A medical sociologist with a historian's obsession with detail and documentation, Poonam Bala tenaciously follows the developmental trajectory of medical pluralism in India with a keen eye to the dynamic social production of health and healing systems as social systems, practices, and technologies of power. Covering a broad swathe of history, this book explores how a turbulently emerging Indian State with shifting alliances and evolving rules ideologies (with the accompanying emergence of class and caste identities and opportunities) gave rise to a particular growth of scientific and, specifically, medical traditions in India. As a set of healing practices, a literary art, and a cultural knowledge base, India's medical traditions represent 'an acculturated product' of competing ideologies and the expression of contested State, and social and religious policies over time. Bala focuses on the power of State intervention and multiple levels of patronage to shape medical practice and theory, and in turn, India's very history.

Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Kumar (history, Delhi U.) traces the introduction and spread of medical education by British colonial interests, and examines the underlying imperial motives and expediencies. He discusses such issues as the nature and growth of the hospital system and pharmacies, the various kinds of medical services set up to cater to the needs of the imperial masters, the racial discrimination in various spheres, and the Indianization of the medical services. He also describes what the British could have done had their interest been in relieving suffering rather than expanding the empire. Annotation copyrighted by Book News, Inc., Portland, OR

Psychiatric provision at Trivandrum in the early twentieth century -- Formal classification and treatment of patients -- Institutional trends and statistics -- The Orissan states - "something rotten somewhere"--Conclusion -- Index

The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

"Public health services, which reduce a population's exposure to disease through such measures as sanitation and vector control, are an essential part of a country's development infrastructure. In the industrial world and East Asia, systematic public health efforts raised labor productivity and life expectancies well before modern curative technologies became widely available, and helped set the stage for rapid economic growth and poverty reduction. The enormous business and other costs of the breakdown of these services are illustrated by the current global epidemic of avian flu, emanating from poor poultry-keeping practices in a few Chinese villages. For various reasons, mostly of political economy, public funds for health services in India have been focused largely on medical services, and public health services have been neglected. This is reflected in a virtual absence of modern public health regulations and of systematic planning and delivery of public health services. Various organizational issues also militate against the rational deployment of personnel and funds for disease control. There is strong capacity for dealing with outbreaks when they occur, but not to prevent them from occurring. Impressive capacity also exists for conducting intensive campaigns, but not for sustaining these gains on a continuing basis after the campaign. This is illustrated by the near eradication of malaria through highly organized efforts in the 1950s, and its resurgence when attention shifted to other priorities such as family planning. This paper reviews the fundamental obstacles to effective disease control in India and indicates new policy thrusts that can help overcome these obstacles. "-- World Bank web site.

Over the past twenty years, many low- and middle-income countries have experimented with health insurance options. While their plans have varied widely in scale and ambition, their goals are the same: to make health services more affordable through the use of public subsidies while also moving care providers partially or fully into competitive markets. Until now, however, we have known little about the actual effects of these dramatic policy changes. Understanding the impact of health insurance-based care is key to the public policy debate of whether to extend insurance to low-income populationsand if so, how to do itor to serve them through other means.