American Health Care

The problem with pandemics is that people want to forget them. One year, a million Americans are killed by a deadly new virus. The next, everyone is back rooting for the Georgia Bulldogs. The impulse to move on from this particular kind of tragedy is more than a little odd.

In Unsustainable, Dr. Christopher Voss—a physician with expertise in anesthesiology, critical care, pain medicine, and lifestyle medicine—offers a compelling, well-researched examination of how capitalism has shaped modern healthcare, often rewarding continuous treatment over definitive cures.

At the height of World War I, history’s most lethal influenza virus erupted in an army camp in Kansas, moved east with American troops, then exploded, killing as many as 100 million people worldwide. It killed more people in twenty-four months than AIDS killed in twenty-four years, more in a year than the Black Death killed in a century. But this was not the Middle Ages, and 1918 marked the first collision of science and epidemic disease.

The Revolutionary War broke out during a smallpox epidemic, and in response, General George Washington ordered the inoculation of the Continental Army. But Washington did not have to convince fearful colonists to protect themselves against smallpox. In The Contagion of Liberty, Andrew M. Wehrman describes a revolution within a revolution, where the violent insistence for freedom from disease ultimately helped American colonists achieve independence from Great Britain.

A Silent Spring for the human body, this wide-ranging, genre-crossing literary mystery interweaves the author’s quest to understand the source of her own condition with her telling of the story of the chronically ill 19th-century diarist Alice James—ultimately uncovering the many hidden health hazards of life in America.

African American Slave Medicine offers a critical examination of how African American slaves' medical needs were addressed during the years before and surrounding the Civil War. Drawing upon ex-slave interviews conducted during the 1930s and 1940s by the Works Project Administration (WPA), Dr. Herbert C. Covey inventories many of the herbal, plant, and non-plant remedies used by African American folk practitioners during slavery.

Mama Might Be Better Off Dead immerses listeners in the lives of four generations of a poor, African-American family in the neighborhood, who are beset with the devastating illnesses that are all too common in America's inner-cities. Headed by Jackie Banes, who oversees the care of a diabetic grandmother, a husband on kidney dialysis, an ailing father, and three children, the Banes family contends with countless medical crises.

Whether a patient, health consumer, physician, nurse, health executive, or elected official, somewhere deep in our brains is this simple truth: the American health system isn’t working, and it will only get worse if we don’t do something about it. Despite spending more money per capita on healthcare than any other country in the world, the U.S. struggles to match other nations in life expectancy, health outcomes and general well-being. Meanwhile the system spends more on unnecessary, ineffective and wasteful services than what we collectively invest in K-12 education in America.

In 2017, seven-year-old Ava in South Carolina wrote a letter to Tyshaun, an eight-year-old boy from Washington, DC. She asked him to be her pen pal; Ava thought they could help each other. The kids had a tragic connection - both were traumatized by gun violence. Ava’s best friend had been killed in a campus shooting at her elementary school, and Tyshaun’s father had been shot to death outside of the boy’s elementary school. Ava’s and Tyshaun’s stories are extraordinary, but not unique.

This is the spellbinding tale of a mysterious doctor who revolutionized neonatal care more than 100 years ago and saved some 7,000 babies. Dr. Martin Couney's story is a kaleidoscopic ride through the intersection of ebullient entrepreneurship, enlightened pediatric care, and the wild culture of world's fairs at the beginning of the American Century.

The inspiring story of a Black doctor who was deeply affected by the violence that plagued his Brooklyn childhood and later dedicated himself to addressing trauma and violence as public health issues....

Today, 90 percent of psychiatric beds are located in jails and prisons across the United States, institutions that confine disproportionate numbers of African Americans. After more than a decade of research, the celebrated scholar and activist Mab Segrest locates the deep historical roots of this startling fact, turning her sights on a long-forgotten cauldron of racial ideology: the state mental asylum system in which psychiatry was born and whose influences extend into our troubled present.

Johns Hopkins University, one of the preeminent medical schools in the nation today, has played a unique role in the history of medicine. When it first opened its doors in 1893, medicine was a rough-and-ready trade. It would soon evolve into a rigorous science. In recent years, medical science has mapped the human genome, deployed robotic tools to perform delicate surgeries, and developed effective vaccines against a host of deadly pathogens. But this transformation could not have happened without the game-changing vision, talent, and dedication of a small cadre of individuals.

Hoping for the stability he needs to start a family, Sandeep Jauhar, an attending cardiologist, accepts a position at a massive teaching hospital on the outskirts of Queens. With a decade's worth of elite medical training behind him, he is eager to settle down and reap the rewards of countless sleepless nights. Instead, he is confronted with sobering truths. Doctors' morale is low and getting lower.

Between 1927 and 1979, more than 8,000 people were involuntarily sterilized in five hospitals across the state of Virginia. From this plain and terrible fact springs Elizabeth Catte's Pure America, a sweeping, unsparing history of eugenics in Virginia, and by extension the United States.

From James Beard Leadership Award winner Saru Jayaraman, Forked is an enlightening examination of what we don't talk about when we talk about restaurants: Is the line cook working through a case of stomach flu because he doesn't get paid sick days? Is the busser not being promoted because he speaks with an accent? Is the server tolerating sexual harassment because tips are her only income?

America's leaders say the economy is strong and getting stronger. But the safety net that once protected us is fast unraveling. With retirement plans in growing jeopardy while health coverage erodes, more and more economic risk is shifting from government and business onto the fragile shoulders of the American family. In The Great Risk Shift, Jacob S. Hacker lays bare this unsettling new economic climate, showing how it has come about, what it is doing to our families, and how we can fight back.

At the turn of the last century, a smallpox epidemic swept the United States. The age-old disease spread swiftly through an increasingly interconnected American landscape: from southern plantations to the immigrant neighborhoods of northern cities to far-flung villages on the edges of the American empire. In Pox, historian Michael Willrich offers a gripping chronicle of how the nation's continent-wide fight against smallpox launched one of the most important civil liberties struggles of the 20th century.

Between the years 1918 and 1920, influenza raged around the globe in the worst pandemic in recorded history, killing at least 50 million people, more than half a million of them Americans. Yet despite the devastation, this catastrophic event seems but a forgotten moment in our nation's past. American Pandemic offers a much-needed corrective to the silence surrounding the influenza outbreak.

During the worst smallpox epidemic in Boston history, Mather convinced Doctor Boylston to try a procedure that he believed would prevent death - by making an incision in the arm of a healthy person and implanting it with smallpox. "Inoculation" led to vaccination, one of the most profound medical discoveries in history.