SOCIOLOGY
OF HEALTH AND ILLNESS
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Grinnell College
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Susan
J. Ferguson
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Sociology 265.01
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Office:
Carnegie 112
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Fall, 2002
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Office
Phone: ext. 3133
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Time: 12:45-2:05
p.m. T/Th
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Office
Hours: 2:30 p.m. T/Th
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and
by appointment
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COURSE
DESCRIPTION:
This course examines
the social contexts of health, illness, and medical care. It gives prominence
to the debates and contrasting perspectives which characterize the field
of medical sociology. Topics include the social, environmental, and occupational
factors in health and illness; the politics surrounding breast cancer
and the AIDS epidemic; the patient's perspective on illness; the development
of the health professions and the health work force; ethical issues in
medicine as they relate to medical technology; and health care reform.
In exploring these topics, emphasis is given to how the social categories
of gender, race, social class, and sexual preference affect both illness
and health care.
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COURSE
OBJECTIVES:
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1).
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To investigate
the social contexts of illness and medical care.
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2).
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To investigate
the patient's perspective on the experience of illness and how patients
respond to the care of physicians.
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3).
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To investigate
the social-historical development of the medical system in the United
States, including the changing role of physicians and other health
care providers.
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4).
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To investigate
the historical role of women in the medical system as patients,
practitioners, and health care providers.
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5).
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To investigate
current ethical issues and debates about new medical technologies
and their impact on doctor-patient relationships and on access to
health care.
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6).
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To investigate
current problems in the organization of U.S. medical care as well
as alternatives for change.
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COURSE
REQUIREMENTS:
A. Exams:
There will be two take-home exams (a mid-semester exam and a final exam)
that will cover prior lecture and reading material. Any additional material
provided by assignments, guest speakers, or videos also will be covered
on the exams. The final exam is not comprehensive. Both exams
are already scheduled in the course syllabus and students are expected
to take the exams during the time period that is listed. There will be
no makeup exams unless you have spoken with me prior to the exam
and have a valid excuse. Each exam will count 25% of your final grade.
B. Assignments:
In addition to the two exams, there will be two required outside assignments.
The purpose of these assignments is to determine how well you can make
an argument utilizing material learned in class. The two assignments
are outlined as follows:
- A 3-4 page position
paper on the issue of individual responsibility in health care that
you will be assigned to investigate and discuss in a debate format in
class.
- A second 3-4 page position paper on an ethical debate related to medical
technology that you will be assigned to investigate and present your
opinion on in class.
The two position
papers are relatively short in length, and instructions will be given
at least a week prior to when they are due. All assignments should be
typed and reflect thoughtful writing skills. Late assignments,
if accepted, will be graded down. Each position paper is worth 10%
of your final grade.
C. Class Presentation:
Teams of two students will lead a course discussion and present material
on a course-related topic. In addition to summarizing that day's readings,
each group will present additional information, including a bibliography
of books and articles on that topic to hand-out to the class. Specific
guidelines for this presentation are on the next page. This class presentation
is 15% of your final grade.
D. Attendance
and Participation: Since this course is an upper-division sociology
seminar, students are expected to take an active role in shaping their
learning environment both within and outside the classroom. This role
includes regular class attendance, leading and participating in class
discussions, and group work.
Attendance will be
taken at the beginning of each class. Moreover, each student will arrive
to class ready to participate by having discussion questions or comments
already written down. Class participation, including these short discussion
papers, class discussions, and attendance is worth 15% of your final grade.
Please note:
There will be no extra credit work.
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Class
Presentation: A Suggested Protocol
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1.
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Duplicate and
distribute handouts and bibliographies to class participants.
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2.
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Spend the first
ten minutes verbally summarizing the readings' main findings and
conclusions. Offer your evaluation of the reading material as well
as your thinking on the larger topic. Discuss the link between
your selected topic and broader issues of medical sociology.
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3.
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Identify the
common theme(s) in the articles. Synthesize the findings by showing
how the articles relate to each other. You also might note similarities
between your topic and issues that were previously discussed in
class.
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4.
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In addition,
each presenter is expected to read at least three
additional readings on the topic and present this information to
the class. Presenters may use the suggested readings or something
they found during their literature search.
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5.
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Be prepared
to identify a number of questions that the articles raise. Pose
these questions to members of the class. In essence, these questions
will serve as a guidepost for discussion during the remainder of
the class time. The following questions are some examples:
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a.
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How might these
issues vary by race, class, gender, generational group, or sexual
preference? Are these principles universal in nature or specific
to a particular group?
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b.
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What are the
social and historical roots of this process?
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c.
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Who cares?
Why are these processes and issues germane to the health, illness,
and the practice of medicine today?
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d.
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Why are we
discussing this issue in a sociology course? Make links to broader
concepts, principles, and debates in sociology.
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e.
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Does this apply
exclusively to the United States or might it apply equally to the
practice of medicine in other industrial or developing nations?
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Additional Thoughts:
Each team should make every effort to make their presentation interesting
and lively. Use outside resources whenever possible. For example, you
may want to find current data on your topic and present this information
in class. You might even devise a class exercise that illustrates an
important concept or issue in the readings. Do not hesitate to use visual
or literary material. These suggestions are not obligatory. They merely
serve to remind you that you have some flexibility and creativity in this
presentation.
MAKE
YOUR PRESENTATION INTERESTING, STIMULATING, & WORTHWHILE!
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REQUIRED
READINGS:
The following books
are available at the College Bookstore and are on reserve in Burling Library.
Abraham, Laurie
Kaye. 1993. Mama Might Be Better Off Dead: The Failure ofHealth
Care in Urban America. Chicago: University of Chicago Press.
Brown, Phil. 2000.
Perspectives in Medical Sociology. Third Edition. Prospect Heights,
Ill: Waveland Press.
Conrad, Peter. Editor.
2001. The Sociology of Health and Illness: Critical Perspectives.
Sixth Edition. New York: Worth Publishers.
Flynn, Eileen P.
2000. Issues in Health Care Ethics. NJ: Prentice Hall.
Kasper, Anne S.
and Susan J. Ferguson. Editors. 2000. Breast Cancer: Society Shapes
an Epidemic. New York: St. Martin’s Press.
Klass, Perri. 1987.
A Not Entirely Benign Procedure. New York: Signet.
Lorde, Audre. 1987.
The Cancer Journals. San Francisco: Aunt Lute Books.
In addition to the
above books, there are required supplementary readings that will be made
available at the Reserve Desk in the library. Also note that on the course
outline below, some of the readings are required and some are suggested.
The suggested readings are additional sources and many also are on reserve
in the Burling Library. Please keep up with the syllabus by reading the
assigned chapters or articles prior to the day that topic is discussed.
It is essential to come to class prepared to discuss the readings because
the readings are the foundation of the course.
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Questions to Think
About While You Are Reading:
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Summary:
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1).
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What are the
author's main arguments or hypotheses?
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2).
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What types
of evidence or research does the author present in support of their
arguments?
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3).
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What are some
implications of the author's findings or arguments?
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Evaluation:
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4).
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Do you agree
with the author's conclusions? Why or why not?
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5).
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Do you have
any problems with this study or how it was conducted?
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COURSE
SCHEDULE WITH ASSIGNED READINGS:
| PART
I: HEALTH AND ILLNESS IN PERSPECTIVE |
| Aug.
29 (TH): |
Course
Introduction: What is Medical Sociology? |
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1). |
Conrad,
Peter. "General Introduction" in Conrad, pp.1-4. |
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2). |
Brown,
Phil. "Introduction to the Book" in Brown, pp.xiii-xviii. |
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| Sept.
3 (TU): |
Sociological
Perspectives on Health and Illness |
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| Required
Readings: |
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1). |
Mishler, Elliot.
"Critical Perspectives on the Biomedical Model" in Brown
(1992 Edition), pp.153-66. (Supplemental reading). |
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2). |
McKinlay, John
and Sonja McKinlay. "Medical Measures and the Decline of Mortality"
in Conrad, pp.7-19. |
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3). |
Brown, Phil.
"Naming and Framing: The Social Construction of Diagnosis and
Illness" in Brown, pp.74-103. |
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| Suggested
Readings: |
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1). |
Bell, Susan.
“Experiences of Illness and Narrative Understandings” in Brown, pp.130-145. |
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2). |
Freidson, Eliot.
“The Social Organization of Illness” in Brown, pp.285-294. |
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3). |
Frank, Arthur
W. “The Remission Society” in Conrad, pp. 149-152. |
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| PART
II: THE SOCIAL PRODUCTION OF ILLNESS |
| Sept.
5 (TH) |
Social
Factors in Health and Illness: Gender and Sexism |
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| Required
Readings: |
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1). |
Ehrenreich,
Barbara and Deirdre English. 1990. "The Sexual Politics of Sickness."
Pp.270-284 in The Sociology of Health and Illness: Critical Perspectives,
edited by Peter Conrad and Rochelle Kern. Third Edition. NY: St.
Martin's Press. (Supplemental reading). |
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2). |
Lorber,
Judith. “Women Get Sicker but Men Die Quicker: Gender and Health”
in Brown, pp.40-70. |
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3). |
Brumberg,
Joan. "Anorexia Nervosa in Context" in Conrad, pp.94-108. |
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| Suggested
Readings: |
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1). |
Waldron,
Ingrid. "What Do We Know about Causes of Sex Differences in Mortality?
A Review of the Literature" in Conrad, pp.37-49. |
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2). |
Gilman,
Charlotte Perkins. 1973. The Yellow Wallpaper. Old Westbury,
NY: The Feminist Press. (On reserve in the library). |
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| Sept.
10 (TU): |
Social
Factors in Health and Illness: Race and Racism |
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| ***In
Class: Video titled "The Deadly Deception" on the Tuskegee
Experiment |
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| Required
Readings: |
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1). |
Takaki,
Ronald T. 1985. "'Diseases' of the Mind and Skin." Pp.16-35
in Iron Cages: Race and Culture in Nineteenth-Century America.
Seattle: University of Washington Press. (Supplemental reading). |
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2). |
Jones,
James. "The Tuskegee Syphilis Experiment" in Brown, pp.376-388. |
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3). |
Williams,
David R. “Race, SES, and Health: The Added Effects of Racism and Discrimination”
in Brown, pp.21-39. |
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4). |
Abraham,
Laurie Kaye. Mama Might Be Better Off Dead, pp.1-24. |
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| Suggested
Readings: |
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1). |
Jones,
James. 1981. Bad Blood: The Tuskegee Syphilis Experiment.
NY: The Free Press. (On reserve in the library). |
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2). |
McCord,
Colin and Harold P. Freeman. "Excess Mortality in Harlem"
in Conrad, pp.30-37. |
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| Sept.
12 (TH): |
Social
Factors in Health and Illness: The Intersection of Race and Social
Class |
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| Required
Readings: |
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1). |
Syme,
S. Leonard and Lisa Berkman. "Social Class, Susceptibility, and
Sickness" in Conrad, pp.24-29. |
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2). |
Wilkinson,
Richard. “Health Inequalities: Relative or Absolute material Standards?”
in Conrad, pp.85-90. |
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3). |
McCally,
Michael et al. "Poverty and Ill Health: Physicians Can, and Should,
Make a Difference" in Brown, pp.5-20. |
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4). |
Abraham,
Laurie Kaye. Mama Might Be Better Off Dead, pp.25-43. |
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| Suggested
Readings: |
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1). |
House,
James S., Karl R. Landis, and Debra Umberson. "Social Relationships
and Health" in Conrad, pp.76-84. |
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2). |
Pearlin,
Leonard I. and Carol S. Aneshensel. “Stress, Coping, and Social Supports”
in Brown, pp.146-153. |
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3). |
Marmot,
Michael and Tores, Theorell. "Social Class and Cardiovascular
Disease: The Contribution of Work" in Conrad (5th
Edition), pp.93-105. |
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| Sept.
17 (TU): |
Social
Factors in Health and Illness: The Failure of Health Care for the
Poor |
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| Required
Readings: |
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1). |
Davis,
Bridgett. 1990. "Speaking of Grief: Today I Feel Real Low, I
Hope You Understand." Pp.219-225 in The Black Women's Health
Book, edited by Evelyn White. Seattle: Seal Press. (Supplemental
reading). |
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2). |
Abraham,
Laurie K. Mama Might Be Better Off Dead, pp.44-133; 146-178. |
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| Suggested
Readings: |
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1). |
Wilkinson,
Richard G. "National Mortality Rates: The Impact of Inequality?"
in Brown (Second Edition), pp.76-82. |
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| Sept.
19 (TH): |
Social
Factors in Health and Illness: Occupational and Environmental Hazards |
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| Required
Readings: |
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1). |
Smith,
Barbara. "Black Lung: The Social Production of Disease"
in Conrad, pp.55-67. |
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2). |
Kotelchuck,
David. "Worker Health and Safety at the Beginning of a New Century"
in Brown, pp.182-192. |
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3). |
Brown,
Phil. "Popular Epidemiology and Toxic Waste Contamination: Lay
and Professional Ways of Knowing" in Brown, pp.157-181. |
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| Suggested
Readings: |
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1). |
Rosner,
David. 1991. Deadly Dust: Silicosis and the Politics of Occupational
Disease in Twentieth-Century America. Princeton, NJ: Princeton
University Press. (On reserve in the library). |
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2). |
Phoenix,
Janet. "Getting the Lead Out of the Community" in Brown,
pp.632-644. |
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3). |
Conrad,
Peter. "Wellness in the Work Place: Potentials and Pitfalls
of Work-Site Health Promotion" in Conrad, pp.505-516. |
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4). |
Erikson,
Kai. "Three Mile Island: A New Species of Trouble" in Brown
(Second Edition), pp.206-221. |
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| Sept.
24 (TU): |
Individual
Rights v. Individual Responsibility: Are Individuals "Responsible"
for Their Health? |
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| ***In
Class: Position Paper #1 Due and Class Debate |
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| Required
Readings: |
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1). |
Knowles,
John. "The Responsibility of the Individual" in Conrad (Fifth
Edition), pp.379-392. (Supplemental Reading) |
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2). |
Crawford,
Robert. "Individual Responsibility and Health Politics"
in Conrad (Fifth Edition), pp.393-401. (Supplemental Reading) |
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3). |
Abraham,
Laurie Kaye. Mama Might Be Better Off Dead, pp.134-145. |
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4). |
McKinlay,
John B. "The Case for Refocusing Upstream: The Political Economy
of Illness" in Conrad, pp.516-529. |
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5). |
Sidel,
Victor. "A Tale of Two States" in Conrad, pp.50-51. |
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| PART
III: THE CULTURAL SHAPING OF HEALTH AND ILLNESS |
| Sept.
26 (TH): |
Cultural
Influences on the Experience of Illness |
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| Required
Readings: |
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1). |
Helman,
Cecil G. 1994. "Cultural Factors in Epidemiology." Pp.319-337
in Culture, Health and Illness. Oxford: Butterworth-Heinemann.
(Supplemental reading). |
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2). |
Todd,
Alexandra Dundas. "Western Reflections on Eastern Medicine"
in Brown, pp.333-362. |
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3). |
Goldstein,
Michael. “The Emergence of Alternative Medicine” in Brown, pp. 363-372. |
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| Suggested
Readings: |
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1). |
McCarthy
Brown, Karen. 1991. Mama Lola: A Vodou Priestess in Brooklyn.
Berkeley: University of California Press. (On reserve in the library). |
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2). |
Logan,
Michael H. and Edward E. Hunt, Jr. Editors. 1978. Health and the
Human Condition: Perspectives on Medical Anthropology. Massachusetts:
Duxbury Press. (On reserve in the library). |
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3). |
Zola,
Irving Kenneth. "Pathways to the Doctor---From Person to Patient"
in Brown, pp.198-213. |
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| Oct.1
(TU): |
The
Experience of Illness and the Politics of Breast Cancer |
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| Required
Readings: |
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1). |
Lorde,
Audre. The Cancer Journals, pp.9-54. |
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2). |
Ferguson,
Susan J. and Anne S. Kasper. “Introduction—Living With Breast Cancer”
in Kasper and Ferguson, pp.1-22. |
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3). |
Zones,
Jane S. “Profits from Pain: The Political Economy of Breast Cancer”
in Kasper and Ferguson, pp.119-151. |
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4). |
Steingraber,
Sandra. “The Environmental Link to Breast Cancer” in Kasper and Ferguson,
pp. 271-299. |
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| Suggested
Readings: |
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1).
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Read
other chapters in Breast Cancer: Society Shapes an Epidemic. |
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| Oct.
3 (TH): |
Discussion
of Breast Cancer, continued |
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| Required
Readings: |
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1). |
Lorde,
Audre. The Cancer Journals, pp.55-77. |
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2). |
Rosenbaum,
Marcy E. and Gun M. Roos. “Women’s Experiences of Breast Cancer” in
Kasper and Ferguson, pp. 153-181. |
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3). |
Kasper,
Anne S. “Barriers and Burdens: Poor Women Face Breast Cancer” in Kasper
and Ferguson, pp.183-212. |
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| Suggested
Readings: |
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1).
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Read
other chapters in Breast Cancer: Society Shapes an Epidemic. |
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| Oct.
8 (TU): |
The Experience
of Illness and the Politics of AIDS
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| ***To
Be Scheduled. Video: "And The Band Played On" |
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| Required
Readings: |
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1). |
Fee,
Elizabeth and Nancy Krieger. 1993. “Understanding AIDS: Historical
Interpretations and the Limits of Biomedical Individualism.” American
Journal of Public Health 83(10):1477-1486. |
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2). |
Weitz,
Rose. "Uncertainty and the Lives of Persons with AIDS" in
Conrad, pp.126-136. |
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| Suggested
Readings: |
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1). |
Shilts,
Randy. 1987. And The Band Played On: Politics, People, and the
AIDS Epidemic. NY: St. Martin's Press. (On reserve in the library). |
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2). |
Conrad,
Peter. "The Social Meanings of AIDS" in Brown (1992 Edition),
pp.416-428. |
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3). |
Weitz,
Rose. "Life With AIDS" in Brown, pp.242-255. |
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| Oct.
10 (TH): |
Societal
Response to the AIDS Epidemic |
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| Required
Readings: |
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1). |
Verghese,
Abraham. 1994. Pp.9-15 in My Own Country: A Doctor's Story of
a Town and Its People in the Age of AIDS. NY: Simon and Schuster.
(Supplemental reading). |
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2). |
Epstein,
Steven. “Democracy, Expertise, and AIDS Treatment Activism” in Brown,
pp.609-625. |
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3). |
Bosk,
Charles L. and Joel E. Frader. "AIDS and Its Impact on Medical
Work: The Culture and Politics of the Shop Floor" in Conrad,
pp.228-239. |
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| Suggested
Readings: |
| |
1). |
Rosser,
Sue. 1991. "Perspectives: Women and AIDS." AIDS Education
and Prevention. 3:230-240. |
| |
2). |
Articles
from "Has America Adequately Funded AIDS Research and Treatment?"
Pp. 70-93 in The AIDS Crisis, edited by Bruno Leone. San Diego,
CA: Greenham Press. 1991. |
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|
| PART
IV: THE SOCIAL ORGANIZATION OF MEDICAL CARE |
| Oct.
15 (TU): |
The
Rise of Medical Authority I: The Dominance of Physicians |
| |
|
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| Required
Readings: |
| |
1). |
Conrad,
Peter and Joseph Schneider. "Professionalization, Monopoly, and
the Structure of Medical Practice" in Conrad, pp.156-162. |
| |
2). |
Starr,
Paul. "The Growth of Medical Authority" in Brown, pp.557-565. |
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3). |
Wertz,
Richard and Dorothy Wertz. "Notes on the Decline of Midwives
and The Rise of Medical Obstetricians" in Conrad, pp.162-174. |
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4). |
Rosenberg,
Charles. "Rise of the Modern Hospital" in Brown, pp.523-539. |
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| Suggested
Readings: |
| |
1). |
Buss,
Fran Leeper. 1980. La Partera: Story of A Midwife. Ann Arbor,
Michigan: The University of Michigan Press. (On reserve in the library). |
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2). |
Logan,
Onnie Lee and Katherine Clark. 1989. Motherwit: An Alabama Midwife's
Story. NY: E. P. Dutton. (On reserve in the library). |
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| Oct.
17 (TH): |
The
Rise of Medical Authority II: Nurses and the Order to Care |
| |
|
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| ***In
class: Video titled "Sentimental Women Need Not Apply:
A History of the American Nurse" and Discussion |
| |
|
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| Required
Readings: |
| |
1). |
Reverby,
Susan. "A Caring Dilemma: Womanhood and Nursing in Historical
Perspective" in Conrad, pp.217-227. |
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2). |
Killion,
Cheryl. 1990. "Service Without Subservience: Reflections of
a Registered Nurse." Pp.240-250 in The Black Women's Health
Book, edited by Evelyn White. Seattle: Seal Press. (Supplementary
reading). |
| |
3). |
Chambliss,
Daniel. “Nurses’ Role: Caring, Professionalism, and Subordination”
in Brown, pp.591-604. |
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| Suggested
Readings: |
| |
1). |
Charon,
Rita. “To Listen, To Recognize” in Brown, pp.566-573. |
| |
2). |
Melosh,
Barbara. 1982. The Physician’s Hand: Work Culture and Conflict
in American Nursing. Philadelphia: Temple University Press. |
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| Oct.
19 - Oct. 26th: |
FALL BREAK:
NO CLASS (Begin Reading Perri Klass' book) |
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| PART
V: BECOMING A HEALTH CARE PROVIDER |
| Oct.
29 (TU): |
The
Socialization of Doctors I: The Medical School Experience |
| |
|
|
| Required
Readings: |
| |
1). |
Fox,
Renée. "Training for Uncertainty" in Brown (1992 Edition),
pp.450-459. (Supplemental Reading). |
| |
2). |
Anspach,
Renee. "The Language of Case Presentation" in Conrad, pp.321-340. |
| |
3). |
Klass,
Perri. A Not Entirely Benign Procedure, pp.13-152. |
| |
|
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| Suggested
Readings: |
| |
1). |
Konner,
Melvin. 1987. Becoming a Doctor: A Journey of Initiation Into
Medical School. New York: Viking. (On reserve in the library). |
| |
2). |
Mishler,
Elliot G. "The Struggle Between the Voice of Medicine and the
Voice of the Lifeworld" in Conrad, pp.293-305. |
| |
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| Oct.
31 (TH): |
The
Socialization of Doctors II: Internships and Residency |
| |
|
|
| ***To
Be Scheduled: PBS Video "So You Want To Be A Doctor?" (60
min) |
| |
|
|
| Required
Readings: |
| |
1). |
Gamble,
Vanessa Northington. 1990. "On Becoming a Physician: A Dream
Not Deferred." Pp.52-64 in The Black Women's Health Book,
edited by Evelyn White. Seattle: The Seal Press. (Supplemental reading). |
| |
2). |
McKinlay,
John B. and John D. Stoeckle. “Corporatization and the Social Transformation
of Doctoring’ in Conrad, pp.175-186. |
| |
3). |
McKinlay,
John B. and Lisa D. Marceau. “Addendum 2000: The End of the Golden
Age of Doctoring” in Conrad, pp.186-188. |
| |
4). |
Klass,
Perri. A Not Entirely Benign Procedure, pp.153-286. |
| |
|
|
| Suggested
Readings: |
| |
1). |
Light,
Donald W. “Countervailing Power: The Changing Character of the Medical
Profession in the United States” in Conrad, pp.189-197. |
| |
2). |
Lorber,
Judith. "Women Physicians in Three Countries" in Brown (1992
Edition), pp.459-467. |
| |
|
|
|
Return
to Top of Page
|
| PART
VI: MEDICINE AS AN INSTITUTION OF SOCIAL CONTROL |
| Nov.
5 (TU): |
Medicine,
Deviance, and Social Control |
| |
|
|
| Required
Readings: |
| |
1). |
Zola,
Irving. "Medicine as an Institution of Social Control" in
Conrad, pp.404-414. |
| |
2). |
Conrad,
Peter. "Medicalization and Social Control" in Brown, pp.104-129. |
| |
3) |
Lyman,
Karen A. "Infantilization: The Medical Model of Care" in
Brown, pp.295-305. |
| |
|
|
| Suggested
Readings: |
| |
1). |
Conrad,
Peter and Joseph Schneider. 1992. Deviance and Medicalization:
From Badness to Sickness. Philadelphia: Temple University Press.
(On reserve in the library). |
| |
2). |
Fox,
Renée. "The Medicalization and Demedicalization of American Society"
in Conrad, pp.414-418. |
| |
|
|
| Nov.
7 (TH): |
Increasing
Medicalization and the Social Control of Women |
| |
|
|
| Required
Readings: |
| |
1). |
Riessman,
Catherine. "Women and Medicalization: A New Perspective"
in Brown (1992 Edition), pp.190-220. (Supplemental reading). |
| |
2). |
Rothman,
Barbara Katz. "Midwives in Transition: The Structure of a Clinical
Revolution" in Conrad, pp.340-348. |
| |
3). |
Ferguson,
Susan J. 2000. “Deformities and Diseased: The Medicalization of Women’s
Breasts” in Kasper and Ferguson, pp.51-86. |
| |
|
|
| Suggested
Readings: |
| |
1). |
Zimmerman,
Susan. “The Medical Management of Femininity: Women’s Experiences
with Silicone Breast Implants” in Brown, pp.256-281. |
| |
2). |
Bell,
Susan. "Political Gynecology: Gynecological Imperialism and
the Politics of Self-Help" in Brown, pp.767-779. |
| |
3). |
Morgan,
Kathryn Pauly. 1998. “Women and the Knife: Cosmetic Surgery and the
Colonization of Women’s Bodies.” Pp. 147-165 in The Politics of
Women’s Bodies, edited by Rose Weitz. New York: Oxford University. |
Return
to Top of Page
| PART
VII: ETHICAL DILEMMAS IN MEDICINE-NEW MEDICAL TECHNOLOGIES |
| Nov.
12 (TU): |
The
Moral Order in Medicine |
| |
|
|
| Required
Readings: |
| |
1). |
Flynn,
Eileen P. Issues in Health Care Ethics. Read Chapters 1, 9,
14, 15, and 16. |
| |
|
|
| Suggested
Readings: |
| |
1). |
Banta,
David et al. "Concerns about Medical Technology" in Brown
(1992 Edition), pp.428-437. |
| |
2). |
Millman,
Marcia. "Medical Mortality Review: A Cordial Affair" in
Brown (Second Edition), pp.620-633. |
| |
3). |
Sherwin,
Susan. 1992. No Longer Patient: Feminist Ethics and Health Care.
Philadelphia: Temple University Press. (On reserve in library). |
| |
|
|
| Nov.
14 (TH): |
Medical
Ethics and the Termination of Life |
| |
|
|
| Required
Readings: |
| |
1). |
Zussman,
Robert. "The Patient in the Intensive Care Unit" in Brown,
pp.540-552. |
| |
2). |
Flynn,
Eileen P. Issues in Health Care Ethics. Read Chapters 2, 7,
11, 12, and 13. |
| |
|
|
| Suggested
Readings: |
| |
1). |
Zussman,
Robert. 1992. Intensive Care: Medical Ethics and The Medical Profession.
Chicago: University of Chicago Press. (On reserve in library). |
| |
|
|
| Nov.
19 (TU): |
Medical
Technologies and Transplants |
| |
|
|
| Required
Readings: |
| |
1). |
Kutner,
Nancy. "Issues in the Application of High Cost Medical Technology"
in Conrad, pp.359-373. |
| |
2). |
Flynn,
Eileen P. Issues in Health Care Ethics. Read Chapters 3, 5,
6 and 10. |
| |
3). |
Fox,
Renée C. and Judith P. Swazey. "Transplantation and the Medical
Commons" in Brown, pp.389-405. |
| |
4). |
Abraham,
Laurie Kaye. Mama Might Be Better Off Dead, pp.179-231. |
| |
|
|
| Suggested
Readings: |
| |
1). |
Bernstein,
Barton. "The Misguided Quest for the Artificial Heart" in
Conrad, pp.352-358. |
| |
2). |
Waitzkin,
Howard. "A Marxian Interpretation of the Growth and Development
of Coronary Care Technology" in Conrad, pp.248-261. |
| |
|
|
| Nov.
21 (TH): |
Improving
Health Care for Patients |
| |
|
|
| Required
Readings: |
| |
1). |
Abraham,
Laurie Kaye. Mama Might Be Better Off Dead, pp.232-262. |
| |
2). |
McKnight,
John. "Politicizing Health Care" in Conrad, pp.446-450. |
| |
3). |
Avery,
Byllye Y. “Breathing Life into Ourselves: The Evolution of the National
Black Women’s Health Project” in Brown, pp.626-631. |
| |
4). |
Withorn,
Ann. “Helping Ourselves” in Conrad, pp.450-459. |
| |
|
|
| Suggested
Readings: |
| |
1). |
Riessman,
Catherine Kohler. "Improving the Health Experiences of Low Income
Patients" in Conrad (Fifth Edition), pp.436-449. |
| |
|
|
| Nov.
26 (TU) |
Class
Cancelled |
| |
|
|
| Nov.
28 (TH) |
Thanksgiving
Break, No Class |
Return
to Top of Page
| PART
VIII: THE CURRENT MEDICAL SYSTEM |
| Dec.
3 (TU): |
The
Structure of U.S. Medical Care |
| |
|
|
| Required
Readings: |
| |
1). |
Fry,
John, et al. "The U.S. Health Care System" in Conrad, pp.208-217. |
| |
2). |
Birenbaum,
Arnold. “What is Managed Care?” in Brown, pp.455-469. |
| |
3). |
Relman,
Arnold S. "The Health Care Industry: Where Is It Taking Us?"
in Conrad, pp.242-248. |
| |
4). |
Gray,
Bradford H. “The Evolution of Investor-Owned Hospitals Companies”
in Brown, pp. 470- 483. |
| |
5). |
Light,
Donald W. “The Origins and Rise of Managed Care” in Brown, pp. 484-503. |
| |
|
|
| Suggested
Readings: |
| |
1). |
Callahan,
Daniel and Arnold S. Relman. Each author takes a side in the debate
on "Rationing Medical Care" in Conrad, pp.420-432. |
| |
2). |
Law,
Sylvia A. "Blue Cross---What Went Wrong?" in Conrad and
Kern, (Fourth Edition) pp.261-269. |
| |
3). |
Light,
Donald W. "Excluding More, Covering Less: The Health insurance
Industry in the U.S." in Brown (Second Edition), pp.464-477. |
| |
4). |
Woolhander,
Steffie and David U. Himmelstein. "Galloping Toward Oligopoly:
Giant H.M.O. 'A' or Giant H.M.O. 'B'?" in Brown (Second Edition),
pp.490-495. |
| |
|
|
| Dec.
5 (TH): |
Changing
Current Medical Practice I: U.S. Health Care Reform |
| |
|
|
| Required
Readings: |
| |
1). |
Rothman,
David J. "A Century of Failure: Health Care Reform in America"
in Conrad, pp.266-274. |
| |
2). |
Bodenheimer,
Thomas and Kevin Grumach. "Paying For Health Care" in Conrad,
pp.275-283. |
| |
3). |
Himmelstein,
David U. and Steffie Woolhander. "A National Health Program for
the United States: A Physician's Plan" in Brown, pp.552-565. |
| |
|
|
| Suggested
Readings: |
| |
1). |
Stone,
Deborah A. “Doctoring as a Business: Money, Markets, and Managed Care”
in Conrad, pp.283-290. |
| |
2). |
Navarro,
Vicente. "Why Congress Did Not Enact Health Care Reform"
in Brown (Second Edition), pp.582-588. |
| |
3). |
Morone,
James A. "Nativism, Hollow Corporations, and Managed Competition:
Why the Clinton Health Care Reform Failed" in Brown (Second Edition),
pp.589-594. |
| |
4). |
Barer,
Morris L. "So Near, and Yet So Far: A Canadian Perspective on
U.S. Health Care Reform" in Brown (Second Edition), pp.595-606. |
| |
|
|
| Dec.
10 (TU): |
Changing
Current Medical Practice II: Comparative Health Care Systems |
| |
|
|
| Required
Readings: |
| |
1). |
Light,
Donald W. "Comparative Models of 'Health Care' Systems"
in Conrad, pp.464-479. |
| |
2). |
Marmor,
Theodore and Jerry Mashaw. "Canada's Health Insurance and Ours:
The Real Lessons, the Big Choices" in Conrad, pp.479-489. |
| |
3). |
Gabe,
Jonathan. "Continuity and Change in the British National Health
Service" in Conrad, pp.489-501. |
| |
|
|
| Suggested
Readings: |
| |
1). |
Gill,
Derek. "A National Health Service: Principles and Practice"
in Conrad and Kern, pp.480-494. |
| |
2). |
Lee,
Sidney. "Health Policy, A Social Contract: A Comparison of the
United States and Canada" in Brown (1992 Edition), pp.388-395. |
| |
3). |
Horn,
Joshua. "The Conquest of Syphilis in China" in Brown (1992
Edition), pp.595-608. |
| |
4). |
Dahlgren,
Goren and Finn Diderichsen. "Strategies for Equity in Health:
Reports From Sweden" in Brow | |