This short and accessible introduction provides an invaluable tool with which to think about the ethical values that lie at the heart of medicine.Tony Hope deals with thorny moral issues, including euthanasia and the morality of killing. He also explores political questions, such as how we can make sure health care resources are distributed fairly. Each chapter in the book considers a different issue, for example, genetics, modern reproductive technologies, resource allocation, mental health, and medical research. Each section also discusses controversial questions such as: Who should have access to reproductive technology? Is it right to fund expensive drug treatment for individuals? Should treatment for mental illness be imposed on patients without their consent? Considering a wide range of questions of medical ethics, this Very Short Introduction will help to explain some of the confusing issues facing the field of medicine today.About the Series: Combining authority with wit, accessibility, and style, Very Short Introductions offer an introduction to some of life's most interesting topics. Written by experts for the newcomer, they demonstrate the finest contemporary thinking about the central problems and issues in hundreds of key topics, from philosophy to Freud, quantum theory to Islam.

    Debates around vaccines' necessity -- along with questions around their side effects -- have gone mainstream, blending with geopolitical conflicts, political campaigns, celebrity causes, and "natural" lifestyles to win a growing number of hearts and minds. Today's anti-vaccine positions find audiences where they've never existed previously.Stuck examines how the issues surrounding vaccine hesitancy are, more than anything, about people feeling left out of the conversation. A new dialogue is long overdue, one that addresses the many types of vaccine hesitancy and the social factors that perpetuate them. To do this, Stuck provides a clear-eyed examination of the social vectors that transmit vaccine rumors, their manifestations around the globe, and how these individual threads are all connected.

    Humanity faces not just more pollution or warmer weather, but a crisis of the Earth System. If business as usual continues, this century will be marked by rapid deterioration of our physical, social, and economic environment. Large parts of Earth will become uninhabitable, and civilization itself will be threatened. Facing the Anthropocene shows what has caused this planetary emergency, and what we must do to meet the challenge.Bridging the gap between Earth System science and ecological Marxism, Ian Angus examines not only the latest scientific findings about the physical causes and consequences of the Anthropocene transition, but also the social and economic trends that underlie the crisis. Cogent and compellingly written, Facing the Anthropocene offers a unique synthesis of natural and social science that illustrates how capitalism's inexorable drive for growth, powered by the rapid burning of fossil fuels that took millions of years to form, has driven our world to the brink of disaster. Survival in the Anthropocene, Angus argues, requires radical social change, replacing fossil capitalism with a new, ecosocialist civilization.

    But as costs levitate, that argument becomes more difficult to make. Today, we spend twice as much as Japan on health care—yet few would argue that our health care system is twice as good.Instead, startling new evidence suggests that one out of every three of our health care dollars is squandered on unnecessary or redundant tests; unproven, sometimes unwanted procedures; and overpriced drugs and devices that, too often, are no better than the less expensive products they have replaced.How did this happen? In Money-Driven Medicine, Maggie Mahar takes the reader behind the scenes of a $2 trillion industry to witness how billions of dollars are wasted in a Hobbesian marketplace that pits the industry's players against each other. In remarkably candid interviews, doctors, hospital administrators, patients, health care economists, corporate executives, and Wall Street analysts describe a war of "all against all" that can turn physicians, hospitals, insurers, drugmakers, and device makers into blood rivals. Rather than collaborating, doctors and hospitals compete. Rather than sharing knowledge, drugmakers and device makers divide value. Rather than thinking about long-term collective goals, the imperatives of an impatient marketplace force health care providers to focus on short-term fiscal imperatives. And so investments in untested bleeding-edge medical technologies crowd out investments in information technology that might, in the long run, not only reduce errors but contain costs.In theory, free market competition should tame health care inflation. In fact, Mahar demonstrates, when it comes to medicine, the traditional laws of supply and demand do not apply. Normally, when supply expands, prices fall. But in the health care industry, as the number and variety of drugs, devices, and treatments multiplies, demand rises to absorb the excess, and prices climb. Meanwhile, the perverse incentives of a fee-for-service system reward health care providers for doing more, not less.In this superbly written book, Mahar shows why doctors must take responsibility for the future of our health care industry. Today, she observes, "physicians have been stripped of their standing as professionals: Insurers address them as vendors ('Dear Health Care Provider'), drugmakers and device makers see them as customers (someone you might take to lunch or a strip club), while . . . consumers (aka patients) are encouraged to see their doctors as overpaid retailers. . . . Before patients can reclaim their rightful place as the center—and indeed as the raison d'être—of our health care system," Mahar suggests, "we must once again empower doctors . . . to practice patient-centered medicine—based not on corporate imperatives, doctors' druthers, or even patients' demands," but on the best scientific research available.

    In bulleted lists, tables, and algorithms, Pocket Medicine provides key clinical information about common problems in cardiology, pulmonology, gastroenterology, nephrology, hematology-oncology, infectious diseases, endocrinology, rheumatology, and neurology.The six-ring binder resembles the familiar "pocket brain" notebook that most students and interns carry and allows users to add notes. This Third Edition is fully updated, has tabs to help readers locate organ systems, and has more cross-referencing in the index. It also has pockets in the front and the back of the book to accommodate the reader's own notes.

    military, and the historic reassurances of fluoride safety provided by the nation’s public health establishment. The Fluoride Deception reads like a thriller, but one supported by two hundred pages of source notes, years of investigative reporting, scores of scientist interviews, and archival research in places such as the newly opened files of the Manhattan Project and the Atomic Energy Commission. The book is nothing less than an exhumation of one of the great secret narratives of the industrial era: how a grim workplace poison and the most damaging environmental pollutant of the cold war was added to our drinking water and toothpaste.From the Hardcover edition.

    More people die each year from an opioid overdose than in automobile accidents. The statistics are staggering. 'DO NO HARM' spotlights experts, journalists, and public health crusaders who are combating the special interests of Big Pharma and informing the world on how an aggressive pharmaceutical mass marketing campaign for the new drug OxyContin misled doctors and the public into our current crisis of death and addiction.Wiland highlights the stories of those hit hardest by prescription opioid addiction and overdose death, and sheds light on how whole communities have been ravaged by the spread of addiction. Despite regional health experts, local government, law enforcement, journalists, and the DEA's efforts to combat the epidemic, people continue to die at an alarming rate from prescription drug overdoses.The chapters of this book chronicle this epidemic in all its complexity from many perspective including the plight of the millions of Americans who suffer from opioid addiction. People, young and old on the rocky road to recovery, tell their harrowing stories, current victories and on-going struggles with the disease.

    Whether faced with “fake news” or livestreamed violence, “content moderators”—who censor or promote user‑posted content—have never been more important. This is especially true when the tools that social media platforms use to curb trolling, ban hate speech, and censor pornography can also silence the speech you need to hear.   In this revealing and nuanced exploration, award‑winning sociologist and cultural observer Tarleton Gillespie provides an overview of current social media practices and explains the underlying rationales for how, when, and why these policies are enforced. In doing so, Gillespie highlights that content moderation receives too little public scrutiny even as it is shapes social norms and creates consequences for public discourse, cultural production, and the fabric of society. Based on interviews with content moderators, creators, and consumers, this accessible, timely book is a must‑read for anyone who’s ever clicked “like” or “retweet.”

    The result, as pioneering public health experts David Stuckler and Sanjay Basu reveal in this provocative book, is that many countries have turned their recessions into veritable epidemics, ruining or extinguishing thousands of lives in a misguided attempt to balance budgets and shore up financial markets. Yet sound alternative policies could instead help improve economies and protect public health at the same time.In The Body Economic, Stuckler and Basu mine data from around the globe and throughout history to show how government policy becomes a matter of life and death during financial crises. In a series of historical case studies stretching from 1930s America, to Russia and Indonesia in the 1990s, to present-day Greece, Britain, Spain, and the U.S., Stuckler and Basu reveal that governmental mismanagement of financial strife has resulted in a grim array of human tragedies, from suicides to HIV infections. Yet people can and do stay healthy, and even get healthier, during downturns. During the Great Depression, U.S. deaths actually plummeted, and today Iceland, Norway, and Japan are happier and healthier than ever, proof that public wellbeing need not be sacrificed for fiscal health. Full of shocking and counterintuitive revelations and bold policy recommendations, The Body Economic offers an alternative to austerity—one that will prevent widespread suffering, both now and in the future.

    Dr Chambers contends that researchers, scientists, administrators and fieldworkers rarely appreciate the richness and validity of rural people's knowledge or the hidden nature of rural poverty. This is a challenging book for all concerned with rural development, as practitioners, academics, students or researchers.

    

    This affecting ethnography follows patients, their relatives, and ward staff as a cancer epidemic emerged in Botswana. The epidemic is part of an ongoing surge in cancers across the global south; the stories of Botswana's oncology ward dramatize the human stakes and intellectual and institutional challenges of an epidemic that will shape the future of global health. They convey the contingencies of high-tech medicine in a hospital where vital machines are often broken, drugs go in and out of stock, and bed-space is always at a premium. They also reveal cancer as something that happens between people. Serious illness, care, pain, disfigurement, and even death emerge as deeply social experiences. Livingston describes the cancer ward in terms of the bureaucracy, vulnerability, power, biomedical science, mortality, and hope that shape contemporary experience in southern Africa. Her ethnography is a profound reflection on the social orchestration of hope and futility in an African hospital, the politics and economics of healthcare in Africa, and palliation and disfigurement across the global south.Julie Livingston is Associate Professor of History at Rutgers University. She is the author of Debility and the Moral Imagination in Botswana and a coeditor of Three Shots at Prevention: The HPV Vaccine and the Politics of Medicine's Simple Solutions and A Death Retold: Jesica Santillan, the Bungled Transplant, and Paradoxes of Medical Citizenship."Improvising Medicine is as good as it gets. It is a book that will be read for decades to come. I have always thought that great ethnography transcends the specificities of time and place, of the particular, to offer a glimpse of the universal. This gripping book does just that, and the subtle and grounded way that it speaks to global health and debates in medical anthropology makes it a major addition to both fields."—Vinh-Kim Nguyen, M.D., author of The Republic of Therapy: Triage and Sovereignty in West Africa's Time of AIDS“Improvising Medicine is a luminous book by a highly respected Africanist whose work creatively bridges anthropology and history. A product of intense listening and observation, deep care, and superb analytical work, it will become a canonical ethnography of medicine in the global south and will have a big impact across the social sciences and medical humanities.”—João Biehl, author of Will to Live: AIDS Therapies and the Politics of Survival and Vita: Life in a Zone of Social Abandonment

    Despite civil rights movements and other attempts at progress, racial prejudices and stereotypes remain deeply embedded in Western culture. Racism takes a frank and objective look at why these notions exist. It explores how racism has come to be so firmly established, and looks at how race, ethnicity, and xenophobia are related. This book incorporates the latest research to demystify the subject of racism and explore its history, science, and culture. It sheds light not only on how racism has evolved since its earliest beginnings, but also explores the numerous embodiments of racism, highlighting the paradox of its survival, despite the scientific discrediting of the notion of 'race' with the latest advances in genetics. As encompassing as it is concise, Racism is a valuable guide to one of the world's most destructive problems.