Canadian Literature and Medicine breaks new ground by formulating a series of frameworks with which to read and interpret a national literature derived from the very fabric of that literature – in this case Canadian. Canadian literature is of particular interest because of its consideration of coloniality, Indigeneity, and coincident development alongside a nascent socialized medical system currently under threat from neoliberalism. The first chapters of the book carefully track the development of Canada’s socialized medical system as it manifests in the imaginations of the nation’s poets and authors who depict care. Reciprocal flows are investigated in which these poets and authors are quoted in policy documents. The archive-based methodology is sustained in subsequent chapters that rely upon a unique interdisciplinary mix of medical history, philosophy of medicine, medical policy, theory inherent to the field of Canadian literature (focusing in particular on the garrison mentality as a form of aesthetic protest and the feminist ethics of care), and Indigenous ways of knowing.

This multi-vocal assemblage of literary and cultural responses to contagions provides insights into the companionship of posthumanities, environmental humanities, and medical humanities to shed light on how we deal with complex issues like communicable diseases in contemporary times. Examining imaginary and real contagions, ranging from Jeep and SHEVA to plague, HIV/AIDS, and COVID-19, Posthuman Pathogenesis discusses the inextricable links between nature and culture, matter and meaning-making practices, and the human and the nonhuman. Dissecting pathogenic nonhuman bodies in their interactions with their human counterparts and the environment, the authors of this volume raise their diverse voices with two primary aims: to analyse how contagions trigger a drive to survival, and chaotic, liberating, and captivating impulses, and to focus on the viral interpolations in socio-political and environmental systems as a meeting point of science, technology, and fiction, blending social reality and myth. Following the premises of the post-qualitative turn and presenting a differentiated experience of contagion, this ‘rhizomatic’ compilation thus offers a non-hierarchised array of essays, composed of a multiplicity of genders, geographies, and generations.

"We can no longer pretend we don't know about residential schools, murdered and missing Aboriginal women and 'Indian hospitals.' The only outstanding question is how we respond." —Tom Sandborn, Vancouver Sun A shocking exposé of the dark history and legacy of segregated Indigenous health care in Canada. After the publication of his critically acclaimed 2011 book Drink the Bitter Root: A Writer’s Search for Justice and Healing in Africa, author Gary Geddes turned the investigative lens on his own country, embarking on a long and difficult journey across Canada to interview Indigenous elders willing to share their experiences of segregated health care, including their treatment in the "Indian hospitals" that existed from coast to coast for over half a century. The memories recounted by these survivors—from gratuitous drug and surgical experiments to electroshock treatments intended to destroy the memory of sexual abuse—are truly harrowing, and will surely shatter any lingering illusions about the virtues or good intentions of our colonial past. Yet, this is more than just the painful history of a once-so-called vanishing people (a people who have resisted vanishing despite the best efforts of those in charge); it is a testament to survival, perseverance, and the power of memory to keep history alive and promote the idea of a more open and just future. Released to coincide with the Year of Reconciliation (2017), Medicine Unbundled is an important and timely contribution to our national narrative.

Both the actualities and the metaphorical possibilities of illness and medicine abound in literature: from the presence of tuberculosis in Franz Kafka's fiction or childbed fever in Mary Shelley's Frankenstein to disease in Thomas Mann's Death in Venice or in Harold Pinter's A Kind of Alaska; from the stories of Anton Chekhov and of William Carlos Williams, both doctors, to the poetry of nurses derived from their contrasting experiences. These are just a few examples of the cross-pollination between literature and medicine. It is no surprise, then, that courses in literature and medicine flourish in undergraduate curricula, medical schools, and continuing-education programs throughout the United States and Canada. This volume, in the MLA series Options for Teaching, presents a variety of approaches to the subject. It is intended both for literary scholars and for physicians who teach literature and medicine or who are interested in enriching their courses in either discipline by introducing interdisciplinary dimensions. The thirty-four essays in Teaching Literature and Medicine describe model courses; deal with specific texts, authors, and genres; list readings widely taught in literature and medicine courses; discuss the value of texts in both medical education and the practice of medicine; and provide bibliographic resources, including works in the history of medicine from classical antiquity.

Doctors in Denial examines the relationship between the Canadian medical profession and the pharmaceutical industry, and explains how doctors have become dependents of the drug companies instead of champions of patients' health. Big Pharma plays a role in every aspect of doctors' work. These giant, wealthy multinationals influence how medical students are trained and receive information, how research is done in hospitals and universities, what is published in leading medical journals, what drugs are approved, and what patients expect when they go into their doctors' offices. But almost all doctors deny the influence and control the drug companies exert. In this book Dr. Lexchin urges the medical profession to make the changes needed to give priority to protecting and promoting patients' health and benefitting society, rather than enabling Big Pharma to dominate health care while raking in billions in profits from citizens and governments.

As Shane Neilson writes in Margin of Interest, ‘Maritime poetry is the sum of what’s come before, a unique history, and yes, a unique place.’ In Margin of Interest Neilson examines representation, identity, power, and the politics of literary history, from the creative traditions of the Mi’kmaq to the work of young poets today. He pays due homage to iconic Maritime writers (Milton Acorn, Alden Nowlan, George Elliott Clarke), shines a critical spotlight on lesser-known masters from the region (Travis Lane, Wayne Clifford) and provides a glimpse inside the ‘diverse ecosystem’ of poets under 40 writing in or about the Maritimes (Rebecca Thomas, Lucas Crawford, El Jones). He also combats the prejudices so often applied to writers from Atlantic Canada—stigma associated with mental illness, rigid gendering, vernacular language and even poetic form—and advocates for a long-overdue reappropriation of the regionalist stance, as well as a proper recognition of the region’s writers and their contribution to the Canadian literary landscape. For as Neilson wisely asks, ‘What’s the matter with taking pride in any kind of regional identity that we articulate?’

When Will returns to Medicine River, he thinks he is simply attending his mother’s funeral. He doesn’t count on Harlen Bigbear and his unique brand of community planning. Harlen tries to sell Will on the idea of returning to Medicine River to open shop as the town’s only Native photographer. Somehow, that’s exactly what happens. Through Will’s gentle and humorous narrative, we come to know Medicine River, a small Albertan town bordering a Blackfoot reserve. And we meet its people: the basketball team; Louise Heavyman and her daughter, South Wing; Martha Oldcrow, the marriage doctor; Joe Bigbear, Harlen’s world-travelling, storytelling brother; Bertha Morley, who has a short fling with a Calgary dating service; and David Plume, who went to Wounded Knee. At the centre of it all is Harlen, advising and pestering, annoying and entertaining, gossiping and benevolently interfering in the lives of his friends and neighbours.

A unique, in-depth discussion of the uses and conduct of cost-effectiveness analyses (CEAs) as decision-making aids in the health and medical fields, this volume is the product of over two years of comprehensive research and deliberation by a multi-disciplinary panel of economists, ethicists, psychometricians, and clinicians. Exploring cost-effectiveness in the context of societal decision-making for resource allocation purposes, this volume proposes that analysts include a "reference-case" analysis in all CEAs designed to inform resource allocation and puts forth the most explicit set of guidelines (together with their rationale) ever defined on the conduct of CEAs. Important theoretical and practical issues encountered in measuring costs and effectiveness, evaluating outcomes, discounting, and dealing with uncertainty are examined in separate chapters. Additional chapters on framing and reporting of CEAs elucidate the purpose of the analysis and the effective communication of its findings. Cost-Effectiveness in Health and Medicine differs from the available literature in several key aspects. Most importantly, it represents a consensus on standard methods--a feature integral to a CEA, whose principal goal is to permit comparisons of the costs and health outcomes of alternative ways of improving health. The detailed level at which the discussion is offered is another major distinction of this book, since guidelines in journal literature and in CEA-related books tend to be rather general--to the extent that the analyst is left with little guidance on specific matters. The focused overview of the theoretical background underlying areas of controversy and of methodological alternatives, and, finally, the accessible writing style make this volume a top choice on the reading lists of analysts in medicine and public health who wish to improve practice and comparability of CEAs. The book will also appeal to decision-makers in government, managed care, and industry who wish to consider the uses and limitations of CEAs.

Volume Two of this retrospective bibliography is both a continuation and an expansion of Volume One (1984). It contains references to Canadian medical-historical literature published between 1984 and 1998, and also includes much additional material published prior to 1984. Finally, it substantially enlarges the content of French-language material. Every effort has been made to be as inclusive as possible of articles, theses, book chapters and books, both in English and in French, relating to the history of medicine. No single electronic source can replace this bibliography. The contents are divided into three sections. The first is a listing of material expressly biographical. Section two lists material under a wide variety of subject headings related to medicine, and the third is a complete listing of the authors who have contributed these articles. Simply organized and easy to use, this bibliography will be of value to historians, archivists, librarians, and anyone interested in the history of medicine.

Medicare is arguably Canada’s most valued social program. As federally-supported medicare enters its second half-century, Medicare’s Histories brings together leading social and health historians to reflect on the origins and evolution of medicare and the missed opportunities characterizing its past and present. Embedding medicare in the diverse constituencies that have given it existence and meaning, contributors inquire into the strengths and weaknesses of publicly insured health care and critically examine medicare’s unfinished role in achieving greater health equity for all people in Canada regardless of race, status, gender, class, age, and ability. Fundamental to the stories told in Medicare’s Histories is the essential role played by communities ¬– of activists, critics, health professionals, First Nations, patients, families, and survivors – in driving demands for health reform, in identifying particular omissions and inequities exacerbated or even created by medicare, and in responding to the realities of medicare for those who work in and rely on it. Contributors to this volume show how medicare has been shaped by politics (in the broadest sense of that word), identities, professional organizations, and social movements in Canada and abroad. As COVID lays bare social inequities and the inadequacies of health care delivery and public health, this book shows what was excluded and what was – and is – possible in health care.