The second half of the twentieth century witnessed the emergence of
a new model of chronic disease -- diagnosed on the basis of
numerical deviations rather than symptoms and treated on a
preventive basis before any overt signs of illness develop -- that
arose in concert with a set of safe, effective, and highly
marketable prescription drugs. Physician-historian Jeremy A. Greene
examines the mechanisms by which drugs and chronic disease
categories define one another within medical research, clinical
practice, and pharmaceutical marketing, and he explores how this
interaction has profoundly altered the experience, politics,
ethics, and economy of health in late-twentieth-century America.
His provocative analysis sheds light on the increasing presence of
the subjectively healthy but highly medicated individual in the
American medical landscape, suggesting how historical perspective
can help to address the problems inherent in the program of
pharmaceutical prevention.
"Greene describes the relationship between advances in
treatment, the incentives of manufacturers, and the effect on the
public of increased attention to prevention... The risk-benefit
trade-offs of the quantitative approach are complex, and Greene's
historical revelations are timely." -- New England Journal of
Medicine
"One of the best, and most significant, books published recently
on the development of medical practice and the pharmaceutical
industry in the U.S. in the second half of the twentieth century."
-- Social History of Medicine
"Greene focuses on the question of how public health priorities
became closely aligned with the pharmaceutical industry's marketing
practices... [and] offers a nuanced descriptionof the development
of 'therapeutics of risk reduction' with multiple lines of
influence, subtle power shifts, and gains and losses for patients
and physicians." -- Chemical Heritage
"A gripping story... Greene warns us in his superb book that
things are not always as they are claimed." -- Yale Journal for
Humanities in Medicine
Jeremy A. Greene is a fellow in the Department of Social
Medicine at Harvard Medical School and a resident in the Department
of Medicine at Brigham and Women's Hospital.
General
Imprint: |
Johns Hopkins University Press
|
Country of origin: |
United States |
Release date: |
February 2009 |
First published: |
2007 |
Authors: |
Jeremy A. Greene
(Associate Professor)
|
Dimensions: |
229 x 152 x 22mm (L x W x T) |
Format: |
Paperback
|
Pages: |
336 |
ISBN-13: |
978-0-8018-9100-7 |
Categories: |
Books
|
LSN: |
0-8018-9100-0 |
Barcode: |
9780801891007 |
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