In this multidisciplinary book, the editor and contributors provide the most accurate and most recent information on health and health care in the State of Mississippi. They explain why the state finds itself in precarious health conditions and reveal the prevailing circumstances as the state debates a path toward a comprehensive health care system for its citizens. They show who has had access to good health care in the state and celebrate the heroes who struggled to provide health care to all Mississippians, and contribute to the debate on how the health care system might be restructured, reconstructed, or adjusted to meet the needs of all people in the state, regardless of race, ethnicity, socioeconomic status, and national origin. The issue of health disparities and socio-economic status leads to a relevant discussion of whether health and access to quality care are a right of all people, as the United Nations has proclaimed, or the privilege of a few who have the economic resources and the political clout to purchase first-rate care. The volume offers a clear understanding of health care trends in the state since the inception of its health system during the eighteenth and early nineteenth centuries up to the present and the prospects of transcending the obstacles of its own creation over the past two centuries. It likewise highlights the economic challenges that Mississippi, like other states, confronts; and how wise and realistic its priorities are in meeting the needs of its diverse populations, particularly racial and ethnic minorities.

Machine generated contents note: -- Foreword / by H. Jack GeigerIntroduction -- From South Africa to Mississippi -- Community Organizing -- Delivering Health Care -- Environmental Factors -- The Farm Co-op -- Conflict and Change -- Epilogue -- Bibliography

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Contributions by Richard D. deShazo, John Dittmer, Keydron K. Guinn, Lucius M. Lampton, Wilson F. Minor, Rosemary Moak, Sara B. Parker, Wayne J. Riley, Leigh Baldwin Skipworth, Robert Smith, and William F. Winter The Racial Divide in American Medicine documents the struggle for equity in health and health care by African Americans in Mississippi and the United States and the connections between what happened there and the national search for social justice in health care. Dr. Richard D. deShazo and the contributors to the volume trace the dark journey from a system of slave hospitals in the state, through Reconstruction, Jim Crow, and the civil rights era, to the present day. They substantiate that current health disparities are directly linked to America’s history of separation, neglect, struggle, and disparities. Contributors reveal details of individual physicians’ journeys for recognition both as African Americans and as professionals in Mississippi. Despite discrimination by their white colleagues and threats of violence, a small but fearless group of African American physicians fought for desegregation of American medicine and society. For example, T. R. M. Howard, MD, in the all-black city of Mound Bayou led a private investigation of the Emmett Till murder that helped trigger the civil rights movement. Later, other black physicians risked their lives and practices to provide care for white civil rights workers during the civil rights movement. Dr. deShazo has assembled an accurate account of the lives and experiences of black physicians in Mississippi, one that gives full credit to the actions of these pioneers. Dr. deShazo’s introduction and the essays address ongoing isolation and distrust among black and white colleagues. This book will stimulate dialogue, apology, and reconciliation, with the ultimate goal of improving disparities in health and health care and addressing long-standing injustices in our country.

Health Insurance is a Family Matter is the third of a series of six reports on the problems of uninsurance in the United Sates and addresses the impact on the family of not having health insurance. The book demonstrates that having one or more uninsured members in a family can have adverse consequences for everyone in the household and that the financial, physical, and emotional well-being of all members of a family may be adversely affected if any family member lacks coverage. It concludes with the finding that uninsured children have worse access to and use fewer health care services than children with insurance, including important preventive services that can have beneficial long-term effects.

"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.

With very little money but with a groundswell of support from all sectors of the state, the two-year medical school at the University of Mississippi in Oxford became the University of Mississippi Medical Center in Jackson in 1955. Including more than fifty photographs, Promises Kept traces the development of the medical center from one school and two hospital wings to a major center for professional health education with four hospitals, five schools, a work force of more than 7,500 and a $650 million annual budget. In the 1960s, medical center leadership faced the challenge of maintaining stability in a rapidly changing social order and accomplishing the peaceful racial integration among both patients and employees. Though often strapped for cash and amid crises and conflicts, the small medical center in the nation's poorest state stayed true to its mission. This history details the careers of medical center leaders who were dedicated to assuring that the institution never deviated from its focus on healing the sick, providing health professionals for Mississippi, and researching new ways of understanding and treating illness. The center nurtured the careers of two of the most important individuals in modern medicine, James D. Hardy and Arthur C. Guyton. In 1964 Hardy performed the world's first heart transplant three years before Christiaan Barnard. In 1956, Guyton published his Textbook of Medical Physiology, which to this day remains the most widely used textbook in the field, and the standard physiology text around the world. Using archival records, photographs, and other documents, Promises Kept: The University of Mississippi Medical Center is an overview of one of the state's most significant institutions. Janis Quinn of Florence, Mississippi, is a freelance writer whose work has been published in the Journal of the Mississippi State Medical Association, Journal of the Mississippi Dental Association, and Jackson Magazine.