In our rapidly advancing scientific and technological world, many take great pride and comfort in believing that we are on the threshold of new ways of thinking, living, and understanding ourselves. But despite dramatic discoveries that appear in every way to herald the future, legacies still carry great weight. Even in swiftly developing fields such as health and medicine, most systems and policies embody a sequence of earlier ideas and preexisting patterns. In History and Health Policy in the United States, seventeen leading scholars of history, the history of medicine, bioethics, law, health policy, sociology, and organizational theory make the case for the usefulness of history in evaluating and formulating health policy today. In looking at issues as varied as the consumer economy, risk, and the plight of the uninsured, the contributors uncover the often unstated assumptions that shape the way we think about technology, the role of government, and contemporary medicine. They show how historical perspectives can help policymakers avoid the pitfalls of partisan, outdated, or merely fashionable approaches, as well as how knowledge of previous systems can offer alternatives when policy directions seem unclear. Together, the essays argue that it is only by knowing where we have been that we can begin to understand health services today or speculate on policies for tomorrow.

This book examines the social, economic and political issues of public health provision in historical perspective. It outlines the development of public health in Britain, Continental Europe and the United States from the ancient world through to the modern state. It includes discussion of: * pestilence, public order and morality in pre-modern times * the Enlightenment and its effects * centralization in Victorian Britain * localization of health care in the United States * population issues and family welfare * the rise of the classic welfare state * attitudes towards public health into the twenty-first century.

Dorothy PORTER: Introduction. Matthew RAMSEY: Public Health in France. Paul WEINDLING: Public Health in Germany. Christopher HAMLIN: State Medicine in Great Britain. Karin JOHANNISSON: The People's Health: Public Health Policies in Sweden. Susan GROSS SOLOMON: The Expert and the State in Russian Public Health: Continuities and Changes Across the Revolutionary Divide. Elizabeth FEE: Public Health and the State: the United States. Jay CASSELL: Public Health in Canada. Linda BRYDER: A New World? Two Hundred Years of Public Health in Australia and New Zealand. David ARNOLD: Crisis and Contradicition in India's Public Health. Maryinez LYONS: Public Health in Colonial Africa: The Belgian Congo. Mahito H. FUKUDA: Public Health in Modern Japan: From Regimen to Hygiene. Milton I. ROEMER: Internationalism in Medicine and Public Health.

From the beginning of mankind, health and health issues have played a major role in life, but the issues and care have evolved enormously from the time when the first settlers set foot in America to the present. In The History and Evolution of Healthcare in America, author Thomas W. Loker provides a historical perspective on the state of healthcare and offers fresh views on changes to Obamacare. Insightful and thorough, The History and Evolution of Healthcare in America offers a look at - what healthcare was like at the birth of the nation; - how the practice of providing healthcare has changed for both caregivers and receivers; - why the process has become so corrupt and expensive; - what needs to happen to provide both choice and effective and efficient care for all; - where we need to most focus efforts to get the biggest change; - what is needed to get control over this out-of-control situation. Loker narrates a journey through the history of American healthcare-where we've been, how we arrived where we are today, and determine where we might need to go tomorrow. The history illustrates how parts of the problem have been solved in the past and helps us understand what might be necessary to solve our remaining problems in the future.

The distinctive mixing and continuous remixing of public and private roles is a defining feature of health care in the United States. The Public-Private Health Care State explores the interweaving of public and private enterprise in health care in the United States as a basis for thinking about health care in terms of its history and its continuing evolution today. Historian and policy analyst Rosemary Stevens has selected and edited seventeen essays from both her published and unpublished work to illustrate continuing themes, such as: the flexible meanings of the terms public and private, and how useful their ambiguity has been and is; the role of ideology as ratifying rather than preordaining change; and the common behavior of public leaders and corporate entities in the face of fiscal opportunity. The topics--covering the period of 1870 through the twenty-first century--represent Stevens' research interests in hospital history and policy, the medical profession, government policy, and paying for health care. The volume also considers her involvement with policy questions, which include health services research, health maintenance organizations, and physician workforce policy. Section I demonstrates the long history of state government involvement with private not-for-profit hospitals from the 1870s through the 1930s. Section II examines the federal role in health care from the 1920s through the 1970s, including the establishment of veterans' hospitals and the implementation of Medicaid. Section III shows how shifting governmental roles require constantly changing organizing rhetoric, whether for inventing a federal role for health services research and HMOs, regionalization in the 1970s, or defining civil rights and equity as mobilizing vehicles in the 1980s. Section IV examines growing concerns from the 1970s through the present about the traditional public role of the largely private medical profession. Section V returns to the ambiguous public-priv

The modern hospital is at once the site of healing, the locus of medical learning and a cornerstone of the welfare state. Its technological and infrastructural costs have transformed health services into one of today's fastest growing sectors, absorbing substantial proportions of national income in both developed and emerging economies. The aim of this book is to examine this growth in different countries, with a main focus on the twentieth century, and also with a backward glance to earlier shaping forces. It will explore the hospital's economic history, the relationship between public and private forms of provision, and the political context in which health systems were constructed. The collection advances the historical world map of different hospital models, ranging across Spain, Brazil, Germany, East and Central Europe, Britain, the United States and China. Collectively, these comparative cases illuminate the complexities involved in each country and bring new historical evidence to current debates on health care organisation, financing and reform.

Providing a historical overview of healthcare in Italy from its unification in 1861 to the present COVID-19 pandemic, this book analyses the political, social and cultural impact of Italian healthcare policy and medicine. The author examines the development of public health, hospitals, and primary care, and the building of healthcare systems across three political regimes in Italy: the liberal period (1861-1914), Fascism (1922-43), and the Italian Republic (1948 to the present day). By emphasising the embeddedness of health-related legislation in Italy's political and social background, this book offers a comparative account of Italian health policy, and contrasts this with developments in neighbouring European countries, Canada and the United States. The book focuses on the Italian government's reaction to the social and political impact of several diseases: pellagra; cholera; malaria; and tuberculosis, and explores the present-day response to the current COVID-19 pandemic. A timely and comprehensive read, this book will appeal to those teaching and researching Italian history and the history of medicine and healthcare more widely. Francesco Taroni is Professor of legal and social medicine at the University of Bologna in Italy. Previously, he has held managerial positions at a national and regional level. Internationally, he is Visiting Research Scientist at the Sidney Kimmel Medical College's Asano-Gonnella Center for Research in Medical Education and Health Care, Thomas Jefferson University, Philadelphia, USA, and has consulted for the World Health Organization (WHO) and the Organisation for Economic Cooperation and Development (OECD). Francesco has published extensively on healthcare research and his most recent books include Politiche Sanitarie in Italia (Health Policies in Italy, 2011) and Il Volo del Calabrone: 40 Anni di Servizio Sanitario Nazionale (The Flight of the Bumblebee: 40 years of National Health Service, 2019).

Drawing on an extensive range of resources, including government reports, scholarly publications, and analyses from a range of private organizations, Introduction to US Health Policy provides scholars, policymakers, and health care providers with a comprehensive platform of ideas that is key to understanding and influencing the changes in the US health care system.