Hospital City, Health Care Nation

Hospital City, Health Care Nation
Author: Guian A. McKee
Publisher: University of Pennsylvania Press
Total Pages: 393
Release: 2023-03-07
Genre: History
ISBN: 1512823929

Hospital City, Health Care Nation recasts the story of the U.S. health care system by emphasizing its economic, social, and medical importance in American communities. Focusing on urban hospitals and academic medical centers, the book argues that the country's high level of health care spending has allowed such institutions to become vital, if often problematic, economic anchors for communities. Yet that spending has also constrained possibilities for comprehensive health care reform over many decades, even after the passage of the Affordable Care Act in 2010. At the same time, the role of hospitals in urban renewal, in community health provision, and as employers of low-wage workers has contributed directly to racial health disparities. Guian A. McKee explores these issues through a detailed historical case study of Baltimore's Johns Hopkins Hospital while also tracing their connections across governmental scales--local, state, and federal. He shows that health care spending and its consequences, rather than insurance coverage alone, are core issues in the decades-long struggle over the American health care system. In particular, Hospital City, Health Care Nation points to the increased role of financial capital after the 1960s in shaping not only hospital growth but also the underlying character of these vital institutions. The book shows how hospitals' quest for capital has interacted with structural racism and inequality to shape and constrain the U.S. health care system. Building on this reassessment of the hospital system, its politics, and its financing, Hospital City, Health Care Nation offers ideas for the next steps in health care reform.

Britain’s rural Muslims

Britain’s rural Muslims
Author: Sarah Hackett
Publisher: Manchester University Press
Total Pages: 350
Release: 2020-06-06
Genre: Social Science
ISBN: 1526110172

Immigration has long been associated with the urban landscape, from accounts of inner-city racial tension and discrimination during the 1960s and 1970s and studies of minority communities of the 1980s and 1990s, to the increased focus on cities amongst contemporary scholars of migration and diaspora. Though cities have long provided the geographical frameworks within which a significant share of post-war migration has taken place, Sarah Hackett argues that that there has long existed a rural dimension to Muslim integration in Britain. This book offers the first comprehensive study of Muslim migrant integration in rural Britain across the post-1960s period, examining the previously unexplored relationship between Muslim integration and rurality by using the county of Wiltshire in the South West of England as a case study. Drawing upon a range of archival material and oral histories, it challenges the long-held assumption that local authorities in more rural areas have been inactive, and even disinterested, in devising and implementing migration, integration and diversity policies, and sheds light on smaller and more dispersed Muslim communities that have traditionally been written out of Britain’s immigration history.

Change and Conflict in the U.S. Army Chaplain Corps Since 1945

Change and Conflict in the U.S. Army Chaplain Corps Since 1945
Author: Anne Loveland
Publisher: Univ. of Tennessee Press
Total Pages: 368
Release: 2014-03-30
Genre: History
ISBN: 1621900126

Army chaplains have long played an integral part in America’s armed forces. In addition to conducting chapel activities on military installations and providing moral and spiritual support on the battlefield, they conduct memorial services for fallen soldiers, minister to survivors, offer counsel on everything from troubled marriages to military bureaucracy, and serve as families’ points of contact for wounded or deceased soldiers—all while risking the dangers of combat alongside their troops. In this thoughtful study, Anne C. Loveland examines the role of the army chaplain since World War II, revealing how the corps has evolved in the wake of cultural and religious upheaval in American society and momentous changes in U.S. strategic relations, warfare, and weaponry. From 1945 to the present, Loveland shows, army chaplains faced several crises that reshaped their roles over time. She chronicles the chaplains’ initiation of the Character Guidance program as a remedy for the soaring rate of venereal disease among soldiers in occupied Europe and Japan after World War II, as well as chaplains’ response to the challenge of increasing secularism and religious pluralism during the “culture wars” of the Vietnam Era.“Religious accommodation,” evangelism and proselytizing, public prayer, and “spiritual fitness”provoked heated controversy among chaplains as well as civilians in the ensuing decades. Then, early in the twenty-first century, chaplains themselves experienced two crisis situations: one the result of the Vietnam-era antichaplain critique, the other a consequence of increasing religious pluralism, secularization, and sectarianism within the Chaplain Corps, as well as in the army and the civilian religious community. By focusing on army chaplains’ evolving, sometimes conflict-ridden relations with military leaders and soldiers on the one hand and the civilian religious community on the other, Loveland reveals how religious trends over the past six decades have impacted the corps and, in turn, helped shape American military culture.