Parting At The Crossroads

As almost all newspaper or magazine readers know, Canada figured prominently in the turbulent U.S. debates over health care reform in the early Clinton presidency. Furthermore, future news analysts and policymakers will undoubtedly again use Canada to cite the "good" and the "bad" aspects of single-payer national health insurance. Beyond the debate about the desirability of Canadian-style health care reforms, Antonia Maioni sees another question: Why did the United States and Canada, alike in so many ways, part "at the crossroads" to produce such different systems of health insurance? She answers this previously neglected query so interestingly that her book will hold the attention of anyone concerned with health care in either country or both. The author explores the development of health insurance in the United States and Canada, from the emergence of health care as a political issue in the 1930s to the passage of federal health insurance legislation in the 1960s. Focusing on how political institutions influence policy development, she shows that Canada's federal structure and its parliamentary institutions encouraged a social-democratic third party that became pivotal in demonstrating the feasibility of universal, public health insurance. Meanwhile, the constraints of the U.S. political system forced health care reformers to temper their own ideas to appeal to a wide coalition within the Democratic party. Even readers previously unfamiliar with Canadian politics will find in this book important clues about the "realm of the possible" in the uncertain future of U.S. health care.

A CHOICE Outstanding Academic Title 2014! 2014 winner of the American Association for the History of Nursing’s Mary M. Roberts Award for Exemplary Historical Research and Writing! The Routledge Handbook on the Global History of Nursing brings together leading scholars and scholarship to capture the state of the art and science of nursing history, as a generation of researchers turn to the history of nursing with new paradigms and methodological tools. Inviting readers to consider new understandings of the historical work and worth of nursing in a larger global context, this ground-breaking volume illuminates how research into the history of nursing moves us away from a reductionist focus on diseases and treatments and towards more inclusive ideas about the experiences of illnesses on individuals, families, communities, voluntary organizations, and states at the bedside and across the globe. An extended introduction by the editors provides an overview and analyzes the key themes involved in the transmission of ideas about the care of the sick. Organized into four parts, and addressing nursing around the globe, it covers: New directions in the history of nursing; New methodological approaches; The politics of nursing knowledge; Nursing and its relationship to social practice. Exploring themes of people, practice, politics and places, this cutting edge volume brings together the best of nursing history scholarship, and is a vital reference for all researchers in the field, and is also relevant to those studying on nursing history and health policy courses.

Nursing History Review, an annual peer-reviewed publication of the American Association for the History of Nursing, is a showcase for the most significant current research on nursing history. Regular sections include scholarly articles, over a dozen book reviews of the best publications on nursing and health care history that have appeared in the past year, and a section abstracting new doctoral dissertations on nursing history. Historians, researchers, and individuals fascinated with the rich field of nursing will find this an important resource. Included in Volume 20... “To Help a Million Sick You Must Kill a Few Nurses”: Nurses’ Occupational Health, 1890–1914 “Who Would Know Better Than the Girls in White?” Nurses as Experts in Postwar Magazine Advertising, 1945–1950 Maternal Expectations: New Mothers, Nurses, and Breastfeeding Community Mental Health Nursing in Alberta, Canada: An Oral History “Time Enough! or Not Enough Time!” An Oral History Investigation of Some British and Australian Community Nurses’ Responses to Demands for “Efficiency” in Healthcare, 1960–2000 China Confidential: Methodological and Ethical Challenges in Global Nursing Historiography

Why, in the recent campaigns for universal health care, did organized labor maintain its support of employer-mandated insurance? Did labor's weakened condition prevent it from endorsing national health insurance? Marie Gottschalk demonstrates here that the unions' surprising stance was a consequence of the peculiarly private nature of social policy in the United States. Her book combines a much-needed account of labor's important role in determining health care policy with a bold and incisive analysis of the American welfare state. Gottschalk stresses that, in the United States, the social welfare system is anchored in the private sector but backed by government policy. As a result, the private sector is a key political battlefield where business, labor, the state, and employees hotly contest matters such as health care. She maintains that the shadow welfare state of job-based benefits shaped the manner in which labor defined its policy interests and strategies. As evidence, Gottschalk examines the influence of the Taft-Hartley health and welfare funds, the Employee Retirement Income Security Act (E.R.I.S.A.), and experience-rated health insurance, showing how they constrained labor from supporting universal health care. Labor, Gottschalk asserts, missed an important opportunity to develop a broader progressive agenda. She challenges the movement to establish a position on health care that addresses the growing ranks of Americans without insurance, the restructuring of the U.S. economy, and the political travails of the unions themselves.

Is Feminism without the agency of sexed subjects possible? Can the problems of a highly gendered world be formulated and tackled without resorting to the notion of fundamental sexual difference? Is it possible for a Feminism that is not based on the assumption of sexed beings to gain any consistency and follow any concerted strategy? The project of this study is not only to show that all these questions can be answered with a full-hearted – Yes! – but to explore the huge scope of conceptual and also practical possibilities that are created by this change of paradigms. Possibilities that are foreclosed – as the first chapters attempt to work out – by Judith Butler’s so important theory of gendered subjects, and limited by Rosi Braidotti’s or Elizabeth Grosz’s endeavours to read Deleuzian concepts under the assumption of Irigarayan sexual difference. Gilles Deleuze’s and Félix Guattari’s thinking provides us with conceptual tools for a thorough analysis of the status quo – and means for conceptualising resistance that do not perpetuate the power structures it is fighting against. This book is an invitation to get in touch with these tools, join the alliance (no matter whether ‘queer’ or ‘feminist’) – and ‘Make Rhizomes’! "Zugegeben: Ich habe nicht alles verstanden. Und habe mich doch maßlos bereichert an diesem reichen Buch. So viel Beglückendes, so viel Verqueres liegt in diesem schwerelosen Denken." "Admittedly, I have not understood it all. Yet I feel enriched beyond measure by this book. So much delightfulness, so much queer quirkiness, lies within these weightless thoughts." (Antje Rávic Strubel)

Conventional wisdom holds that "institutions matter." Here, Andrew MacIntyre reveals exactly how they matter in the developing world. Combining an eye for current concerns in international politics with a deep knowledge of Southeast Asia, MacIntyre explores the impact of institutions on effective governance. He examines the "national political architecture"—the complex of rules that determine how leadership of a state is constituted and how state authority is exercised. The Power of Institutions sets out an intriguing conundrum: one well-established body of literature decries the evils of highly centralized political systems, while an equally vigorous school of thought outlines the dangers of political fragmentation. MacIntyre presents the problems associated with institutional extremes, common in developing countries, as the "power concentration paradox." Either extreme is likely to be associated with distinctive governance problems. MacIntyre illustrates his wider arguments by focusing on Indonesia, Malaysia, the Philippines, and Thailand. He shows how their diverse political architectures influenced their responses to the Asian economic crisis and played into pressures for political reform. The Power of Institutions makes clear why the configuration of political institutions is one of the most pressing challenges in many parts of the developing world today.

While Medicare continues to resist political and ideological forces aimed at shrinking the state's role, cost constraints, demographic pressures and technological advancements are increasing pressure on home and community care.

An examination of whether federal institutions influence policy outcomes in the health sector.