Medicine and Public Health at the End of Empire
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Cover Title Page Dedication Copyright Page Table of Contents Preface Part One: Empire Past Chapter 1 Empire’s Historical Health Component Philanthropic Foundations International Financial Institutions and Trade Agreements International Health Organizations A Countervailing Viewpoint Chapter 2 Illness-Generating Conditions of Capitalism and Empire How This Viewpoint Emerged Friedrich Engels Rudolf Virchow Salvador Allende Capitalism, Empire, Illness, and Early Death Chapter 3 The International Market for Health Products and Services Methods to Address the Falling Rate of Profit The Political Economy of Coronary Care Early History of Coronary Care Units Explaining the Diffusion of Coronary Care Units The Corporate Connection The Academic Medical Center Connection Private Philanthropies The Role of the State Changes in the Health-Care Labor Force Technological Innovation and the International Capitalist System Chapter 4 Paths of Resistance to Empire in Public Health and Health Services Chile: A Transformation Thwarted by Empire Cuba: A Transformation Thwarting the Advance of Empire Comparative Changes in the Context of Empire Part Two: Empire Present Chapter 5 Neoliberalism and Health Neoliberalism and the Dismantling of the Public Sector The Transnational Capitalist Class and Multinational Corporations The Nation-State, Sovereignty, and Health Chapter 6 International Trade Agreements, Medicine, and Public Health Trade Rules Trade Enforcement and National Sovereignty Trade Agreements and Health NAFTA Free Trade Area of the Americas (FTAA) General Agreement on Trade in Services (GATS) Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS) Overview of International Trade Agreements and Health Actions by Health Professionals and Advocates Chapter 7 Macroeconomics and Health Enhancing Empire by Enhancing Health An Infl uential Example of “Investing in Health”: The Report on Macroeconomics and Health The Meanings of “Investing in Health” Financing Versus Reform “Close-to-Client” Systems: Public Funding for Private Providers The Meanings of Prepayment Donor Financing: Unspoken Options The Value of Life: Disability-Adjusted Life Years (DALYs) Trade Agreements Versus Corporate Responsibility Recycling Public Health Interventions to Facilitate Investment Chapter 8 The Exportation of Managed Care Economic Conditions That Fostered Exportation The Managed Care Market and Social Security Funds in Latin America The Rising Trajectory of Managed Care in Latin America The Falling Trajectory That Followed Challenges to Public Health and Medical Services Resistance to Managed Care and the Emergence of Alternative Proposals Chapter 9 Corporations, International Financial Institutions, and Health Services “Reform” in Mexico “Reform” in Brazil Penetration by Multinational Corporations Effects of Reform in Mexico Effects of Reform in Brazil Vicissitudes of Privatization and Corporatization Chapter 10 The “Common Sense” of Health Reform Ideological Underpinnings of Health Reform Ideological Assumptions in a Silent Process of Reform A Transformation of Common Sense Ideology and the Reconstruction of Common Sense Chapter 11 Stakeholders’ Constructions of Global Trade, Public Health, and Health Services Government Agencies International Financial Institutions International Health Organizations Multinational Corporations Advocacy Groups Social Constructions of Trade and Health Chapter 12 Militarism, Empire, and Health The Physical and Psychic Impact of War on Military Personnel Civilian Services for Military Personnel GIs’ Physical and Mental Health Problems Themes from Encounters Between Military Personnel and Civilian Clinicians The Economic Draft Deception Ethical Dilemmas and Violence Without Meaning Barriers to Care Privatization of Services Torture and Human Rights Abuses The Changing Health Effects of Militarism Part Three: Empire Future Chapter 13 Health and Praxis: Social Medicine in Latin America Productivity and Danger History of Latin American Social Medicine The “Golden Age” of Social Medicine in Chile and the Role of Salvador Allende Social Medicine Versus Public Health Elsewhere in Latin America The 1960s and Later Political Repression and Work Challenges Theory, Method, and Debate Emerging Themes Social Policies, Empire, and Health Social and Cultural Determinants of Health and Illness Relations Among Work, Reproduction, the Environment, and Health Violence, Trauma, and Health The Future of Social Medicine Chapter 14 Resistance and Building an Alternative Future The Struggle Against Privatization of Health Services in El Salvador Resistance to Privatization of Water in Bolivia Social Medicine’s Coming to Power in Mexico City Other Examples of a New Vision: Venezuela, Uruguay, and Brazil Struggles for National Health Programs in the Heart of Empire The End of Empire? Sociomedical Activism in the Post-Empire Era Notes Index About the Author
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