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The AIDS Disaster - The Failure of Organizations in New York and the Nation (Paperback, New)
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The AIDS Disaster - The Failure of Organizations in New York and the Nation (Paperback, New)
Series: Yale Fastback Series
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The seriousness, potential dimensions, and likely victims of the
AIDS epidemic were known as early as 1981, yet the reaction of
public and private organizations was shockingly slow and feeble and
is even now woefully inadequate. Basing their analysis largely on
the hardest hit city, New York, Charles Perrow and Mauro Guillen
deliver a passionate, yet well-documented indictment of
governmental and private groups for failing to provide the
necessary education and care in response to this disaster. In this
controversial book the authors describe the patterns of denial,
avoidance, and segregation that various organizations exhibited
toward the AIDS crisis and its victims. In so doing they extend our
theories of organizational dynamics. It is well known that society
has an aversion to the major groups threatened or afflicted with
AIDS-male homosexuals and, more recently, intravenous drug users
and their sexual partners-and that the poor and members of the
minorities contribute most heavily to the ranks of the drug users.
This situation, Perrow and Guillen argue, results in a stigma that
makes AIDS unique among epidemics and contaminates the response of
most organizations involved. Society's hostility toward the urban
poor bears even more responsibility for the organizational
mishandling of the crisis than the economic and ideological
preoccupations of the Reagan era and the homophobia of lawmakers
and establishment organizations. The second wave of the epidemic,
affecting intravenous drug users, and through them, crack users,
interacts fatally with growing problems of poverty in the inner
cities, where homelessness, joblessness, rising tuberculosis and
syphilis rates, crime, and the paucity of strong indigenous
community agencies all foster the rapid spread of the disease. What
is needed, the authors contend, is an all-out war on AIDS that
attacks both sexual discrimination and poverty. The AIDS epidemic,
they claim, presents an occasion for redressing long-standing
social injustices.
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