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E-grāmata: To Live and Die in America: Class, Power, Health and Healthcare

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Reviled as one of the worst healthcare providers in the world, the United States has among the worst indicators of health in the industrialised world, whilst paradoxically spending significantly more on its health care system than any other industrial nation.





Economists Robert Chernomas and Ian Hudson explain this contradictory phenomenon as the product of the unique brand of capitalism that has developed in the US. It is this particular form of capitalism that analogously created social and economic conditions that influence health, such as, highly industrialised labour that produced chronic disease amongst the labouring classes, alongside an inefficient, unpopular and inaccessible health care system that is incapable of dealing with those same patients. In order to improve health in America, the authors argue that a change is required in the conditions in the capitalist system in which people live and work, as well as a restructured health care system.

Recenzijas

'A fascinating account of how the strength of corporate interests and the relative weakness of unions have given the United States a bloated and inefficient health care system' -- Dean Baker, co-founder of the Center for Economic and Policy Research, Washington DC 'Should be read by everyone who feels that power in the United States is very unevenly distributed, not only by gender and race, but primarily by class' -- Vicente Navarro, Professor of Health and Public Policy, Johns Hopkins School of Public Health, and Editor-in-Chief of the Journal of International Health Services 'This timely exposé will strike a deep chord with the millions of Americans who live daily with health care insecurity' -- Anne-Emanuelle Birn, Canada Research Chair in International Health at the University of Toronto and co-author of Global Health in a Dynamic World (2009). 'A cogent and penetrating analysis of health outcomes in America, outlining the historical role played by unions in contributing to public health services critical to all citizens. A must-read for all who embrace the goals for fairness shared by the 99 percent' -- Paul Moist, National President, Canadian Union of Public Employees

List of figures and tables ix
Acknowledgments xi
1 Class, power, health, and healthcare 1(8)
Introduction
1(2)
Competing theories of health outcomes
3(3)
The rest of the book
6(3)
2 The medical miracle? 9(28)
Illness under early industrialization in the United States and the United Kingdom
10(7)
Modern illness
17(5)
The medical diagnosis
22(7)
The corporate influence on medical science
29(7)
Conclusion
36(1)
3 To live and die in the nineteenth-century United States: a class-based explanation of the rise and fall of infectious disease 37(39)
The casual holocaust
38(1)
The context for infectious disease in the United Kingdom: overworked, underpaid, overcrowded, and insanitary
39(10)
Poverty and insecurity
40(3)
Environmental conditions
43(6)
The UK transition
49(4)
The context for infectious disease in the United States: overworked, underpaid, overcrowded, and insanitary
53(12)
Poverty and insecurity
54(3)
Conditions of work
57(2)
Environmental conditions
59(1)
Employers and the state confront unions over the social determinants of health
60(5)
The US transformation
65(9)
Poverty and inequality
66(3)
Conditions of work
69(4)
Living conditions: housing, sanitation, and public health
73(1)
Conclusion
74(2)
4 Death in our times: the exceptional class context for chronic disease in the United States 76(47)
Food
79(4)
Environment
83(7)
Work
90(7)
Stress at work
91(2)
Unemployment and insecurity
93(2)
Occupational illness
95(2)
Inequality
97(8)
The recent US political economy: a turn for the worse
105(16)
Regulation
105(3)
Declining funding
108(1)
Trade agreements as a social determinant of health
109(3)
Industry influence on regulations
112(4)
Labor market changes
116(5)
Conclusion
121(2)
5 The political economy of US healthcare: the medical industrial complex 123(47)
Class interests: the evolution of the medical industrial complex
125(15)
The early years: the AMA
126(6)
Modern America: insurance and corporate medicine
132(8)
The results of the dominance of the MIC
140(12)
The insurance industry
140(3)
For-profit hospitals and healthcare services
143(4)
The pharmaceutical industry
147(4)
Profits in the MIC
151(1)
Economics in support of the MIC
152(7)
Predictable: Obama's healthcare plan
159(9)
Conclusion
168(2)
6 Three easy lessons 170(25)
Safety first: the REACH program
171(5)
Equality, economic growth, and health
176(8)
Universal, single-payer, public health insurance in Canada
184(8)
Conclusion
192(3)
Bibliography 195(24)
Index 219
Robert Chernomas is Professor of Economics at the University of Manitoba, Canada. He is co-author (with Ian Hudson) of Economics in the Twenty-first Century: A Critical Perspective (University of Toronto Press, 2016) and To Live and Die in America: Class, Power Health and Health Care (Pluto Press, 2013).





Ian Hudson is Associate Professor of Economics at the University of Manitoba, Canada. He is the co-author (with Robert Chernomas) of Economics in the Twenty-first Century: A Critical Perspective (University of Toronto Press, 2016) and To Live and Die in America: Class, Class, Power Health and Health Care (Pluto Press, 2013).