Amid ongoing debate about health care reform, the need for informedanalyses of health policy is greater than ever. The twelve original essays inthis volume show that common public debates routinely bypass complexethical, sociocultural, historical, and political questions about how we shouldaddress ideals of justice and equality in health care. Integrating perspectivesfrom the humanities, social sciences, medicine, and public health, the contributorsilluminate the relationships between justice and health inequalitiesto complicate and enrich debates often dominated by simplistic narratives. Understanding Health Inequalities and Justice grounds key conceptualdiscussions in timely case studies and policy analyses that explore threeoverarching questions: first, how do scholars approach relations betweenhealth inequalities and ideals of justice; second, when do justice considerationsinform solutions to health inequalities, and how do specific healthinequalities affect perceptions of injustice; and third, how can diverse scholarlyapproaches contribute to better health policy? From addressing patientagency in an inequitable health care environment to examining how scholarsof social justice and health care amass evidence, this volume combines theskills and sensibilities of diverse scholars to promote a richer understandingof health and justice and the successful paths to their realization. The contributors are Judith C. Barker, Paula Braveman, Paul Brodwin,Jami Suki Chang, Debra DeBruin, Leslie A. Dubbin, Sarah Horton, Carla C.Keirns, J. Paul Kelleher, Nicholas B. King, Eva Feder Kittay, Joan Liaschenko,Anne Drapkin Lyerly, Mary Faith Marshall, Carolyn Mokley Rouse, JenniferPrah Ruger, and Janet K. Shim.

Amid ongoing debate about health care reform, the need for informedanalyses of health policy is greater than ever. The twelve original essays inthis volume show that common public debates routinely bypass complexethical, sociocultural, historical, and political questions about how we shouldaddress ideals of justice and equality in health care. Integrating perspectivesfrom the humanities, social sciences, medicine, and public health, the contributorsilluminate the relationships between justice and health inequalitiesto complicate and enrich debates often dominated by simplistic narratives. Understanding Health Inequalities and Justice grounds key conceptualdiscussions in timely case studies and policy analyses that explore threeoverarching questions: first, how do scholars approach relations betweenhealth inequalities and ideals of justice; second, when do justice considerationsinform solutions to health inequalities, and how do specific healthinequalities affect perceptions of injustice; and third, how can diverse scholarlyapproaches contribute to better health policy? From addressing patientagency in an inequitable health care environment to examining how scholarsof social justice and health care amass evidence, this volume combines theskills and sensibilities of diverse scholars to promote a richer understandingof health and justice and the successful paths to their realization. The contributors are Judith C. Barker, Paula Braveman, Paul Brodwin,Jami Suki Chang, Debra DeBruin, Leslie A. Dubbin, Sarah Horton, Carla C.Keirns, J. Paul Kelleher, Nicholas B. King, Eva Feder Kittay, Joan Liaschenko,Anne Drapkin Lyerly, Mary Faith Marshall, Carolyn Mokley Rouse, JenniferPrah Ruger, and Janet K. Shim.

"An unparalleled study of a transforming and privatizing Russian health care system, of the promises and perils of prescriptive programs for change, that points to the areas that need change in the change-makers themselves.... part of a larger story about the inherent dangers of current neoliberal economic transformations of fragile post-socialist social welfare arrangements.... "Rivkin-Fish takes the reader into a new understanding of the fragile and tense relations between state and market transitions, and into the deep and largely silent struggle for gender and health equity in Russia." Adriana Petryna, author of Life Exposed: Biological Citizens after Chernobyl

In the first decade after the collapse of the Soviet Union, deteriorating public health indicators such as below-replacement fertility and high rates of sexually transmitted diseases, abortions, birth traumas, and maternal mortality raised acute anxieties about Russia s future. This study documents the efforts of global and local experts, and ordinary Russian women in St. Petersburg, to explain Russia s maternal health problems and devise reforms to solve them. Examining both official health projects and informal daily practices, Michele Rivkin-Fish draws ethnographic and theoretical insights about the contested processes of interpreting and managing neo-liberal transitions in Russia and explores the challenges of bringing anthropological insights to public health interventions for women s empowerment."