No area of social welfare in Australia has seen as much conflict as health policy. Clashes have involved the medical profession, bureaucrats, friendly societies and political parties, often to the detriment of the patient. This 1991 book provides background to the current debate by studying the political conflict over health policy in Australia from 1910-60. It looks at both state and national levels for the origins of the system of publicly subsidized private practice epitomized in the fee-for-service scheme. The different currents within state policy are analysed along with the various obstructions to the development of the national health insurance policy. The role of the British Medical Association, which in its indigenous form continues to have a hostile relationship with the government because of its determination to maintain its independence and fee-for-service practices, is closely examined. The Price of Health will be of particular interest to health policy makers.

New perspectives on the history of twentieth century public health in Europe. European public health was a playing field for deeply contradictory impulses throughout the twentieth century. In the 1920s, international agencies were established with great fanfare and postwar optimism to serve as the watchtower of health the world over. Within less than a decade, local-level institutions began to emerge as seats of innovation, initiative, and expertise. But there was continual counterpressure from nation-states that jealously guarded their policymaking prerogatives in the face of the push for cross-national standardization and the emergence of original initiatives from below. In contrast to histories of twentieth-century public health that focus exclusively on the local, national, or international levels, Shifting Boundaries explores the connections or "zones of contact" between the three levels. The interpretive essays, written by distinguished historians of public health and medicine, focus on four topics: the oscillation between governmental and nongovernmental agencies as sites of responsibility for addressing public health problems; the harmonization of nation-states' agendas with those of international agencies; the development by public health experts of knowledge that is both placeless and respectful of place; and the transportability of model solutions across borders. The volume breaks new ground in its treatment ofpublic health as a political endeavor by highlighting strategies to prevent or alleviate disease as a matter not simply of medical techniques but political values and commitments. Contributors: Peter Baldwin, Iris Borowy, James A. Gillespie, Graham Mooney, Lion Murard, Dorothy Porter, Sabine Schleiermacher, Susan Gross Solomon, Paul Weindling, and Patrick Zylberman. Susan Gross Solomon is Professor of Political Science at the University of Toronto. Lion Murard is a senior researcher at CERMES (Centre de Recherche Medecine, Sciences, Sante et Societe), CNRS-EHESS-INSERM, Paris. Patrick Zylberman is Chaired Professor of the History of Health at the EHESP French School of Public Health Rennes, Sorbonne Paris Cite.

This book provides background to the current debate on health policy by studying the political conflict over it in Australia from 1910 to 1960. It looks at both state and national levels to identify the main structures and forces that shaped the system of publicly-subsidized private practice, which is now most obvious in the fee-for-service scheme.