"Impressively detailed. . . . An authoritative and epic overview."--Publishers Weekly

This book examines how Wisconsin's Winnebago County negotiated nagging issues such as unemployment, debt relief, and sluggish industry during the Great Depression, all the while attempting to understand the effect these times had on the people who called the county home.

"For further reading": pages 336-352.

One of the major concerns about the changing U.S. health-care systems is whether they will improve or diminish the quality and cost-effectiveness of medical care. The shift from a fee-for-service to a prepaid method of reimbursement has greatly changed the incentives of patients to seek care as well as those of providers to supply it. This change poses a particular challenge for care of depressed patients, a vulnerable population that often does not advocate for its own care. This book documents the inefficiencies of our national systems--prepaid as well as fee-for-service--for treating depression and explores how they can be improved. Although depression is a major illness affecting millions of people, it is seriously undertreated in the United States. The ongoing shift of mental-health care away from specialists and toward primary medical-care providers is causing fewer depressed patients to be appropriately diagnosed and treated. Depression is frequently more devastating than other major illnesses, such as arthritis and heart disease, because it often begins at a younger age, when people are at their productive peak and thus at risk of permanently damaging their careers. It also differs from many medical conditions in that its indirect costs are usually much higher than direct treatment costs. The authors urge the integration of both medical and economic considerations in designing policies for the treatment of depression. They show that by spending more money efficiently on care, the nation will gain greater health improvements per dollar invested and a more productive population.

Through interviews with survivors of the Depression, the use of photographs taken by Federally supported photographers (many reproduced here) and research into the history of the period, the work provides an accurate and even uplifting portrait of the people of the mountains, piedmont and Coastal areas of North Carolina in the 1930s. The chapters include examinations of the industries and natural resources of North Carolina during the Depression, as well as information on the education, health, population, labor, governorships, housing and entertainment of the time. The effects of the New Deal Programs and other important historic events are discussed. The work includes 200 photographs to complement interviews with North Carolina natives about their experiences, as well as appendices, a bibliography, and an index covering important federal photographers in North Carolina during the Great Depression.