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Burdens of War
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During and after World War I, policy makers, public health advocates, and veterans laid the groundwork for the extension of government-sponsored medical care to millions of former service members. In the process, they built a pillar of American social policy. In Burdens of War, Jessica L. Adler explores how the establishment of the veterans’ health system marked a reimagining of modern veterans’ benefits and signaled a pathbreaking validation of the power of professionalized institutional medical care.

Adler reveals that a veterans’ health system came about incrementally, amid skepticism from legislators, doctors, and army officials concerned about the burden of long-term obligations, monetary or otherwise, to ex-service members. She shows how veterans’ welfare shifted from centering on pension and domicile care programs rooted in the nineteenth century to direct access to health services. She also traces the way that fluctuating ideals about hospitals and medical care influenced policy at the dusk of the Progressive Era; how race, class, and gender affected the health-related experiences of soldiers, veterans, and caregivers; and how interest groups capitalized on a tense political and social climate to bring about change.

The book moves from the 1920s—when veterans requested better and more services, Congress continued to approve new facilities and increased funding, and elected officials expressed misgivings about who should have access to care—to the 1930s, when the economic crash prompted veterans to increasingly turn to hospitals for support while bureaucrats, politicians, and doctors attempted to rein in the system. By the eve of World War II, the roots of what would become the country’s largest integrated health care system were firmly planted and primed for growth. Drawing readers into a critical debate about the level of responsibility America bears for wounded service members, Burdens of War is a unique and moving case study.

Table of Contents

  1. Cover
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  1. Title Page, Series Page, Copyright
  2. pp. i-iv
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  1. Contents
  2. pp. v-vi
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  1. Acknowledgments
  2. pp. vii-x
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  1. Abbreviations Used in the Text
  2. pp. xi-xiv
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  1. Introduction. War and Federally Sponsored Health Care
  2. pp. 1-9
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  1. 1. An Extra-Hazardous Occupation: Preparing for the Health Outcomes of War
  2. pp. 10-42
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  1. 2. A Stupendous Task: The Challenges of Domestic Military Health Care
  2. pp. 43-82
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  1. 3. War Is Hell but after Is “Heller”: An Army Responsibility Becomes a Societal Obligation
  2. pp. 83-120
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  1. 4. The Debt We Owe Them: Advocating, Funding, and Planning for Veterans’ Health Care
  2. pp. 121-155
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  1. 5. Administrative Geometry: Creating and Growing the Veterans Bureau and Its Hospitals
  2. pp. 156-191
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  1. 6. I Never Did Feel Well Again: Entrenching a Federal Health System
  2. pp. 192-226
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  1. 7. State Medicine: Enduring under Fire
  2. pp. 227-252
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  1. Conclusion. The Legacy of Great War Health Policy
  2. pp. 253-264
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  1. Notes
  2. pp. 265-328
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  1. Essay on Sources
  2. pp. 329-340
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  1. Index
  2. pp. 341-353
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