Pained

Uncomfortable Conversations about the Public's Health

Häftad, Engelska, 2020

Av Michael Stein, Sandro Galea, Boston University) Stein, Michael (Professor and Chair of Health Law, Policy and Management, Professor and Chair of Health Law, Policy and Management, School of Public Health, Boston University) Galea, Sandro (Robert A. Knox Professor and Dean, Robert A. Knox Professor and Dean, School of Public Health

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A POLITICAL PROVOCATION FROM A PAIR OF PHYSICIANS WRITING OUTSIDE THEIR LANEAmericans care about their health. Americans pay lots of money in hopes of maintaining their health. So why are Americans so unhealthy? The reason is simple: as a country, the United States overinvests in medical care at the expense of the social, economic, and cultural forces that produce health. The rise of medicine as a cornerstone of American life and culture has coincided with a social and political devaluation of factors demonstrated to mean more to our vitality than anything else -- influences like where we live, work, and play; livable wages that create opportunity for healthy living; and gender and racial equity. In Pained, physicians Michael Stein and Sandro Galea push the conversation around American health where it belongs: toward matters of class, money, and culture. Across more than 50 essays and data illustrations, Pained casts a light on how the structural components of everyday life -- like school, housing, police, even cell phones -- ultimately determine who gets to be healthy in today's America. In doing so, it makes a case for reframing our political discourse in less myopic, more effectual terms.Accessible and surprising, political but not partisan, Pained is the urgent, uncomfortable conversation that American needs in this challenging moment. It will delight and infuriate readers of all political stripes.

Produktinformation

Utgivningsdatum2020-06-05
Mått206 x 137 x 17 mm
Vikt318 g
FormatHäftad
SpråkEngelska
Antal sidor272
FörlagOUP USA
ISBN9780197510384

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MICHAEL STEIN is Professor and Chair of Health Law, Policy and Management of the School of Public Health at Boston University. He is primary care doctor and has been a leader in general medicine and substance use research and policy for two decades. He is Executive Editor of Public Health Post, a popular website on matters of population health. He is the author of six novels and two works of non-fiction. He has been interviewed by Terry Gross on NPR's Fresh Air and has been included in Best American Essays Notables. SANDRO GALEA is Robert A. Knox Professor and Dean of the School of Public Health at Boston University. He is a past president of the Society for Epidemiologic Research and of the Interdisciplinary Society for Population Health Science, chair of the board of the Association of Schools and Programs of Public Health, and is an elected member of the National Academy of Medicine.

ContentsAcknowledgmentsDedicationPrefaceSection 1. THINKING DIFFERENTLY1. Creating Health is Like Winning at Soccer2. The Illusion of Clinical Success3. Can We Reverse Course on Health? 4. A Party Trick5. Treating Laura6. Water Quality Violations7. The Immigrant Experience in Hurricane SeasonSection 2. THE PERSONAL IS POLITICAL8. Denying Climate Change is Denying Health9. Public Health and a President's Racism10. The Census and Public Health11. When We Talk About Public Health12. The Two Degree Solution13. The Partisan Divide Over a Soda TaxSection 3. COUNTERINTUITIVE14. What Kills Our Kids?15. What Data Do We Need for Health?16. We Cannot Have It All17. The Microbiome and the Public's Health18. Immigrants and Private Insurance: Pay More, Use Less19. Dying Young in the USASection 4. A SURE ARGUMENT20. Vaccines and Conspiracies21. Health Systems and Public Health Thinking22. Misconceptions about Veterans and Health23. Immigration and the Health of the Public 24. Out of School, Out of Luck25. Pseudoscience and Abortion PolicySection 5. FOLLOW THE MONEY26. Income Inequality and Our Health27. Can CEOs Save the Health of Americans?28. The Health of the Poorest 50% 29. Can We Promote Public Health and Generate Return on Our Investment?30. The Poor People's Campaign31. Spending Too Much On the Wrong Things32. Clarifying Medical Bankruptcy33. High Pay Gets Higher, Low Pay Gets LowerSection 6. DARK THOUGHTS34. The Story We Are Not Talking About Enough35. Names Matter in the Opioid Epidemic36. Pain Drain 37. Violence is a Public Health Issue38. Mental Health and Mortality39. Three Notes on the Opioid Crisis40. Invest in Health, Not Death41. Direct-to-Docs Opioid Marketing42. Firearm Legislation Linked with Fewer Fatal Police ShootingsSection 7. THE FUNDAMENTALS43. Housing and the Public's Health44. Food Justice45. Guns and Suicide46. The Smoking Gap47. Maybe the End of HIV48. Homelessness49. Documenting Delays in EMS Wait Times50. Particular ParticulatesSection 8. WILL TECHNOLOGY SAVE US?51. Should Black Boxes Be Welcome in Medicine?52. The New Elderly Surveillance State53. Good App Hunting54. In Social Media We Trust55. Racial Equity in Kidney Transplants56. Air Quality Standards Have Room to ImproveSection 9. WHAT NOBODY WANTS TO TALK ABOUT57. Broken Justice and the Public's Health58. The Promise of Palliative Care59. Making Aging Healthier60. The Downside of Drinking61. How Far Do Women Have to Travel to Get an Abortion?62. Planning for End-of-LifeSection 10. MAKING THINGS BETTER63. Volunteering for the Health of the Public64. Mental Health on Campus65. Healthy Homes66. Toward a Muscular Public Health67. Zero Tolerance for Preventable Deaths68. Police and the Public's Health69. Making Strides Towards Zero70. Cancer Survival Is (Mostly) ImprovingSources