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Women Doctors and the Evolution of Health Care in America
The number of women practicing medicine in the United States has grown steadily since the late 1960s, with women now roughly at parity with men among entering medical students. Why did so many women enter American medicine? How are women faring, professionally and personally, once they become physicians? Are women transforming the way medicine is practiced?
To answer these questions, The Changing Face of Medicine draws on a wide array of sources, including interviews with women physicians and surveys of medical students and practitioners. The analysis is set in the twin contexts of a rapidly evolving medical system and profound shifts in gender roles in American society.
Throughout the book, Ann K. Boulis and Jerry A. Jacobs critically examine common assumptions about women in medicine. For example, they find that women's entry into medicine has less to do with the decline in status of the profession and more to do with changes in women's roles in contemporary society. Women physicians' families are becoming more and more like those of other working women. Still, disparities in terms of specialty, practice ownership, academic rank, and leadership roles endure, and barriers to opportunity persist. Along the way, Boulis and Jacobs address a host of issues, among them dual-physician marriages, specialty choice, time spent with patients, altruism versus materialism, and how physicians combine work and family.
Women's presence in American medicine will continue to grow beyond the 50 percent mark, but the authors question whether this change by itself will make American medicine more caring and more patient centered. The future direction of the profession will depend on whether women doctors will lead the effort to chart a new course for health care delivery in the United States.
Charcot in Morocco is the first-ever publication of Dr. Jean-Martin Charcot’s travel diary of his 1887 trip to Morocco. Considered the father of neuropathology, Charcot (1825–1893) is a seminal character in the history of neurology and psychology. His Moroccan travel diary includes his “objective” observations of the local Jewish community, which only fortified his assumptions about the relationship between race and neuropathology. These became a conspicuous feature of his ideas about the hereditary origins of nervous ailments. His ideas – taught as doctrine to a vast audience, including a young Sigmund Freud – reveal the convergence of clinical observation and European anti-Semitism at the end of the nineteenth century.
Including an enlightening critical introduction by renowned Charcot expert Toby Gelfand, Charcot in Morocco provides new insights into the personality of this influential figure and his perspectives on the “Orient” and its inhabitants.
From sentimental stories about polio to the latest cherub in hospital commercials, sick children tug at the public’s heartstrings. However sick children have not always had adequate medical care or protection. The essays in Children’s Issues in Historical Perspective investigate the identification, prevention, and treatment of childhood diseases from the 1800s onwards, in areas ranging from French-colonial Vietnam to nineteenth-century northern British Columbia, from New Zealand fresh air camps to American health fairs.
Themes include: the role of government and/or the private sector in initiating and underwriting child public health programs; the growth of the profession of pediatrics and its views on “proper” mothering techniques; the role of nationalism, as well as ethnic and racial dimensions in child-saving movements; normative behaviour, social control, and the treatment of “deviant” children and adolescents; poverty, wealth, and child health measures; and the development of the modern children’s hospital.
This liberally illustrated collection reflects the growing academic interest in all aspects of childhood, especially child health, and originates from health care professionals and scholars across the disciplines. An introduction by the editors places the historical themes in context and offers an overview of the contemporary study of children’s health.
Jews in Science in the Twentieth Century
Scholars have struggled for decades to explain why Jews have succeeded extravagantly in modern science. A variety of controversial theories—from such intellects as C. P. Snow, Norbert Wiener, and Nathaniel Weyl—have been promoted. Snow hypothesized an evolved genetic predisposition to scientific success. Wiener suggested that the breeding habits of Jews sustained hereditary qualities conducive for learning. Economist and eugenicist Weyl attributed Jewish intellectual eminence to "seventeen centuries of breeding for scholars." Rejecting the idea that Jews have done well in science because of uniquely Jewish traits, Jewish brains, and Jewish habits of mind, historian of science Noah J. Efron approaches the Jewish affinity for science through the geographic and cultural circumstances of Jews who were compelled to settle in new worlds in the early twentieth century. Seeking relief from religious persecution, millions of Jews resettled in the United States, Palestine, and the Soviet Union, with large concentrations of settlers in New York, Tel Aviv, and Moscow. Science played a large role in the lives and livelihoods of these immigrants: it was a universal force that transcended the arbitrary Old World orders that had long ensured the exclusion of all but a few Jews from the seats of power, wealth, and public esteem. Although the three destinations were far apart geographically, the links among the communities were enduring and spirited. This shared experience—of facing the future in new worlds, both physical and conceptual—provided a generation of Jews with opportunities unlike any their parents and grandparents had known. The tumultuous recent century of Jewish history, which saw both a methodical campaign to blot out Europe's Jews and the inexorable absorption of Western Jews into the societies in which they now live, is illuminated by the place of honor science held in Jewish imaginations. Science was central to their dreams of creating new worlds—welcoming worlds—for a persecuted people. This provocative work will appeal to historians of science as well as scholars of religion, Jewish studies, and Zionism.
Long and recurring illnesses have burdened sick people and their doctors since ancient times, but until recently the concept of “chronic disease” had limited significance. Even lingering diseases like tuberculosis, a leading cause of mortality, did not inspire dedicated public health activities until the later decades of the nineteenth century, when it became understood as a treatable infectious disease. Historian of medicine George Weisz analyzes why the idea of chronic disease assumed critical importance in the twentieth century and how it acquired new meaning as one of most serious problems facing national healthcare systems. Chronic Disease in the Twentieth Century challenges the conventional wisdom that the concept of chronic disease emerged because medicine’s ability to cure infectious disease led to changing patterns of disease. Instead, it suggests, the concept was constructed and has evolved to serve a variety of political and social purposes. How and why the concept developed differently in the United States, the United Kingdom, and France are central concerns of this work. In the United States, anxiety about chronic disease spread early in the twentieth century and was transformed in the 1950s and 1960s into a national crisis that helped shape healthcare reform. In the United Kingdom, the concept emerged only after World War II, was associated almost exclusively with proper medical care for the elderly population, and became closely linked to the development of geriatrics as a specialty. In France, the problems of elderly and infirm people were handled as technical and administrative matters until the 1950s and 1960s, when medical treatment of elderly people emerged as a subset of their wider social marginality. While an international consensus now exists regarding a chronic disease crisis that demands better forms of disease management, the different paths taken by these countries during the twentieth century continue to exert profound influence. This book seeks to explain why, among the innumerable problems faced by societies, some problems in some places become viewed as critical public issues that shape health policy.
Epistolary Medicine in the Renaissance
During the Renaissance, collections of letters both satisfied humanist enthusiasm for ancient literary forms and provided the flexibility of a format appropriate to many types of inquiry. The printed collections of medical letters by Giovanni Manardo of Ferrara and other physicians in early sixteenth-century Europe may thus be regarded as products of medical humanism. The letters of mid- and late sixteenth-century Italian and German physicians examined in Communities of Learned Experience by Nancy G. Siraisi also illustrate practices associated with the concepts of the Republic of Letters: open and relatively informal communication among a learned community and a liberal exchange of information and ideas. Additionally, such published medical correspondence may often have served to provide mutual reinforcement of professional reputation. Siraisi uses some of these collections to compare approaches to sharing medical knowledge across broad regions of Europe and within a city, with the goal of illuminating geographic differences as well as diversity within social, urban, courtly, and academic environments of medical learning and practice. The collections she has selected include essays on general medical topics addressed to colleagues or disciples, some advice for individual patients (usually written at the request of the patient’s doctor), and a strong dose of controversy.
The U.S. Government's Sex Education Campaign from World War I to the Internet
This history of the U.S. Public Health Service's efforts to educate Americans about sex makes clear why federally funded sex education has been haphazard, ad hoc, and often ineffectual. Since launching its first sex ed program during World War I, the Public Health Service has dominated federal sex education efforts. Alexandra M. Lord draws on medical research, news reports, the expansive records of the Public Health Service, and interviews with former surgeons general to examine these efforts, from early initiatives through the administration of George W. Bush. Giving equal voice to many groups in America—middle class, working class, black, white, urban, rural, Christian and non-Christian, scientist and theologian—Lord explores how federal officials struggled to create sex education programs that balanced cultural and public health concerns. She details how the Public Health Service left an indelible mark on federally and privately funded sex education programs through partnerships and initiatives with community organizations, public schools, foundations, corporations, and religious groups. In the process, Lord explains how tensions among these organizations and local, state, and federal officials often exacerbated existing controversies about sexual behavior. She also discusses why the Public Health Service's promotional tactics sometimes inadvertently fueled public fears about the federal government’s goals in promoting, or not promoting, sex education. This thoroughly documented and compelling history of the U.S. Public Health Service's involvement in sex education provides new insights into one of the most contested subjects in America.
The Politics of Public Health in Early Philadelphia
By the time William Penn was planning the colony that would come to be called Pennsylvania, with Philadelphia at its heart, Europeans on both sides of the ocean had long experience with the hazards of city life, disease the most terrifying among them. Drawing from those experiences, colonists hoped to create new urban forms that combined the commercial advantages of a seaport with the health benefits of the country. The Contagious City details how early Americans struggled to preserve their collective health against both the strange new perils of the colonial environment and the familiar dangers of the traditional city, through a period of profound transformation in both politics and medicine.
Philadelphia was the paramount example of this reforming tendency. Tracing the city's history from its founding on the banks of the Delaware River in 1682 to the yellow fever outbreak of 1793, Simon Finger emphasizes the importance of public health and population control in decisions made by the city's planners and leaders. He also shows that key figures in the city's history, including Benjamin Franklin and Benjamin Rush, brought their keen interest in science and medicine into the political sphere. Throughout his account, Finger makes clear that medicine and politics were inextricably linked, and that both undergirded the debates over such crucial concerns as the city's location, its urban plan, its immigration policy, and its creation of institutions of public safety. In framing the history of Philadelphia through the imperatives of public health, The Contagious City offers a bold new vision of the urban history of colonial America.
Newark Beth Israel and the Jewish Hospital in America