Peter A. Swenson

An incisive look into the problematic relationships among medicine, politics, and business in America and their effects on the nation’s health Meticulously tracing the dramatic conflicts both inside organized medicine and between the medical profession and the larger society over quality, equality, and economy in health care, Peter A. Swenson illuminates the history of American medical politics from the late nineteenth century to the present. This book chronicles the role of medical reformers in the progressive movement around the beginning of the twentieth century and the American Medical Association’s dramatic turn to conservatism later. Addressing topics such as public health, medical education, pharmaceutical regulation, and health-care access, Swenson paints a disturbing picture of the entanglements of medicine, politics, and profit seeking that explain why the United States remains the only economically advanced democracy without universal health care. Swenson does, however, see a potentially brighter future as a vanguard of physicians push once again for progressive reforms and the adoption of inclusive, effective, and affordable practices.

A History of Reform, Reaction, and Money in American Medicine

Disorder

Ian Shapiro

Daniela Donno Panayides

Why are democracies so unequal? Despite the widespread expectation that democracy, via expansion of the franchise, would lead to redistribution in favor of the masses, in reality majorities regularly lose out in democracies. Taking a broad view of inequality as encompassing the distribution of wealth, risk, status, and well-being, this volume explores how institutions, individuals, and coalitions contribute to the often surprising twists and turns of distributive politics. The contributors hail from a range of disciplines and employ an array of methodologies to illuminate the central questions of democratic distributive politics: What explains the variety of welfare state systems, and what are their prospects for survival and change? How do religious beliefs influence people’s demand for redistribution? When does redistributive politics reflect public opinion? How can different and seemingly opposed groups successfully coalesce to push through policy changes that produce new winners and losers? The authors identify a variety of psychological and institutional factors that influence distributive outcomes. Taken together, the chapters highlight a common theme: politics matters. In seeking to understand the often puzzling contours of distribution and redistribution, we cannot ignore the processes of competition, bargaining, building, and destroying the political alliances that serve as bridges between individual preferences, institutions, and policy outcomes.

Peter A. Swenson

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