A City Without Care: 300 Years of Racism, Health Disparities, and Health Care Activism in New Orleans by
New Orleans is a city that is rich in culture, music, and history. It has also long been a site of some of the most intense racially based medical inequities in the United States. Kevin McQueeney traces that inequity from the city's founding in the early eighteenth century through three centuries to the present. He argues that racist health disparities emerged as a key component of the city's slave-based economy and quickly became institutionalized with the end of Reconstruction and the rise of Jim Crow. McQueeney also shows that, despite legislation and court victories in the civil rights era, a segregated health care system still exists today. In addition to charting this history of neglect, McQueeney also suggests pathways to fix the deeply entrenched inequities, taking inspiration from the "long civil rights" framework and reconstructing the fight for improved health and access to care that started long before the boycotts, sit-ins, and marches of the 1950s and 1960s. In telling the history of how New Orleans has treated its Black citizens in its hospitals, McQueeney uncovers the broader story of how urban centers across the country have ignored Black Americans and their health needs for the entire history of the nation.
The Struggle for Health: Medicine and the Politics of Underdevelopment by
The first edition of The Struggle for Health was published in 1985 and was widely acclaimed by those seeking a broader and deeper political understanding of ill health, beyond the medical model of care. It was a revolutionary book, charting new ways of understanding and tackling the causes of ill health, and suggesting strategies to enable health for all. This second edition includes health problems that have emerged since the 1980s, notably HIV/AIDs, COVID-19, and other epidemics, and the increase in non-communicable diseases, such as cardiovascular disease and diabetes. It examines some of the health impacts of globalization, specifically on the food and pharmaceutical value chains, and considers the consequences of climate change on the health of populations. However, this edition does not depart from the core message of the original book: Health for All can only be achieved through a more equitable distribution of wealth, resources, and power. The Struggle for Health, Second Edition, utilises the same approach as the first, with a narrative that begins with diseases, then describes historical trends and the limitation of the medical (and commercial) model of care. At each juncture, it asks the question 'WHY' - why do people, especially children, still die in large numbers throughout the world, from wholly preventable diseases? Why is it that appropriate provision for health care is not available to every individual in the world? What changes can be made to improve this situation? Most importantly, this edition presents a strengthened call to action, building upon the original work and advocating for systemic changes to ensure justice and equity in health for all.
Hot Topics in Human Reproductiom: Ethics, Lw and Society by
This new volume in the Reproductive Medicine for Clinicians series of the International Academy of Human Reproduction (IAHR) focuses on current hot topics in the field, their ethical and legal aspects and their impact on society. It covers topics such as Covid-19, religious and philosophical controversies, possibilities that new technologies offer, human reproductive cloning problems, future challenges related to the heritable gene editing, therapeutic use of stem cells and stem cell factors and the role of receptors in steroids hormone action. This volume also offers an analysis of important innovations and new possibilities such as the use of artificial intelligence in reproductive medicine and the future of prenatal testing. The volume also discusses the issues of pregnancies in advanced paternal age, ethical and legal aspects of gametes donation, sex preselection, surrogate motherhood and infertility in overweight or obese PCOS patients. Chapters on the ethical and legal aspects of fertility preservation in woman, in children with cancer, and in patients sparing treatments in gynecological oncology are also included. This new volume in the series is a valuable resource for gynecologists, obstetricians, endocrinologists, general practitioners and all specialists dealing with reproductive health.
Clinicians Guide to LGBTQIA+ Care by
Strive for health equity and surmount institutional oppression when treating marginalized populations with this distinct resource! This unique text provides a framework for delivering culturally safe clinical care to LGBTQIA+ populations filtered through the lens of racial, economic, and reproductive justice. It focuses strongly on the social context in which we live, one where multiple historical processes of oppression continue to manifest as injustices in the health care setting and beyond. Encompassing the shared experiences of a diverse group of expert health care practitioners, this book offers abundant examples, case studies, recommendations, and the most up-to-date guidelines available for treating LGBTQIA+ patient populations. Rich in clinical scenarios that describe best practices for safely treating patients, this text features varied healthcare frameworks encompassing patient-centered and community-centered care that considers the intersecting and ongoing processes of oppression that impact LGBTQIA+ people every day--particularly people of color. This text helps health providers incorporate safe and culturally appropriate language into their care, understand the roots and impact of stigma, address issues of health disparities, and recognize and avoid racial or LGBTQIA+ microaggressions. Specific approaches to care include chapters on sexual health care, perinatal care, and information about pregnancy and postpartum care for transgender and gender-expansive people. Key Features: Emphasizes patient-centered care incorporating an understanding of patient histories, safety needs, and power imbalances Provides tools for clinician self-reflection to understand and alleviate implicit bias Fosters culturally safe language and communication skills Presents abundant patient scenarios including specific dos and don'ts in patient treatment Includes concrete objectives, conclusions, terminology, and references in each chapter and discussion questions to promote critical thought Offers charts and information boxes to illuminate key information
Philosophy for Public Health and Public Policy: Beyond the Neglectful State by
Public health has never been more important, or more controversial. What states do, and fail to do, makes a significant difference to the lives we are able to lead. Putting public health first would allow improvements to the health of everyone, especially the worst off. Yet many citizensactively oppose state interference to improve population health, complaining that it encroaches on personal liberty. How should policymakers reconcile these conflicting priorities?This groundbreaking book argues that philosophy is not just useful, but vital, for thinking coherently about priorities in health policy and public policy. Novel, theoretically rigorous, yet practical, Philosophy for Public Health and Public Policy examines why it is so common for public policies tofail in practice to improve the problems they aim to solve, and what to do about this. It argues that a shift to complex systems approaches to policymaking is overdue. Philosophers need to become much more attuned to the contingency and messiness of real world policymaking, and to the ways in whichphilosophical tools such as thought experiments are frequently unreliable.This book also provides an ethical framework for public health policy. It argues that public health is a right of citizens, alongside more familiar rights such as liberty and security. Public health should not be thought of merely as interference with the rights that individuals have, but asnecessary to protect these rights. Chapters explore implications for resource allocation, personal responsibility, health equity, and the control of communicable disease.
Health Equity,Diversity, and Inclusion: Context, Controversies, and solutions by
The second Edition of this forward-thinking text goes beyond the discussion of health disparities to highlight the importance of health equity. As the title suggests, Health Equity, Diversity and Inclusion: Contexts, Controversies, and Solutions helps the reader understand key social justice issues relevant to health disparities and/or health equity, taking the reader from the classroom to the real world to implement new solutions. The new Second Edition features: * Two new chapters: one on the impact of urban education on urban health and another covering the elderly and health equity *Updated and enhanced coverage on men's health, demographic data, the importance of cultural proficiency, maternal mortality and Black women, and much more. * Current trends and movements, including the role of social media in the provision of health care information for improved health literacy; mass incarceration and criminal justice reform; and much more.
Opinions Throughout History: Diseases and Epidemics by
Opinions Throughout History: Diseases & Epidemics traces the history of some of the most impactful diseases in human history, such as smallpox, measles, the bubonic plague, and HIV, and looks at how these viruses and bacterial plagues affected American politics and culture. The book will also explore the rise and spread of the anti-vaccination and science skepticism movements and their relationship to American and global public health.
Patient-Centered Clinical Care for African Americans: AConcise, Evidence Based Guide to Important Differences and Better Outcomes by
This title is an easy-to-read guide outlining specific differences in communication, clinical therapies, medications, protocols, and other critical approaches to the care of African Americans. The book discusses a wide range of disorders impacting African Americans and takes a comprehensive and evidence-based approach to the clinical support of providers that see African American patients. Recording the worst medical outcomes of any racial/ethnic group in America, African Americans have the highest mortality, longest hospital length of stay, worst compliance with medications and referrals, and the lowest trust of the healthcare system. Indeed, there are countless well-designed studies that validate verified differences in the clinical care of a number of pervasive diseases in African Americans, including hypertension, heart disease, kidney disease, obesity, cancer, and more. Despite the widespread acknowledgement of the existence of health disparities among racial/ethnic groups, the overall outcomes for African Americans are still the most shocking. From high infant mortality to death by almost any cause, African Americans have the worst data of any other racial or ethnic group. Patient-Centered Clinical Care for African Americans, a highly practical and first-of-its-kind title, illuminates these alarming issues and represents a major contribution to the clinical literature. It will be of significant interest to all physicians, clinicians, and allied health personnel.
Race and Medicine in Nineteenth- and Early-Twentieth-Century America by
An examination of the medical experiences of African Americans. During the days of slavery in America, racism and often-faulty medical theories contributed to an atmosphere in which African Americans were seen as chattel: some white physicians claimed that African Americans had physiological and anatomical differences that made them well suited for slavery. These attitudes continued into the Reconstruction and Jim Crow eras. In Race and Medicine historian Todd Savitt presents revised and updated versions of his seminal essays on the medical history of African Americans in the late nineteenth and early twentieth centuries, especially in the South. This collection examines a variety of aspects of African American medical history, including health and illnesses, medical experimentation, early medical schools and medical professionals, and slave life insurance.
Uncertain Suffering: Racial Health Care Disparities and Sickle Cell Disease by
On average, black Americans are sicker and die earlier than white Americans. Uncertain Suffering provides a richly nuanced examination of what this fact means for health care in the United States through the lens of sickle cell anemia, a disease that primarily affects blacks. Carolyn Moxley Rouse uncovers the cultural assumptions that shape the quality and delivery of care for sickle cell patients.
