Pained

Uncomfortable Conversations about the Public's Health
Erscheinungsjahr 2020
ISBN: 978-0-19-751038-4
Verlag: Oxford University Press

Buch, Englisch, 272 Seiten, Format (B × H): 137 mm x 206 mm, Gewicht: 318 g

A POLITICAL PROVOCATION FROM A PAIR OF PHYSICIANS WRITING OUTSIDE THEIR LANE

Americans care about their health. Americans pay lots of money in hopes of maintaining their health. So why are Americans so unhealthy?

The reason is simple: as a country, the United States overinvests in medical care at the expense of the social, economic, and cultural forces that produce health. The rise of medicine as a cornerstone of American life and culture has coincided with a social and political devaluation of factors demonstrated to mean more to our vitality than anything else -- influences like where we live, work, and play; livable wages that create opportunity for healthy living; and gender and racial equity.

In Pained, physicians Michael Stein and Sandro Galea push the conversation around American health where it belongs: toward matters of class, money, and culture. Across more than 50 essays and data illustrations, Pained casts a light on how the structural components of everyday life -- like school, housing, police, even cell phones -- ultimately determine who gets to be healthy in today's America. In doing so, it makes a case for reframing our political discourse in less myopic, more effectual terms.

Accessible and surprising, political but not partisan, Pained is the urgent, uncomfortable conversation that American needs in this challenging moment. It will delight and infuriate readers of all political stripes.

Autoren/Hrsg.

Stein, Michael

Galea, Sandro

Fachgebiete

• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Public Health, Gesundheitsmanagement, Gesundheitsökonomie, Gesundheitspolitik
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Präventivmedizin, Gesundheitsförderung, Medizinisches Screening

Inhaltsverzeichnis

- Contents

- Acknowledgments

- Dedication

- Preface

- Section 1. THINKING DIFFERENTLY

- 1. Creating Health is Like Winning at Soccer

- 2. The Illusion of Clinical Success

- 3. Can We Reverse Course on Health?

- 4. A Party Trick

- 5. Treating Laura

- 6. Water Quality Violations

- 7. The Immigrant Experience in Hurricane Season

- Section 2. THE PERSONAL IS POLITICAL

- 8. Denying Climate Change is Denying Health

- 9. Public Health and a President's Racism

- 10. The Census and Public Health

- 11. When We Talk About Public Health

- 12. The Two Degree Solution

- 13. The Partisan Divide Over a Soda Tax

- Section 3. COUNTERINTUITIVE

- 14. What Kills Our Kids?

- 15. What Data Do We Need for Health?

- 16. We Cannot Have It All

- 17. The Microbiome and the Public's Health

- 18. Immigrants and Private Insurance: Pay More, Use Less

- 19. Dying Young in the USA

- Section 4. A SURE ARGUMENT

- 20. Vaccines and Conspiracies

- 21. Health Systems and Public Health Thinking

- 22. Misconceptions about Veterans and Health

- 23. Immigration and the Health of the Public

- 24. Out of School, Out of Luck

- 25. Pseudoscience and Abortion Policy

- Section 5. FOLLOW THE MONEY

- 26. Income Inequality and Our Health

- 27. Can CEOs Save the Health of Americans?

- 28. The Health of the Poorest 50%

- 29. Can We Promote Public Health and Generate Return on Our Investment?

- 30. The Poor People's Campaign

- 31. Spending Too Much On the Wrong Things

- 32. Clarifying Medical Bankruptcy

- 33. High Pay Gets Higher, Low Pay Gets Lower

- Section 6. DARK THOUGHTS

- 34. The Story We Are Not Talking About Enough

- 35. Names Matter in the Opioid Epidemic

- 36. Pain Drain

- 37. Violence is a Public Health Issue

- 38. Mental Health and Mortality

- 39. Three Notes on the Opioid Crisis

- 40. Invest in Health, Not Death

- 41. Direct-to-Docs Opioid Marketing

- 42. Firearm Legislation Linked with Fewer Fatal Police Shootings

- Section 7. THE FUNDAMENTALS

- 43. Housing and the Public's Health

- 44. Food Justice

- 45. Guns and Suicide

- 46. The Smoking Gap

- 47. Maybe the End of HIV

- 48. Homelessness

- 49. Documenting Delays in EMS Wait Times

- 50. Particular Particulates

- Section 8. WILL TECHNOLOGY SAVE US?

- 51. Should Black Boxes Be Welcome in Medicine?

- 52. The New Elderly Surveillance State

- 53. Good App Hunting

- 54. In Social Media We Trust

- 55. Racial Equity in Kidney Transplants

- 56. Air Quality Standards Have Room to Improve

- Section 9. WHAT NOBODY WANTS TO TALK ABOUT

- 57. Broken Justice and the Public's Health

- 58. The Promise of Palliative Care

- 59. Making Aging Healthier

- 60. The Downside of Drinking

- 61. How Far Do Women Have to Travel to Get an Abortion?

- 62. Planning for End-of-Life

- Section 10. MAKING THINGS BETTER

- 63. Volunteering for the Health of the Public

- 64. Mental Health on Campus

- 65. Healthy Homes

- 66. Toward a Muscular Public Health

- 67. Zero Tolerance for Preventable Deaths

- 68. Police and the Public's Health

- 69. Making Strides Towards Zero

- 70. Cancer Survival Is (Mostly) Improving

- Sources

Über Autor(innen)

MICHAEL STEIN is Professor and Chair of Health Law, Policy and Management of the School of Public Health at Boston University. He is primary care doctor and has been a leader in general medicine and substance use research and policy for two decades. He is Executive Editor of Public Health Post, a popular website on matters of population health. He is the author of six novels and two works of non-fiction. He has been interviewed by Terry Gross on NPR's Fresh Air and has been included in Best American Essays Notables.

SANDRO GALEA is Robert A. Knox Professor and Dean of the School of Public Health at Boston University. He is a past president of the Society for Epidemiologic Research and of the Interdisciplinary Society for Population Health Science, chair of the board of the Association of Schools and Programs of Public Health, and is an elected member of the National Academy of Medicine.