Deluxe Jim Crow
Civil Rights and American Health Policy, 1935-1954
Publication Year: 2011
Published by: University of Georgia Press
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List of Tables
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List of Figures
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Portions of the book have been previously published in somewhat different form as articles and appear with the permission of the following journals and their sponsors: “The Hill-Burton Act and Civil Rights: Expanding Hospital Care for Black Southerners, 1939–1960...
Deluxe Jim Crow Timeline
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Introduction. The Devil’s Bargain of Deluxe Jim Crow Health Reform
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The phrase deluxe Jim Crow was first coined in the Baltimore Afro-American in 1927 to describe the first-class compartment for blacks on the Memphis Special, a train running through the heart of the segregated South. Thurgood Marshall later applied the phrase to the southern states’ attempts to shore up...
PART ONE. THE NATION’S NUMBER ONE HEALTH PROBLEM, 1900–1938
1. The Roots of Deluxe Jim Crow
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In all regions of the United States, white American policy makers have historically neglected the health of minorities yet have used their high rates of death and disease to justify legalized segregation, immigration restriction, and other overt forms of racial and ethnic discrimination. What are the...
2. The New Deal in Health
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Although the U.S. Public Health Service (PHS) had begun to make inroads into the infectious diseases of poverty that beleaguered the South’s growing urban population and its shifting rural areas, the farm crisis of the 1920s, the catastrophic Mississippi River flood of 1927, and the hardening of...
3. New Deal Health in North Carolina
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North Carolina’s position as a regional and national leader in public health resulted from several unique resources, particularly the state’s visionary health reformers. The State Board of Health was led by some of the nation’s most progressive public health leaders, John A. Ferrell, Watson Smith Rankin...
PART TWO. DELUXE JIM CROW COMES OF AGE, 1938–1945
4. The South and National Health Reform
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Several watershed events in 1938 heralded the emergence of deluxe Jim Crow health policy. In July, the Roosevelt administration simultaneously released the Report on Economic Conditions of the South and the Technical Committee on Medical Care’s report on a national health program. In...
5. State Reform and the Racial Divide over National Health Insurance (Images follow)
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At the same time that Thomas Parran, Lister Hill, Claude Pepper, Michael M. Davis, and Louis Wright pursued national health reform, southern state officials began to accept responsibility for equalizing public services for blacks with regard to health and welfare spending. Not only in the American...
PART THREE. DELUXE JIM CROW UNDER HARRY S. TRUMAN, 1945–1953
6. Hill-Burton and the Deluxe Jim Crow Hospital
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During World War II, progressive southern leaders such as Claude Pepper and Lister Hill at the national level and Governor J. Melville Broughton and state health officer Carl V. Reynolds in North Carolina elevated health reform, particularly hospital construction, to the top of the political agenda...
7. Hill-Burton in North Carolina
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Until 1963, Hill-Burton remained the only federal program governed in the South by a legislative separate but equal clause, which did not, in its original context, preclude segregation within funded hospitals as long as patients were admitted on an equal basis. The clause allowed individual...
8. Training Black Doctors as Public Policy
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Abraham Flexner and early black reformers such as John A. Kenney, Eugene Dibble, Numa P. Adams, Midian O. Bousfield, Louis Wright, and Paul Cornely led the early twentieth-century efforts to improve black and southern medical education. In 1942, after the Rosenwald, General Education...
9. Training Black Doctors in North Carolina
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In February 1951, just before the controversy began to heat up over admitting the first African American student to the University of North Carolina School of Medicine, Dean Walter Reece Berryhill received a letter from J. Charles Jordan, president of the Old North State Medical Society. Jordan protested that...
10. Racial Disparities and the Truman Health Plan
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When Harry S. Truman assumed the presidency in April 1945, Thomas Parran had been surgeon general for nearly a decade. Parran was the federal official who most advanced the cause of deluxe Jim Crow health policy as an integral part of the New Deal and helped to define its emphasis on southern...
Conclusion. Deluxe Jim Crow in Education Versus Health Care
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The rise and fall of the ideology of equalization among both blacks and whites provided the backdrop for racial change during the era of deluxe Jim Crow. Beginning in the 1930s, the southern movement to equalize black and white schools was black-led (primarily by the National Association for the...
Appendix 1. Deluxe Jim Crow Organizations
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Appendix 2. Deluxe Jim Crow Individuals
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Appendix 3. U.S. and Southern Populations by Race and Rural-Urban Residence, 1900–2000
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Page Count: 328
Illustrations: 14 b&w photos, 17 tables, 4 charts
Publication Year: 2011