In the 1960s and 1970s, a wave of social movements permeated the American landscape; these pushes for change included the community health movement and the women's health movement. In considering these two health movements, I wondered if communities were better served by their new modes of healthcare delivery than they had been in the past? To explore this question more deeply, I choose two New England health centers as case sutdies for my thesis. The first clinic is a community health center in Dorchester, Massachusetts, which started in 1965. The second clinic, the New Hampshire Women's Health Services located in New Hampshire's capital, opened in 1974. I utilized oral interviews, newspaper articles, surveys conducted by non-profit organizations, and the feminist health center's quarterly publication to establish the histories of each health center. I then placed these narratives into the scholarship of each health movement. Although I initially planned on highlighting the avenues for empowerment created in these health movements, the use of a health social movements framework allowed me to underscore an even more prominent commonality between the two centers: the revived emphasis on experiential knowledge in the medical profession in the second half of the twentieth century.

Largely because of the Internet and the new economy, technology has become the buzzword of our culture. But what is it, and how does it affect our lives? More importantly, can we control and shape it, or does it control us? In short, can we make technology more democratic? Using the work of Andrew Feenberg, one of the most important and original figures in the field of philosophy of technology, as a foundation, the contributors to this volume explore these important questions and Feenberg responds. In the 1990s, Feenberg authored three books that established him as one of the leading scholars in a rapidly developing field, and he is one of the few to delineate a theory for democratizing technological design. He has demonstrated the shortcomings of traditional theories of technology and argued for what he calls "democratic rationalization" where actors intervene in the technological design process to shape it toward their own ends. In this book, the contributors analyze foundational issues in Feenberg's work, including questions of human nature, biotechnology, gender, and his readings of Heidegger, and they also examine practical issues, including democratizing technology, moral evaluation, and environmentalism.

Central to this book is the idea that the United States is in the midst of a health care crisis, one that will be exacerbated as the population continues to age. Longino and Murphy trace the philosophical and technological development of the biomedical model and show its inadequacy to deal with the massive chronic disease demand of the present and the future. They argue that the delivery of health care will meet and survive the old age challenge only if the medical system is thoroughly democratized. A more inclusive system must be devised that encourages a more reasonable allocation of resources, gives more attention to prevention, adopts a wider range of non-medical interventions, and invites citizens to become more involved in their own health care and the planning of services.

The process of user-centered innovation: how it can benefit both users and manufacturers and how its emergence will bring changes in business models and in public policy. Innovation is rapidly becoming democratized. Users, aided by improvements in computer and communications technology, increasingly can develop their own new products and services. These innovating users—both individuals and firms—often freely share their innovations with others, creating user-innovation communities and a rich intellectual commons. In Democratizing Innovation, Eric von Hippel looks closely at this emerging system of user-centered innovation. He explains why and when users find it profitable to develop new products and services for themselves, and why it often pays users to reveal their innovations freely for the use of all.The trend toward democratized innovation can be seen in software and information products—most notably in the free and open-source software movement—but also in physical products. Von Hippel's many examples of user innovation in action range from surgical equipment to surfboards to software security features. He shows that product and service development is concentrated among "lead users," who are ahead on marketplace trends and whose innovations are often commercially attractive. Von Hippel argues that manufacturers should redesign their innovation processes and that they should systematically seek out innovations developed by users. He points to businesses—the custom semiconductor industry is one example—that have learned to assist user-innovators by providing them with toolkits for developing new products. User innovation has a positive impact on social welfare, and von Hippel proposes that government policies, including R&D subsidies and tax credits, should be realigned to eliminate biases against it. The goal of a democratized user-centered innovation system, says von Hippel, is well worth striving for. An electronic version of this book is available under a Creative Commons license.

How genomics, big data, and digital technology are revolutionizing every aspect of medicine, from physical exams to drug prescriptions to organ transplants Mobile technology has transformed our lives, and personal genomics is revolutionizing biology. But despite the availability of technologies that can provide wireless, personalized health care at lower cost, the medical community has resisted change. In The Creative Destruction of Medicine, Eric Topol-one of the nation's top physicians-calls for consumer activism to demand innovation and the democratization of medical care. The Creative Destruction of Medicine is the definitive account of the coming disruption of medicine, written by the field's leading voice.

This book examines the important role of consumer activism in health policy in different national contexts. In an age of shifting boundaries between state and civil society, consumer groups are potentially drivers of democratisation in the health domain. The expert contributors explore how their activities bring new dynamics to relations between service providers, the medical profession, government agencies, and other policy actors. This book is unique in comprehensivelyanalysing the opportunities and dilemmas of this type of activism, including ambiguous partnerships between consumer groups and stakeholders such as the pharmaceutical industry. These themes are explored within aninternationally comparative framework, with case studies from various countries.