attempts to adopt national health insurance, Sledge demonstrates that the development of health policy cannot be properly understood without considering the connections between public health policy and policies dealing with individual medicine. His work shows how the distinct politics of the formative years of health policy -- and the presence of debilitating diseases in the American South -- led to outcomes that have fundamentally shaped modern policies and disputes. Until the end of the nineteenth century, health care in the United States was seen as a local issue, with the sole exception being the government's role in providing care to seamen and immigrants. Then, as Health Divided reveals, the health problems that plagued the American South in the early twentieth century, from malaria to hookworm and pellagra, along with the political power of the southern Democrats during the New Deal, fueled the emergence of national intervention in public health work. At the same time, divisions among policymakers, as well as the resistance of the American Medical Association, led to federal inaction in the realm of individual medical services--setting the stage for the growth of employer-sponsored health insurance. The vision of those who built the institutions that became the Centers for Disease Control and Prevention was, we see here, far more expansive and innovative than has previously been realized--and it came surprisingly close to succeeding. Exploring the history behind its failure, and tracing the inextricable links between public health and national health policy, this book provides a valuable new perspective on the origins of America's disjointed health care system."-- Provided by publisher.

Print version record.

Reviews provided by Syndetics

CHOICE Review

In Health Divided, Sledge (political science, Univ. of Texas, Arlington) provides an in-depth analysis of historical, political, scientific, and medical turning points and developments that created and maintained a bifurcated system of population and individual health care in the US. To this day, the lines of bifurcation frequently have played out in battles over funding, whether for health insurance, disease prevention, infrastructure, sanitation, or provision of health care. The book is organized around instances when options for a more cohesive and comprehensive system were available, even seemed likely, and were rejected. Sledge explores the vested interests of politically and economically powerful whites in maintaining a healthy and productive workforce. The importance of infectious diseases in shaping health policies stems, in part, from dominant groups' attempts to protect themselves from minorities, who were seen as threatening reservoirs of contagion. Bifurcation also has evolved in contexts of federal organizations such as those now known as National Institutes of Health (NIH) and Centers for Disease Control and Prevention (CDC), and by philanthropic organizations. The book is well researched and provides an important perspective for insights into current health care issues. Summing Up: Recommended. Upper-division undergraduates and above; faculty and professionals. --Mary D. Lagerwey, Western Michigan University

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