American Medicine

For the crime of falling sick without wealth, Americans today face lawsuits, wage garnishment, home foreclosure, and jail time. Yet who really profits from aggressive medical debt collection? Your Money or Your Life reveals how medical debt collection became a multi-billion-dollar industry and how everyday Americans are made to pay the price. Emergency physician and historian Luke Messac weaves patient stories into a history of law, finance, and medicine to show how debt and debt collection are destroying the foundational trust between doctors and patients at the heart of American healthcare.

Johns Hopkins University, one of the preeminent medical schools in the nation today, has played a unique role in the history of medicine. When it first opened its doors in 1893, medicine was a rough-and-ready trade. It would soon evolve into a rigorous science. In recent years, medical science has mapped the human genome, deployed robotic tools to perform delicate surgeries, and developed effective vaccines against a host of deadly pathogens. But this transformation could not have happened without the game-changing vision, talent, and dedication of a small cadre of individuals.

Today, 90 percent of psychiatric beds are located in jails and prisons across the United States, institutions that confine disproportionate numbers of African Americans. After more than a decade of research, the celebrated scholar and activist Mab Segrest locates the deep historical roots of this startling fact, turning her sights on a long-forgotten cauldron of racial ideology: the state mental asylum system in which psychiatry was born and whose influences extend into our troubled present.

Vital research is starting to challenge long-standing assumptions about gender identity and biological sex, such as work that indicates the brain is a “mosaic” of traits rather than a “male” and “female” brain. Growing knowledge of the genetic complexities of sexual determination is changing the way the medical community treats intersex individuals, and in this audiobook, The New Science of Sex and Gender, we not only examine the latest studies in biology, medicine, and psychology but also, more importantly, their bearing on healthcare, identity, and access.

Six decades ago, visionary doctors achieved the impossible: the humble kidney, acknowledged since ancient times to be as essential to life as the heart, became the first human organ to be successfully replaced with a machine. Yet huge dialysis corporations, ambitious doctor-entrepreneurs, and Beltway lobbyists soon turned this medical miracle into an early experiment in for-profit medicine—and one of the nation's worst healthcare catastrophes. With powerful insight and on-the-ground reporting, Tom Mueller introduces an unforgettable cast of characters.

We think of transplant surgery as one of the medical wonders of the modern world. But transplant surgery is as ancient as the pyramids, with a history more surprising than we might expect. Paul Craddock takes us on a journey—from sixteenth-century skin grafting to contemporary stem cell transplants—uncovering stories of operations performed by unexpected people in unexpected places. Bringing together philosophy, science and cultural history, Spare Parts explores how transplant surgery constantly tested the boundaries between human, animal, and machine.

Over the past three decades, the once-efficient American health care system has evolved into a complex maze of monopolies and a racket of bureaucratic checks, approvals, denials, roadblocks, and detours. This shift has created a massive and at times redundant workforce that frustrates patients, as well as physicians, nurses, and administrative staff. Health care costs the United States more than $11,000 for each person in the country each year - more than double what it costs in most Western European countries to deliver equal or even better care.

For over 100 years, Big Pharma has suppressed herbal medicine, but thanks to the teachings of Indigenous herbalists, free spirits of all ages can learn the healing power in native herbs! According to the World Health Organization (WHO), 60 percent of the world’s population uses herbal medicine to treat their ailments.

On December 24, 1992, six-year-old Lauren Rudolph was hospitalized with excruciating stomach pain. Less than a week later she was dead. Doctors were baffled: How could a healthy child become so sick so quickly? After a frenzied investigation, public-health officials announced that the cause was E. coli O157:H7, and the source was hamburger meat served at a Jack in the Box restaurant. During this unprecedented crisis, four children died and over seven hundred others became gravely ill.

In 1968, Bruce Tucker, a Black man, went into Virginia’s top research hospital with a head injury, only to have his heart taken out of his body and put into the chest of a White businessman. Now, in The Organ Thieves, Pulitzer Prize-nominated journalist Chip Jones exposes the horrifying inequality surrounding Tucker’s death and how he was used as a human guinea pig without his family’s permission or knowledge.

At the turn of the last century, a smallpox epidemic swept the United States. The age-old disease spread swiftly through an increasingly interconnected American landscape: from southern plantations to the immigrant neighborhoods of northern cities to far-flung villages on the edges of the American empire. In Pox, historian Michael Willrich offers a gripping chronicle of how the nation's continent-wide fight against smallpox launched one of the most important civil liberties struggles of the 20th century.

Heroines of Mercy Street tells the true stories of the nurses at Mansion House, the Alexandria, Virginia, mansion turned wartime hospital and setting for the new PBS drama Mercy Street. Among the Union soldiers, doctors, wounded men from both sides, freed slaves, politicians, speculators, and spies who passed through the hospital in the crossroads of the Civil War were nurses who gave their time freely and willingly to save lives and aid the wounded.

The Revolutionary War broke out during a smallpox epidemic, and in response, General George Washington ordered the inoculation of the Continental Army. But Washington did not have to convince fearful colonists to protect themselves against smallpox. In The Contagion of Liberty, Andrew M. Wehrman describes a revolution within a revolution, where the violent insistence for freedom from disease ultimately helped American colonists achieve independence from Great Britain.

During the worst smallpox epidemic in Boston history, Mather convinced Doctor Boylston to try a procedure that he believed would prevent death - by making an incision in the arm of a healthy person and implanting it with smallpox. "Inoculation" led to vaccination, one of the most profound medical discoveries in history.

In 2017, seven-year-old Ava in South Carolina wrote a letter to Tyshaun, an eight-year-old boy from Washington, DC. She asked him to be her pen pal; Ava thought they could help each other. The kids had a tragic connection - both were traumatized by gun violence. Ava’s best friend had been killed in a campus shooting at her elementary school, and Tyshaun’s father had been shot to death outside of the boy’s elementary school. Ava’s and Tyshaun’s stories are extraordinary, but not unique.

In the midst of our hectic, overscheduled lives, caring for the soul is imperative. Now, more than ever, we need to pause - intentionally - and encounter the Divine. Soul care director Barbara Peacock illustrates a journey of prayer, spiritual direction, and soul care from an African American perspective. She reflects on how these disciplines are woven into the African American culture and lived out in the rich heritage of its faith community.

Few of us need convincing that the American health insurance system needs reform. But many of the existing proposals focus on expanding one relatively successful piece of the system or building in piecemeal additions. These proposals miss the point. As the Stanford health economist Liran Einav and the MIT economist and MacArthur Genius Amy Finkelstein argue, our health care system was never deliberately designed, but rather pieced together to deal with issues as they became politically relevant.

Rabies enjoys a fearsome and lurid reputation. Throughout the decades of spiraling growth that defined New York City from the 1840s to the 1910s, the bone-chilling cry of "Mad dog!" possessed the power to upend the ordinary routines and rhythms of urban life. In Mad Dogs and Other New Yorkers, Jessica Wang examines the history of this rare but dreaded affliction during a time of rapid urbanization.

The sometimes fragmentary tales of these people, their lives and deaths, are not included in official histories of a place. How, Ensign asks, has a large, socially progressive city like Seattle responded to the health needs of people marginalized by poverty, mental illness, addiction, racial/ethnic/sexual identities, and homelessness? Drawing on interviews and extensive research, Ensign shares a diversity of voices within contemporary health care and public policy debates.

Here is the inspiring story of how Dr. Mona Hanna-Attisha, alongside a team of researchers, parents, friends, and community leaders, discovered that the children of Flint, Michigan, were being exposed to lead in their tap water - and then battled her own government and a brutal backlash to expose that truth to the world. Paced like a scientific thriller, What the Eyes Don’t See reveals how misguided austerity policies, broken democracy, and callous bureaucratic indifference placed an entire city at risk.