by Paul Weindling (1995)
This is a collection of original studies on the new international health and welfare organisations between the First and the Second World Wars. The diversity of such organisations and their many-sided activities make this a rich and complex area of historical investigation which has direct relevance to current issues in international health. Multilateral organisations such as the League of Nations and a variety of types of non-governmental organisations are discussed. The role of scientific and professional factors, as well as the priorities of women's employment, eugenics and pronatalism are also considered. Together, the various chapters present a cohesive and integrated view of a hitherto neglected area of study. The book also complements comparative studies of welfare states by emphasising the importance of international interactions between expert groups in a broader political and social context.
John P. Geyman
"This pragmatic, objective approach to the complex issues surrounding the U.S. health care system successfully bridges the world of health economists/health analysts/policy makers with that of clinicians. Focusing on the main problems-escalating costs, limitations of access, and a wide variety of quallity care-this unique book helps you better understand the rapidly changing and complex world of health care"--Back cover.
Kevin Dew
"In contemporary manifestations of public health rituals and events, people are being increasingly united around what they hold in common--their material being and humanity. As a cult of humanity, public health provides a moral force in society that replaces 'traditional' religions in times of great diversity or heterogeneity of peoples, activities and desires. This is in contrast to public health's foundation in science, particularly the science of epidemiology. The rigid rules of 'scientific evidence' used to determine the cause of illness and disease can work against the most vulnerable in society by putting sectors of the population, such as underrepresented workers, at a disadvantage. This study focuses on this tension between traditional science and the changing vision articulated within public health (and across many disciplines) that calls for a collective response to uncontrolled capitalism and unremitting globalization, and to the way in which health inequalities and their association with social inequalities provides a political rhetoric that calls for a new redistributive social programme. Drawing on decades of research, the author argues that public health is both a cult and a science of contemporary society."--pub. desc.
Alan I. Marcus and Hamilton Cravens
"How can we have received so many benefits while still being as worried as ever about our health and the health care system established to ensure and extend those benefits? The historical perspective provided by the essays in this volume helps answer this question by identifying two points of significant change in health care policy. Beginning in the 1950s there emerged a subtle yet critical reconceptualization as the individual rather than the group came to figure prominently as the central policy-making unit. Then in the late 1960s, a palpable sense of limits rendered the individualism of the previous decade into a Malthusian formulation: the greater the access or benefits that any one person received, the less access and fewer benefits others could get. Besides tracing these patterns in health care development, the essays also show how traditional notions of expertise have been affected by the changes."--BOOK JACKET.
Rudo Gaidzanwa
"Most attempts at studying the effects of economic crisis and structural adjustment on the health sector in Africa have concentrated on the impact of cuts in the public health budget and the introduction of user charges/cost recovery measures on the capacity of the populace, especially the working poor, to maintain or improve access to modern medical services. Very useful insights have certainly been gained from those studies, especially with regard to the documentary evidence that has been marshalled to capture the declines in the health and nutritional status of the majority of the consumers of health services. However, there remains a major gap in the literature on the consequences of structural adjustment for the African health sector, and this has to do with the fact that the experiences of the medical professionals who work in the sector have remained unstudied. Yet, there is no doubt that the sharp cutbacks in the health sector with which these professionals have had to cope also affect their capacity to carry out their work effectively. This fact, together with the deterioration of their working and living conditions during the adjustment years, has compelled many of them to re-think their livelihood strategies. The ways in which these professionals have sought to respond to the changing environment of work and livelihood in Zimbabwe since the country adopted an IMF /World Bank structural adjustment programme constitute the essence of this research report. Of particular interest are those doctors and nurses who took a decision to migrate from Zimbabwe to Botswana and South Africa in Search of "greener" pastures."--BOOK JACKET.