American Health Care

Medicare for All is the leading proposal to achieve to universal health coverage in America. But what is it exactly? How would it work? More importantly, is it practical or practicable? This book goes beyond partisan talking points to offer a serious examination of how Medicare for All would transform the way we give, receive, and pay for healthcare in America.

The sometimes fragmentary tales of these people, their lives and deaths, are not included in official histories of a place. How, Ensign asks, has a large, socially progressive city like Seattle responded to the health needs of people marginalized by poverty, mental illness, addiction, racial/ethnic/sexual identities, and homelessness? Drawing on interviews and extensive research, Ensign shares a diversity of voices within contemporary health care and public policy debates.

Between the years 1918 and 1920, influenza raged around the globe in the worst pandemic in recorded history, killing at least 50 million people, more than half a million of them Americans. Yet despite the devastation, this catastrophic event seems but a forgotten moment in our nation's past. American Pandemic offers a much-needed corrective to the silence surrounding the influenza outbreak.

Mysterious and misunderstood, distorted by biblical imagery of disfigurement and uncleanness, Hansen's disease or leprosy has all but disappeared from America's consciousness. In Carville, Louisiana, the closed doors of the nation's last center for the treatment of leprosy open to reveal stories of sadness, separation, and even strength in the face of what was once a life-wrenching diagnosis. Drawn from interviews with living patients and extensive research in the leprosarium's archives, Carville: Remembering Leprosy in America tells the stories of former patients.

Between 1927 and 1979, more than 8,000 people were involuntarily sterilized in five hospitals across the state of Virginia. From this plain and terrible fact springs Elizabeth Catte's Pure America, a sweeping, unsparing history of eugenics in Virginia, and by extension the United States.

In 2017, seven-year-old Ava in South Carolina wrote a letter to Tyshaun, an eight-year-old boy from Washington, DC. She asked him to be her pen pal; Ava thought they could help each other. The kids had a tragic connection - both were traumatized by gun violence. Ava’s best friend had been killed in a campus shooting at her elementary school, and Tyshaun’s father had been shot to death outside of the boy’s elementary school. Ava’s and Tyshaun’s stories are extraordinary, but not unique.

At its core, American Disgust wrestles with how changing cultural notions of digestion-what goes into the body and what comes out of it-create and impose racial categories motivated by feelings of disgust rooted in American settler-colonial racism. It shows how disgust is a changing, yet fundamental, aspect of American subjectivity and that engaging with it-personally, politically, and theoretically-opens up possibilities for conceptualizing health at the individual, societal, and planetary levels.

Bart Stupak, a nine-term Democratic Congressman from Michigan’s First Congressional District, brought two unshakable principles with him to Capitol Hill in 1992: a firm belief in the sanctity of life, and the conviction that health care was a right for all Americans and not a privilege for the fortunate few. Studies indicating that 45,000 Americans died needlessly every year for lack of access to health care inspired Congressman Stupak’s tireless efforts, often at great personal cost, to pass lifesaving legislation while remaining true to his right-to-life principles.

The Revolutionary War broke out during a smallpox epidemic, and in response, General George Washington ordered the inoculation of the Continental Army. But Washington did not have to convince fearful colonists to protect themselves against smallpox. In The Contagion of Liberty, Andrew M. Wehrman describes a revolution within a revolution, where the violent insistence for freedom from disease ultimately helped American colonists achieve independence from Great Britain.

For African Americans in the southern United States, the social determinants of health are influenced by a unique history that encompasses hundreds of years of slavery, injustices during the Jim Crow era, the Great Migration, the civil rights era, and contemporary experiences like the Black Lives Matter movement. Black activists, physicians, and communities continue to battle inequities and structural problems that include poverty, inadequate access to health care, incarceration, a lack of transportation, and food insecurity.

Today, 90 percent of psychiatric beds are located in jails and prisons across the United States, institutions that confine disproportionate numbers of African Americans. After more than a decade of research, the celebrated scholar and activist Mab Segrest locates the deep historical roots of this startling fact, turning her sights on a long-forgotten cauldron of racial ideology: the state mental asylum system in which psychiatry was born and whose influences extend into our troubled present.

Where does one go without health insurance, when turned away by hospitals, clinics, and doctors? In The People’s Hospital, physician Ricardo Nuila’s stunning debut, we follow the lives of five uninsured Houstonians as their struggle for survival leads them to a hospital where insurance comes second to genuine care.

Heroines of Mercy Street tells the true stories of the nurses at Mansion House, the Alexandria, Virginia, mansion turned wartime hospital and setting for the new PBS drama Mercy Street. Among the Union soldiers, doctors, wounded men from both sides, freed slaves, politicians, speculators, and spies who passed through the hospital in the crossroads of the Civil War were nurses who gave their time freely and willingly to save lives and aid the wounded.

Six decades ago, visionary doctors achieved the impossible: the humble kidney, acknowledged since ancient times to be as essential to life as the heart, became the first human organ to be successfully replaced with a machine. Yet huge dialysis corporations, ambitious doctor-entrepreneurs, and Beltway lobbyists soon turned this medical miracle into an early experiment in for-profit medicine—and one of the nation's worst healthcare catastrophes. With powerful insight and on-the-ground reporting, Tom Mueller introduces an unforgettable cast of characters.

Johns Hopkins University, one of the preeminent medical schools in the nation today, has played a unique role in the history of medicine. When it first opened its doors in 1893, medicine was a rough-and-ready trade. It would soon evolve into a rigorous science. In recent years, medical science has mapped the human genome, deployed robotic tools to perform delicate surgeries, and developed effective vaccines against a host of deadly pathogens. But this transformation could not have happened without the game-changing vision, talent, and dedication of a small cadre of individuals.

The tale of the American volunteer ambulance drivers of the First World War is one of gallantry amid gore, manners amid madness. Until now this stirring example of wartime courage has been recounted only in fragments. Arlen J. Hansen's Gentlemen Volunteers brings to life the entire story of the men - and women - who formed the first ambulance corps, and who went on to redefine American culture.

Although we rely on physicians, calling on them at birth and death and every medical event in between, rarely do we consider the personal challenges faced by doctors-to-be. In 2005 author Jacqueline Marino and photojournalist Tim Harrison had the unprecedented opportunity to chronicle the experience of three students as they learned to become doctors at the Case Western Reserve University School of Medicine.

For the crime of falling sick without wealth, Americans today face lawsuits, wage garnishment, home foreclosure, and jail time. Yet who really profits from aggressive medical debt collection? Your Money or Your Life reveals how medical debt collection became a multi-billion-dollar industry and how everyday Americans are made to pay the price. Emergency physician and historian Luke Messac weaves patient stories into a history of law, finance, and medicine to show how debt and debt collection are destroying the foundational trust between doctors and patients at the heart of American healthcare.

On December 24, 1992, six-year-old Lauren Rudolph was hospitalized with excruciating stomach pain. Less than a week later she was dead. Doctors were baffled: How could a healthy child become so sick so quickly? After a frenzied investigation, public-health officials announced that the cause was E. coli O157:H7, and the source was hamburger meat served at a Jack in the Box restaurant. During this unprecedented crisis, four children died and over seven hundred others became gravely ill.

Rabies enjoys a fearsome and lurid reputation. Throughout the decades of spiraling growth that defined New York City from the 1840s to the 1910s, the bone-chilling cry of "Mad dog!" possessed the power to upend the ordinary routines and rhythms of urban life. In Mad Dogs and Other New Yorkers, Jessica Wang examines the history of this rare but dreaded affliction during a time of rapid urbanization.