Dead on Arrival

The Politics of Health Care in Twentieth-Century America

Colin Gordon

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Princeton University Press img Link Publisher

Sachbuch / 20. Jahrhundert (bis 1945)

Beschreibung

Why, alone among industrial democracies, does the United States not have national health insurance? While many books have addressed this question, Dead on Arrival is the first to do so based on original archival research for the full sweep of the twentieth century. Drawing on a wide range of political, reform, business, and labor records, Colin Gordon traces a complex and interwoven story of political failure and private response. He examines, in turn, the emergence of private, work-based benefits; the uniquely American pursuit of "social insurance"; the influence of race and gender on the health care debate; and the ongoing confrontation between reformers and powerful economic and health interests.



Dead on Arrival stands alone in accounting for the failure of national or universal health policy from the early twentieth century to the present. As importantly, it also suggests how various interests (doctors, hospitals, patients, workers, employers, labor unions, medical reformers, and political parties) confronted the question of health care--as a private responsibility, as a job-based benefit, as a political obligation, and as a fundamental right.


Using health care as a window onto the logic of American politics and American social provision, Gordon both deepens and informs the contemporary debate. Fluidly written and deftly argued, Dead on Arrival is thus not only a compelling history of the health care quandary but a fascinating exploration of the country's political economy and political culture through "the American century," of the role of private interests and private benefits in the shaping of social policy, and, ultimately, of the ways the American welfare state empowers but also imprisons its citizens.

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Schlagwörter

Socialized medicine, Tax, Public health, Federal Security Agency, Payment, Activism, Health care reform, Medical education, Welfare, African Americans, Group insurance, Provision (contracting), Hospital, Policy, Reimbursement, Universal health care, Cost accounting, Deductible, Reinsurance, Political culture, Insurance, Payroll tax, Racial segregation, Self-insurance, Group Practice, Healthcare industry, Welfare state, Maternal health, Social policy, Physician, Employment, Social Security Act, Social insurance, Welfare capitalism, Legislation, Progressive Era, Health economics, Legislator, Health care in the United States, Lobbying, Wage, Unemployment, Public policy, National health insurance, Health system, Health insurance in the United States, Pension, Regulation, Health insurance, Subsidy, State Children's Health Insurance Program, Health care, Southern Democrats, Health policy, American exceptionalism, Collective bargaining, Politics, Health insurance mandate, Health maintenance organization, World War II, Income, Government, Family wage, Political agenda, Politician, Labour movement, Trade union, Employee benefit, Health Advocate, Medicaid