In 1847, at the first meeting of the American Medical Association, the newly elected president reminded his brethren that the profession, "once venerated," no longer earned homage "spontaneously and universally." The medical marketplace was crowded and competitive; state laws regulating medical practice had been repealed; and professional practitioners were often branded by their lay competitors as aristocrats bent on establishing a health care monopoly. By 1900, the battles were over, and, as the president of AMA had hoped, doctors were now widely venerated as men of profound science, elegant literature, polite accomplishments, and virtue. In fact, by 1900 the doctor had replaced the minister as the most esteemed professional in the United States; disease loomed larger than damnation; and science promised to manage the discord, differences, and excesses that democracy seemed to license. In Profound Science and Elegant Literature, Stephanie Browner charts this trajectory—and demonstrates at the same time that medicine's claims to somatic expertise and managerial talent did not go uncontested. Even as elite physicians founded institutions that made professional medicine's authority visible and legitimate, many others worried about the violence that might attend medicine's drive to mastery and science's equation of rational disinterest with white, educated masculinity. Reading fiction by a wide range of authors beside and against medical texts, Browner looks to the ways in which writers such as Hawthorne, Melville, Holmes, James, Chesnutt, and Jewett inventoried the collateral damage that might be done as science installed its peculiar understanding of the body. A work of impressive interdisciplinary reach, Profound Science and Elegant Literature documents both the extraordinary rise of professional medicine in the United States and the aesthetic imperative to make the body meaningful that led many American writers to resist the medicalized body.

This comprehensive history of medicine and public health in America covers changes and developments over four centuries, from the arrival of the first Europeans to the twenty-first century.

"This book is a collection of essays by international scholars celebrating the twentieth anniversary of Silko's novel, Almanac of the Dead, and addressing those ongoing demands for justice. It offers new responses to Almanac's sociocultural, historical, and political contexts, and includes a new interview with Silko in which she reflects on the twenty years since the novel's publication"--

Every year, the average American spends about $7,300 on medical expenses. The typical Canadian pays $2,700, the Briton only $2,000. And yet, according to the World Health Organization, our healthcare system, in terms of total quality, ranks thirty-eighth in the world, right between Costa Rica and Slovenia. Not only do 40 million Americans lack health insurance, but more than 200,000 die each year because of medical mistakes. Our average life expectancy is lower than Cuba's. In Next Medicine, Dr. Walter Bortz zeroes in on why the American medicine is spiraling toward disaster. A physician with fifty years of experience and a leading authority on aging, Bortz argues that the financial interests of biotech and drug companies have distorted the healthcare system. Thanks to them, medicine today is economically motivated to treat disease rather than to prevent it. Heart disease, for example, is widely treated with drug interventions and invasive surgery--both of which are extravagantly profitable for pharmaceutical giants and hospitals. Daily exercise and a healthy diet, on the other hand, can prevent heart disease, and can be obtained by patients essentially for free--but there's no money in that. The medical-industrial complex has a vested interest in keeping us sick, and until that changes medicine will fail to effectively address the leading cause of disability and mortality today: chronic diseases like diabetes that are largely preventable. Bortz proposes a medical system that emphasizes personal responsibility and provides incentives for healthy lifestyle choices, along with new training for medical professionals. Through a lively narrative full of personal anecdotes and jarring statistics, Bortz makes a powerful case for a radically new medical system--one that is based on rigorous science and loosens the strangle hold of corporate interests on American health.

Nathaniel Hawthorne's fiction has left a lasting impression on writers, scholars, and readers around the world.

Vividly illustrated, The Doctor Dissected examines the the sensational serial killings--known as the Anatomy Murders--that roiled Scotland in the early nineteenth century and considers their checkered afterlife in novels, plays, and films.