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Books > Social sciences > Politics & government > Central government > Central government policies
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Transforming American Medicine - A Twenty-Year Retrospective on The Social Transformation of American Medicine (Paperback)
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Transforming American Medicine - A Twenty-Year Retrospective on The Social Transformation of American Medicine (Paperback)
Series: A Special Issue of the Journal of Health Politics, Policy, and Law
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In the early 1980s, as America stood at a crossroads - between New
Deal liberalism and the conservatism of 'the Reagan Revolution' -
so too did American medicine and health care. Engaging this
critical moment, Paul Starr's "The Social Transformation of
American Medicine" stimulated scholars across the disciplines to
take stock of medicine's historical and future trajectories.
Starr's analysis of American health care and medicine, undertaken
in the context of broad contemporary societal, political, and
cultural forces, earned him the Pulitzer and Bancroft Prizes, as
well as garnering enduring public acclaim. Indeed, twenty years
after its publication, "The Social Transformation of American
Medicine" is now a standard in disciplines from health law to
political science and history. Despite its undeniable import,
Starr's book still provokes argument and strong reaction on all
sides, and the question that has puzzled readers since the grand
synthesis appeared remains: whether to praise or to criticize it.
According to historian Keith Wailoo, health lawyer Timothy
Stoltzfus Jost, and political economist Mark Schlesinger, coeditors
of "Transforming American Medicine: A Twenty-Year Retrospective on
The Social Transformation of American Medicine", a new special
double issue of the "Journal of Health Politics, Policy and Law",
the answer appears to be to do both. How Does the Vision Hold Up?
Rife with criticism, praise, and in-depth analysis of Starr's work,
this lengthy special issue brings together scholars from many
disciplines to offer a comprehensive assessment of the life, the
times, the promise, the problems, and the paradoxes of "The Social
Transformation of American Medicine". Contributors think critically
about the problem of the grand narrative, about why doctors and
health lawyers loved the book, about why historians reacted to it
with ambivalence, about why its themes resonated as they did, and
finally about how the political and policy landscape of health care
has shifted in the last two decades. Additionally, the issue
includes an extensive precis of salient parts of "The Social
Transformation of American Medicine" and concludes with a
contentious essay in which Starr himself responds to some of the
criticism leveled at him in the preceding pages. With American
medicine and health care now at another crossroads - a relentless
rise in medical spending on one side, and a persistent sense that
Americans are not getting good value for their health care dollar
on the other - the issues that Starr originally highlighted (the
rise of medical authority and the elaborate dance among doctors,
the state, and the corporation) are still of vital importance.
"Transforming American Medicine: A Twenty-Year Retrospective on The
Social Transformation of American Medicine" vigorously continues
the discussion of medicine's past, present, and future that Starr's
book set in motion.
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