This volume deals with the topic of health inequalities and health disparities. The volume is divided into five sections. The first section includes an introductory look at the issue of health care inequalities and disparities and also an introduction to the volume. One of the backdrops to this topic in the United States was The National Healthcare Disparities Report and its focus on the ability of Americans to access health care and variation in the quality of care. Disparities related to socioeconomic status were included, as were disparities linked to race and ethnicity and the report also tried to explore the relationship between race/ethnicity and socioeconomic position, as explained in more detail in the first article in the book. The second article discusses a newer overall approach to issues related to health inequalities and health disparities.
The remaining four sections of the book address more specific topics relating to inequalities and disparities. The second section examines racial and ethnic inequalities and disparities. The third section includes articles that address the issue from the perspective of research about health care providers and health care facilities. The last two sections of the book focus on consumers and topics of health care disparities, with Section 4 focused on issues related to substance abuse, mental health and related concerns. Section 5 includes articles looking at issues of vulnerable women, women with breast cancer and people with colorectal cancer.
Inequalities and Disparities in Health Care and Health is important reading for medical sociologists and people working in other social science disciplines studying health-related issues.The volume also provides vital information for health services researchers, policy analysts and public health researchers.
* A great resource for health services researchers, policy analysts and public health researchers
* An in-depth look at bioethics, focussing on health inequalities and disparities

This book explores the steady decline in the status of the individual in recent years and addresses common misunderstandings about the concept of individuality. Drawing from psychology, neuroscience, technology, economics, philosophy, politics, and law, White explains how and why the individual has been devalued in the eyes of scholars, government leaders, and the public. He notes that developments in science have led to doubts about our cognitive competence, while assumptions made in the humanities have led to questions about our moral competence. In this book, White goes on to argue that both of these views are mistaken and that they stem from overly simplistic ideas about how individuals make choices, however imperfectly, in their interests, which are multifaceted and complex. In response, he proposes a new way to look at individuals that preserves their essential autonomy while emphasizing their responsibility to others, inspired by the moral philosophy of Immanuel Kant and the legal and political philosophy reflected in the Bill of Rights to the U.S. Constitution. This book explains how individuality combines both rights and responsibilities, reconciles the popular yet false dichotomy between individual and society, and provides the basis for a humane and respectful civil society and government. This book is part of White's trilogy on the individual and society, which includes The Manipulation of Choice and The Illusion of Well-Being.

When is the use of force for humanitarian purposes legitimate? The book examines this question through one of the most controversial examples of humanitarian intervention in the post Cold War period: the 1999 NATO intervention in Kosovo. Justifying Violence applies a critical theoretical approach to an interrogation of the communicative practices which underpin claims to legitimacy for the use of force by actors in international politics. Drawing on the theory of communicative ethics, the book develops an innovative conceptual framework which contributes a critical communicative dimension to the question of legitimacy that extends beyond the moral and legal approaches so often applied to the intervention in Kosovo. The empirical application of communicative ethics offers a provocative and nuanced account which contests conventional interpretations of the legitimacy of NATO's intervention. -- .

The main message of this book is that people should be on their guard against both scare stories about risks to health, and claims for miracle cures of medical conditions. In the 21st century hardly a day passes without another article appearing in the media about a new treatment for a particular disease, new ways of improving our health by changing our lifestyle or new foodstuffs that claim to increase (or decrease) the risk of heart disease, cancer and the like. But how should the general public react to such claims, given that some of the journalists writing them focus on the sensational rather than the mundane and often have no qualms about sacrificing accuracy and honesty for the sake of a good story? Perhaps the wisest initial response is one of healthy scepticism, followed by an attempt to discover more about the details of the studies behind the reports. But most people are not, and have little desire to become experts in health research. By reading this book, however, these non-experts can, with minimal effort, learn enough about the scientific method to differentiate between those health claims, warnings and lifestyle recommendations that have some merit and those that are unproven or simply dishonest. So if you want to know if ginseng can really help with your erectile dysfunction, if breast cancer screening is all that politicians claim it to be, if ECT for depression is really a horror treatment and should be banned, if using a mobile phone can lead to brain tumours and how to properly evaluate the evidence from health and lifestyle related studies, then this is the book for you.

Institutional review boards (IRBs) are panels charged with protecting the rights of humans who participate in research studies ranging from biomedicine to social science. Regulating Human Research provides a fresh look at these influential and sometimes controversial boards, tracing their historic transformation from academic committees to compliance bureaucracies: non-governmental offices where specialized staff define and apply federal regulations. In opening the black box of contemporary IRB decision-making, author Sarah Babb argues that compliance bureaucracy is an adaptive response to the dynamics and dysfunctions of American governance. Yet this solution has had unforeseen consequences, including the rise of a profitable ethics review industry.

Animal testing is a controversy that has raged for hundreds of years. Some people view experiments on dogs as necessary for human medical progress, while others argue that the practice is barbaric. When the author adopted Marty-a beagle rescued from a research laboratory-she found herself rehabilitating a terrified dog with a traumatic past. She soon discovered the well-kept secret of painful and often fatal testing on dogs. This book details what the author has learned about the past and present of laboratory testing on dogs, life after laboratories and the hope for a future without animal testing. Interviews with rescue organizers and adoptive families reveal the struggles of removing dogs from laboratories and acclimating them to daily life. Scientists discuss the ethics of dog research and advocate for new biomedical technologies. Fundamental change is brewing, with the public, scientists and governments urging the use of new technologies that can replace testing on animals and yield better results.

This book is a comprehensive, empirically-grounded exploration of the relationship between bioethics, culture, and the perspective of being affected. It provides a new outlook on how complex "bioethical" issues become questions of everyday life. The authors focus on two contexts, genetic testing and end-of-life care, to locate and demonstrate emerging themes of responsibility, such as self-responsibility, responsibility for kin, and the responsibility of society. Within these themes, the duty to know versus the right not to know one's genetic fate (in the context of genetic testing), or the sanctity of life versus self-determination (in the context of end of life care) are identified as culturally embedded dilemmas that are very much relevant for lay persons. Furthermore, cultural factors such as religion, history, utopian and dystopian views of biomedical technologies, outlooks on the body and on health/illness, and citizenship are examined. Health issues are increasingly becoming a question of assessing risk and responsibility: How can we better prepare ourselves for the future? We all make such assessments in a way that combines personal inclinations, professional recommendations, and cultural framings. There is still much to be learned about the interplay between these three dimensions.

Zygmunt Bauman's powerful and persuasive study of the postmodern perspective on ethics is particularly welcome. For Bauman the great issues of ethics have lost none of their topicality: they simply need to be seen, and dealt with, in a wholly new way. Our era, he suggests, may actually represent a dawning, rather than a twilight, for ethics.

In this book, you will find the latest information about how what you eat affects your health, the environment, and the existence of the animals who share this planet, along with in-depth discussions of ground-breaking work by these internationally respected experts: Heart specialist, Dean Ornish, M.D.; Nutrition scientist, T. Colin Campbell, Ph.D.; Weight loss expert, Terry Shintani, M.D.; Farm Sanctuary founders, Gene and Lorri Bauston; Vegetarian nutritionist, Suzanne Havala, R.D.; Population analysis, David Pimentel, Ph.D.; Mad Cow disease expert, Stephen Dealler, M.D.; Rangeland activist, Lynn Jacobs.

An interdisciplinary social history, this book examines the major pressures and influences that brought about the remarkable growth of opposition to hunting in twentieth century England. With public opinion consistently deciding from the middle of the century onward that hunting mammals for sport was cruel and unacceptable, it would appear that the controversy over hunting has all but been decided, though hunting yet remains 'at bay'. Based on a range of cultural, social, literary and political sources drawn from a variety of academic disciplines, including history, sociology, geography, psychology and anthropology, The History of Opposition to Blood Sports in Twentieth Century England accounts for the change in our relationship with animals that occurred in the course of the twentieth century, shedding light on the manner in which this resulted in the growth in opposition to hunting and other blood sports. With evidence comprising a mixture of primary and secondary historical sources, together with documentary films, opinion polls, Mass Observation records, political party archives, and the findings of sociologists, political scientists, anthropologists and geographers, this book will appeal to scholars and students across the social sciences and historians with an interest in human-animal relations.

This volume contains the proceedings of the 10th International Symposium on Circumcision, Genital Integrity, and Human Rights. Authors are international experts in their fields, and the book contains the most up-to-date information on the issue of genital cutting of infants and children from medical, legal, bioethical, and human rights perspectives.

Providing a unique critical perspective to debates on slavery, this book brings the literature on transatlantic slavery into dialogue with research on informal sector labour, child labour, migration, debt, prisoners, and sex work in the contemporary world in order to challenge popular and policy discourse on modern slavery.

This is a detailed analysis of how understandings of health management past, present and future has transformed in the digital age. Since the mid-20th century, we have witnessed 'healthy' lifestyles being pushed as part of health promotion strategies, both via the state, and through health tracking tools, and narratives of wellness online. This marks a seismic shift from a public welfare state responsibility for health towards individualised practices of digital self-care. Today health has become representative of 'lifestyle corrections' which is performed on social media. Putting the spotlight on neoliberalism and digital technology as pervasive tools that dictate wellness as a moral obligation, Rachael Kent critically analyses how users navigate relationships between self-tracking technologies, social media, and everyday health management. .

Some of our most fundamental moral rules are violated by the practices of torture and war. If one examines the concrete forms these practices take, can the exceptions to the rules necessary to either torture or war be justified? Fighting Hurt brings together key essays by Henry Shue on the issue of torture, and relatedly, the moral challenges surrounding the initiation and conduct of war, and features a new introduction outlining the argument of the essays, putting them into context, and describing how and in what ways his position has modified over time. The first six chapters marshal arguments that have been refined over 35 years for the conclusion that torture can never be justified in any actual circumstances whatsoever. The practice of torture has nothing significant in common with the ticking bomb scenario often used in its defence, and weak U.S. statutes have loop-holes for psychological torture of the kind now favoured by CIA in the 'war against terrorism'. The other sixteen chapters maintain that for as long as wars are in fact fought, it is morally urgent to limit specific destructive practices that cannot be prohibited. Two possible exceptions to the UN Charter's prohibition on all but defensive wars, humanitarian military intervention and preventive war to eliminate WMD, are evaluated; and one possible exception to the principle of discrimination, Michael Walzer's 'supreme emergency', is sharply criticized. Two other fundamental issues about the rules for the conduct of war receive extensive controversial treatment. The first is the rules to limit the bombing of dual-use infrastructure, with a focus on alternative interpretations of the principle of proportionality that limits 'collateral damage'. The second is the moral status of the laws of war as embodied in International Humanitarian Law. It is argued that the current philosophical critique of IHL by Jeff McMahan focused on individual moral liability to attack is an intellectual dead-end and that the morally best rules are international laws that are the same for all fighters. Examining real cases, including U.S. bombing of Iraq in 1991, the Clinton Administration decision not to intervene in the 1994 Rwandan genocide, NATO bombing of Serbia in 1999, and CIA torture after 9/11 and its alternatives, this book is highly accessible to general readers who are interested in the ethical status of American political life, especially foreign policy.

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"Historians of medicine and technology will find this book an interesting introduction to a highly politicized and novel area of scholarship. This work should inspire research projects into more diverse and less categorized areas of disability."
--"Technology & Culture"

"With this work, Longmore and Umansky offer historians, sociologists and other readers intrigued by this area of scholarship an opportunity to understand disabilities as broader and more complex than a single, generic and primarily medical category."
--"Publishers Weekly"

"The essays introduce into the historical record a diverse group of people whose views and experiences have been largely excluded, challenge conventional notions of bodily integrity, and represent an important new subfield in American history from which we can expect rich and exciting innovation."
--"The Historian"

"The fifteen essays contained in it are thorough, wide-ranging and convincing in their interpretations. . . . This is a powerful contribution to the emancipatory efforts of disabled activists and one that historians should seek to encourage. For this, Longmore and Umansky's collection should be strongly commended."
--"Journal of American Studies"

"The New Disability History: American Perspectives is a truly groundbreaking volume and is well-deserving of the praise heaped on its back cover."
--"H-Net Reviews"

The essays show us that disability has a place in various parts of our history. While there is an enormous diversity of disability, the collection of essays reminds us of how comparable social perils recur across various disability groups andthroughout their particular histories."
--"Metapsychology"

Disability has always been a preoccupation of American society and culture. From antebellum debates about qualification for citizenship to current controversies over access and "reasonable accommodations," disability has been present, in penumbra if not in print, on virtually every page of American history. Yet historians have only recently begun the deep excavation necessary to retrieve lives shrouded in religious, then medical, and always deep-seated cultural, misunderstanding.

This volume opens up disability's hidden history. In these pages, a North Carolina Youth finds his identity as a deaf Southerner challenged in Civil War-era New York. Deaf community leaders ardently defend sign language in early 20th century America. The mythic Helen Keller and the long-forgotten American Blind People's higher Education and General Improvement Association each struggle to shape public and private roles for blind Americans. White and black disabled World War I and II veterans contest public policies and cultural values to claim their citizenship rights. Neurasthenic Alice James and injured turn-of-the-century railroadmen grapple with the interplay of disability and gender. Progressive-era "rehabilitationists" fashion programs to make "crippled" children economically productive and socially valid, and two Depression-era fathers murder their sons as public opinion blames the boys' mothers for having cherished the lads' lives. These and many other figures lead readers through hospital-schools, courtrooms, advocacy journals, and beyond to discover disability's past.

Coupling empirical evidence with the interdisciplinary toolsand insights of disability studies, the book explores the complex meanings of disability as identity and cultural signifier in American history.

Table of Contents

The pilot-less drones, smart bombs and other high-tech weapons on display in recent conflicts are all the outcome of weapons research. However, the kind of scientific and technological endeavour has been around for a long time, producing not only the armaments of Nazi Germany and the atomic bombs dropped on Japan, but the catapults used in ancient Greece and Rome and the assault rifles used by child soldiers in Africa. In this book John Forge examines such weapons research and asks whether it is morally acceptable to undertake such an activity. He argues that it is in fact morally wrong to take part in weapons research as its primary purpose is to produce the means to harm others, and moreover he argues that all attempts to then justify participation in weapons research do not stand up to scrutiny. This book has wide appeal in fields of philosophy and related areas, as well to a more general audience who are puzzled about the rate at which new weapons are accumulated.

'Lucid, informed and persuasive' Evening Standard 'Thought-provoking' Daily Mail 'An extraordinary book' Nicholas Evans, author of The Horse Whisperer The history of humanity's relationship with other species is baffling. Without animals there would be no us. We are all fellow travellers on the same evolutionary journey. By charting the love-hate story of people and animals, from their first acquaintance in deep prehistory to the present and beyond, Richard Girling reveals how and where our attitudes towards animals began - and how they have persisted, been warped and become magnified ever since. In dazzling prose, The Longest Story tells of the cumulative influence of theologians, writers, artists, warriors, philosophers, farmers, activists and scientists across the centuries, now locking us into debates on farming, extinction, animal rights, pets, experiments and religion. 'Essential reading' Philip Lymbery, CEO of Compassion in World Farming and author of Farmageddon

This volume examines the ethical issues generated by recent developments in intelligence collection and offers a comprehensive analysis of the key legal, moral and social questions thereby raised. Intelligence officers, whether gatherers, analysts or some combination thereof, are operating in a sea of social, political, scientific and technological change. This book examines the new challenges faced by the intelligence community as a result of these changes. It looks not only at how governments employ spies as a tool of state and how the ultimate outcomes are judged by their societies, but also at the mind-set of the spy. In so doing, this volume casts a rare light on an often ignored dimension of spying: the essential role of truth and how it is defined in an intelligence context. This book offers some insights into the workings of the intelligence community and aims to provide the first comprehensive and unifying analysis of the relevant moral, legal and social questions, with a view toward developing policy that may influence real-world decision making. The contributors analyse the ethics of spying across a broad canvas - historical, philosophical, moral and cultural - with chapters covering interrogation and torture, intelligence's relation to war, remote killing, cyber surveillance, responsibility and governance. In the wake of the phenomena of WikiLeaks and the Edward Snowden revelations, the intelligence community has entered an unprecedented period of broad public scrutiny and scepticism, making this volume a timely contribution. This book will be of much interest to students of ethics, intelligence studies, security studies, foreign policy and IR in general.

Despite the nuclear accident at the Fukushima Daiichi plant in Japan, a growing number of countries are interested in expanding or introducing nuclear energy. However, nuclear energy production and nuclear waste disposal give rise to pressing ethical questions that society needs to face. This book takes up this challenge with essays by an international team of scholars focusing on the key issues of risk, justice, and democracy. The essays consider a range of ethical issues, including radiological protection, the influence of gender in the acceptability of nuclear risk, and environmental, international, and intergenerational justice in the context of nuclear energy. They also address the question of when, and under which conditions, nuclear energy should play a role in the world's future supply of electricity, looking at both developing and industrialized countries. The book will interest readers in ethics and political philosophy, social and political sciences, nuclear engineering, and policy studies.

The 'proactionary principle' was introduced by transhumanists. Whereas precautionaries believe that we are on the brink on environmental catastrophe because we're too willing to take risks, proactionaries believe that humans stand apart from the rest of nature by our capacity for successful risk taking. In terms of current environmental problems, therefore, solutions lie not in turning our backs on our love affair with technology but by intensifying it - through finding new energy sources or even looking at the possibility of inhabiting other worlds.
In this fascinating new book, Steve Fuller and Veronika Lipinska explore attitudes towards the transformation of human nature. They point out that, politically, both those on the right and the left contribute to different sides of the precautionary-proactionary debate, and argue that it will be this distinction, between caution and action, that will come to dominate the political landscape and create new political divisions.
Drawing on perspectives from both theology and biology, and completing a trilogy of works exploring 'Humanity 2.0', Fuller and Lipinska ultimately endorse the proactionary position, which supports individuals taking risks - for example with new health treatments, as they try to expand their life chances. They accept that such a risk-taking culture may result in set-backs and failures, but argue that this simply requires a new conception of the welfare state. The results may be an incredibly diverse society that will challenge our notions of tolerance, creating a world where 'traditional' humans live side by side with those who have artificial organs or have received substantial genetic modification. Humans have yet to treat all 'normal' members of Homo sapiens with proper respect and dignity and the proactionary principle opens up new challenges to our conceptions of equality. The book ends with a Manifesto that draws together the arguments to present a challenging vision for the future.

What is, or what should be, the function of sport in a globalized, commercialized world? Why does sport matter in the 21st century? In Ethics and Governance in Sport: the future of sport imagined, an ensemble of leading international experts from across the fields of sport management and ethics calls for a new model of sport that goes beyond the traditional view that sport automatically encourages positive physical, psychological, social, moral and political values. Acknowledging that sport is beset by poor practice, corruption, and harmful behaviors, it explores current issues in sport ethics, governance and development, considering how good governance and the positive potentials of sport can be implemented in a globalized sporting landscape. Ethics and Governance in Sport suggests a future model of sport governance based on well substantiated projections, and argues that identifying the root causes of harmful behavior, those things that are characteristic of sport, and engaging sport managers, policy makers and leaders of sport organizations, is essential if sport is to thrive. The book's interdisciplinary examination of sport, encompassing philosophy, sociology, economics, management and sport development, and its forward-looking approach makes it important reading for advanced students, researchers and policy makers with an interest in the place and development of modern sport. Its clear messages invite self-reflection and discussion, especially within sports organizations.

This critical text is a timely ethnography of how global powers, local resistance, and capital flows are shaping contemporary African foodways. Ghana was one of the first countries targeted by a group of US donors and agribusiness corporations that funded an ambitious plan to develop genetically modified (GM) crops for African farmers. The collective believed that GM crops would help farmers increase their yields and help spark a "new" Green Revolution on the continent. Soon after the project began in Ghana, a nationwide food sovereignty movement emerged in opposition to GM crops. Today, in spite of impressive efforts and investments by proponents, only two GM crops remain in the pipeline. Why, after years of preparation, millions of dollars of funding, and multiple policy reforms, did these megaprojects effectively come to a halt? One of the first ethnographies to take on the question of GM crops in the African context, We Are Not Starving: The Struggle for Food Sovereignty in Ghana blends archival analysis, interviews, and participant observation with Ghanaian scientists, farmers, activists, and officials. Ultimately the text aims to illuminate why GM crops have animated the country and to highlight how their introduction has opened an opportunity to air grievances about the systematic de-valuing and exploitation of African land, labor, and knowledge that have been centuries in the making.

An increasingly hot-button issue, genetically modified (GM) food is considered by some as the best way to feed the world's growing population, and by others as an experiment gone wrong on the unsuspecting public. Genetically Modified Foods: Basics, Applications, and Controversy details the basics of biotechnology and its applications in the laboratory and the field. It provides a balanced presentation of the pros and cons of GM foods, examining the arguments of proponents and opponents, and covering regulations governing GM food labeling. The book includes definitions of biotechnology considered from different perspectives; examines different techniques, including their advantages and shortcomings; and highlights the unintended consequences of traditional and modern GM techniques. The text also includes information on the use of biotechnology to produce nutraceuticals and functional foods and biofuels. Discussions of mandatory, non-mandatory, and global labeling; issues of concern, controversy, and consumer welfare; consumer knowledge and right to choose; and the media's actual and expected roles in educating and informing the public round out the coverage. A 360-degree review of GM foods and the issues surrounding them, this book adds to the scientific debate and examines the issues through this lens, giving you information required not only to make an informed decision, but also to be able to discuss your decision with others. It moves this heated debate closer to the day when consumer welfare remains at the heart of the discussion.

From natural disaster areas to conflict zones, humanitarian workers today find themselves operating in diverse and difficult environments. While humanitarian work has always presented unique ethical challenges, such efforts are now further complicated by the impact of globalization, the escalating refugee crisis, and mounting criticisms of established humanitarian practice. Featuring contributions from humanitarian practitioners, health professionals, and social and political scientists, this book explores the question of ethics in modern humanitarian work, drawing on the lived experience of humanitarian workers themselves. Its essential case studies cover humanitarian work in countries ranging from Haiti and South Sudan to Syria and Iraq, and address issues such as gender based violence, migration, and the growing phenomenon of 'volunteer tourism'. Together, these contributions offer new perspectives on humanitarian ethics, as well as insight into how such ethical considerations might inform more effective approaches to humanitarian work.

Nobel laureate, world-renowned doctor and human rights activist, Dr Mukwege has dedicated his life to caring for victims of sexual violence. Over the past two decades living and working in the Democratic Republic of the Congo, he has stood up to soldiers and warlords and survived multiple assassination attempts, never swaying from his mission. In this book, Dr Mukwege interweaves his own story with the experiences of the women he has treated, the people he has worked with, and survivors of sexual violence whom he has met during his years of advocating for women's rights on the international stage. The Power of Women is a rallying cry to rid our societies of violence against women. It challenges us to think about our own experiences and how we all have a part to play in bringing about change.