A century of developing health culture in McLean County, Illinois

This comprehensive history of medicine and public health in America covers changes and developments over four centuries, from the arrival of the first Europeans to the twenty-first century.

Throughout the early modern period, scientific debate and governmental action became increasingly preoccupied with the environment, generating discussion across Europe and the wider world as to how to improve land and climate for human benefit. This discourse eventually promoted the reconsideration of long-held beliefs about the role of climate in upholding the social order, driving economies and affecting public health. Governing the Environment in the Early Modern World explores the relationship between cultural perceptions of the environment and practical attempts at environmental regulation and change between 1500 and 1800. Taking a cultural and intellectual approach to early modern environmental governance, this edited collection combines an interpretative perspective with new insights into a period largely unfamiliar to environmental historians. Using a rich and multifaceted narrative, this book offers an understanding as to how efforts to enhance productive aspects of the environment were both led by and contributed to new conceptualisations of the role of ‘nature’ in human society. This book offers a cultural and intellectual approach to early modern environmental history and will be of special interest to environmental, cultural and intellectual historians, as well as anyone with an interest in the culture and politics of environmental governance.

In a work that spans the twentieth century, Nancy Tomes questions the popular--and largely unexamined--idea that in order to get good health care, people must learn to shop for it. Remaking the American Patient explores the consequences of the consumer economy and American medicine having come of age at exactly the same time. Tracing the robust development of advertising, marketing, and public relations within the medical profession and the vast realm we now think of as "health care," Tomes considers what it means to be a "good" patient. As she shows, this history of the coevolution of medicine and consumer culture tells us much about our current predicament over health care in the United States. Understanding where the shopping model came from, why it was so long resisted in medicine, and why it finally triumphed in the late twentieth century helps explain why, despite striking changes that seem to empower patients, so many Americans remain unhappy and confused about their status as patients today.

Do doctors fix patients? Or do they heal them? For all of modern medicine’s many successes, discontent with the quality of patient care has combined with a host of new developments, from aging populations to the resurgence of infectious diseases, which challenge medicine’s overreliance on narrowly mechanistic and technical methods of explanation and intervention, or “fixing’ patients. The need for a better balance, for more humane “healing” rationales and practices that attend to the social and environmental aspects of health and illness and the experiencing person, is more urgent than ever. Yet, in public health and bioethics, the fields best positioned to offer countervailing values and orientations, the dominant approaches largely extend and reinforce the reductionism and individualism of biomedicine. The collected essays in To Fix or To Heal do more than document the persistence of reductionist approaches and the attendant extension of medicalization to more and more aspects of our lives. The contributors also shed valuable light on why reductionism has persisted and why more holistic models, incorporating social and environmental factors, have gained so little traction. The contributors examine the moral appeal of reductionism, the larger rationalist dream of technological mastery, the growing valuation of health, and the enshrining of individual responsibility as the seemingly non-coercive means of intervention and control. This paradigm-challenging volume advances new lines of criticism of our dominant medical regime, even while proposing ways of bringing medical practice, bioethics, and public health more closely into line with their original goals. Precisely because of the centrality of the biomedical approach to our society, the contributors argue, challenging the reductionist model and its ever-widening effects is perhaps the best way to press for a much-needed renewal of our ethical and political discourse.

From contraception to cloning and pregnancy to populations, reproduction presents urgent challenges today. This field-defining history synthesizes a vast amount of scholarship to take the long view. Spanning from antiquity to the present day, the book focuses on the Mediterranean, western Europe, North America and their empires. It combines history of science, technology and medicine with social, cultural and demographic accounts. Ranging from the most intimate experiences to planetary policy, it tells new stories and revises received ideas. An international team of scholars asks how modern 'reproduction' - an abstract process of perpetuating living organisms - replaced the old 'generation' - the active making of humans and beasts, plants and even minerals. Striking illustrations invite readers to explore artefacts, from an ancient Egyptian fertility figurine to the announcement of the first test-tube baby. Authoritative and accessible, Reproduction offers students and non-specialists an essential starting point and sets fresh agendas for research.