Remaking the American Patient

Remaking the American Patient
Author: Nancy Tomes
Publsiher: UNC Press Books
Total Pages: 560
Release: 2016-01-06
Genre: Medical
ISBN: 9781469622781

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In a work that spans the twentieth century, Nancy Tomes questions the popular--and largely unexamined--idea that in order to get good health care, people must learn to shop for it. Remaking the American Patient explores the consequences of the consumer economy and American medicine having come of age at exactly the same time. Tracing the robust development of advertising, marketing, and public relations within the medical profession and the vast realm we now think of as "health care," Tomes considers what it means to be a "good" patient. As she shows, this history of the coevolution of medicine and consumer culture tells us much about our current predicament over health care in the United States. Understanding where the shopping model came from, why it was so long resisted in medicine, and why it finally triumphed in the late twentieth century helps explain why, despite striking changes that seem to empower patients, so many Americans remain unhappy and confused about their status as patients today.

Remaking the American Mainstream

Remaking the American Mainstream
Author: Richard D. Alba,Victor Nee
Publsiher: Harvard University Press
Total Pages: 388
Release: 2009-06-30
Genre: Social Science
ISBN: 0674020111

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In this age of multicultural democracy, the idea of assimilation--that the social distance separating immigrants and their children from the mainstream of American society closes over time--seems outdated and, in some forms, even offensive. But as Richard Alba and Victor Nee show in the first systematic treatment of assimilation since the mid-1960s, it continues to shape the immigrant experience, even though the geography of immigration has shifted from Europe to Asia, Africa, and Latin America. Institutional changes, from civil rights legislation to immigration law, have provided a more favorable environment for nonwhite immigrants and their children than in the past. Assimilation is still driven, in claim, by the decisions of immigrants and the second generation to improve their social and material circumstances in America. But they also show that immigrants, historically and today, have profoundly changed our mainstream society and culture in the process of becoming Americans. Surveying a variety of domains--language, socioeconomic attachments, residential patterns, and intermarriage--they demonstrate the continuing importance of assimilation in American life. And they predict that it will blur the boundaries among the major, racially defined populations, as nonwhites and Hispanics are increasingly incorporated into the mainstream.

Old and Sick in America

Old and Sick in America
Author: Muriel R. Gillick, M.D.
Publsiher: UNC Press Books
Total Pages: 327
Release: 2017-10-06
Genre: Medical
ISBN: 9781469635255

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Since the introduction of Medicare and Medicaid in 1965, the American health care system has steadily grown in size and complexity. Muriel R. Gillick takes readers on a narrative tour of American health care, incorporating the stories of older patients as they travel from the doctor's office to the hospital to the skilled nursing facility, and examining the influence of forces as diverse as pharmaceutical corporations, device manufacturers, and health insurance companies on their experience. A scholar who has practiced medicine for over thirty years, Gillick offers readers an informed and straightforward view of health care from the ground up, revealing that many crucial medical decisions are based not on what is best for the patient but rather on outside forces, sometimes to the detriment of patient health and quality of life. Gillick suggests a broadly imagined patient-centered reform of the health care system with Medicare as the engine of change, a transformation that would be mediated through accountability, cost-effectiveness, and culture change.

Remaking the American University

Remaking the American University
Author: Robert Zemsky,Gregory R. Wegner,William F. Massy
Publsiher: Rutgers University Press
Total Pages: 260
Release: 2005
Genre: Education
ISBN: 0813536243

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At one time, universities educated new generations and were a source of social change. Today colleges and universities are less places of public purpose, than agencies of personal advantage. Remaking the American University provides a penetrating analysis of the ways market forces have shaped and distorted the behaviors, purposes, and ultimately the missions of universities and colleges over the past half-century. The authors describe how a competitive preoccupation with rankings and markets published by the media spawned an admissions arms race that drains institutional resources and energies. Equally revealing are the depictions of the ways faculty distance themselves from their universities with the resulting increase in the number of administrators, which contributes substantially to institutional costs. Other chapters focus on the impact of intercollegiate athletics on educational mission, even among selective institutions; on the unforeseen result of higher education's "outsourcing" a substantial share of the scholarly publication function to for-profit interests; and on the potentially dire consequences of today's zealous investments in e-learning. A central question extends through this series of explorations: Can universities and colleges today still choose to be places of public purpose? In the answers they provide, both sobering and enlightening, the authors underscore a consistent and powerful lesson-academic institutions cannot ignore the workings of the markets. The challenge ahead is to learn how to better use those markets to achieve public purposes.

Remaking the American College Campus

Remaking the American College Campus
Author: Jonathan Silverman,Meghan M. Sweeney
Publsiher: McFarland
Total Pages: 258
Release: 2016-09-22
Genre: Education
ISBN: 9781476663333

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The built and landscaped spaces of colleges and universities radiate and absorb the values of the cultures in which they were created. As economic and political forces exert pressure on administrators and as our understanding of higher education shifts, these spaces can transform dramatically. Focusing on the utopian visions and the dystopian realities of American campus life, this collection of new essays examines campus spaces from the perspective of those who live and work there. Topics include disability, sustainability, first-year writing, underrepresented groups on campus, online education, adjunct labor, and the way profit-driven agendas have shaped colleges and universities.

Remaking America

Remaking America
Author: John Bodnar
Publsiher: Princeton University Press
Total Pages: 310
Release: 2020-07-21
Genre: History
ISBN: 9780691216188

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In a compelling inquiry into public events ranging from the building of the Vietnam Veterans Memorial through ethnic community fairs to pioneer celebrations, John Bodnar explores the stories, ideas, and symbols behind American commemorations over the last century. Such forms of historical consciousness, he argues, do not necessarily preserve the past but rather address serious political matters in the present.

The Loyal Republic

The Loyal Republic
Author: Erik Mathisen
Publsiher: UNC Press Books
Total Pages: 238
Release: 2018-03-13
Genre: History
ISBN: 9781469636337

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This is the story of how Americans attempted to define what it meant to be a citizen of the United States, at a moment of fracture in the republic's history. As Erik Mathisen demonstrates, prior to the Civil War, American national citizenship amounted to little more than a vague bundle of rights. But during the conflict, citizenship was transformed. Ideas about loyalty emerged as a key to citizenship, and this change presented opportunities and profound challenges aplenty. Confederate citizens would be forced to explain away their act of treason, while African Americans would use their wartime loyalty to the Union as leverage to secure the status of citizens during Reconstruction. In The Loyal Republic, Mathisen sheds new light on the Civil War, American emancipation, and a process in which Americans came to a new relationship with the modern state. Using the Mississippi Valley as his primary focus and charting a history that traverses both sides of the battlefield, Mathisen offers a striking new history of the Civil War and its aftermath, one that ushered in nothing less than a revolution in the meaning of citizenship in the United States.

Remaking Reality

Remaking Reality
Author: Sara Blair,Joseph B. Entin,Franny Nudelman
Publsiher: UNC Press Books
Total Pages: 264
Release: 2018-03-15
Genre: History
ISBN: 9781469638706

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After World War II, U.S. documentarians engaged in a rigorous rethinking of established documentary practices and histories. Responding to the tumultuous transformations of the postwar era--the atomic age, the civil rights movement, the Vietnam War, the emergence of the environmental movement, immigration and refugee crises, student activism, the globalization of labor, and the financial collapse of 2008--documentary makers increasingly reconceived reality as the site of social conflict and saw their work as instrumental to struggles for justice. Examining a wide range of forms and media, including sound recording, narrative journalism, drawing, photography, film, and video, this book is a daring interdisciplinary study of documentary culture and practice from 1945 to the present. Essays by leading scholars across disciplines collectively explore the activist impulse of documentarians who not only record reality but also challenge their audiences to take part in reality's remaking. In addition to the editors, the volume's contributors include Michael Mark Cohen, Grace Elizabeth Hale, Matthew Frye Jacobson, Jonathan Kahana, Leigh Raiford, Rebecca M. Schreiber, Noah Tsika, Laura Wexler, and Daniel Worden.