Medicine on the Periphery examines the history of the public health of Yucatán, Mexico, from the 1870s through 1960. This book includes chapters on institutions, healers, changing patterns of disease, the biomedicalization of Yucatán, and the relationship between Yucatán and the Mexican Revolutionary government. Sowell analyzes Yucatec officials’ establishment of public health programs as a strategy for the modernization of the region, using wealth from the production of henequen to create Mexico’s most extensive public health system and subsequent tensions with the Revolutionary government. Public health programs situated the Yucatán into a complex position in the nexus of knowledge, power, and technologies of the Atlantic medical community. Medicine on the Periphery provides a comprehensive look at how Yucatán became a medical periphery, a status that made it increasingly dependent upon knowledge and technologies produced in the productive core of the North Atlantic and subject to the authority of the Mexican state. This book will be of interest to scholars in Mexican studies, history of medicine and public health in Latin America and in the Atlantic world.

India has long occupied an important place in Tibetan medicine's history and development. However, Indian Himalayan practitioners of Tibetan medicine, or amchi, have largely remained overlooked at the Tibetan medical periphery, despite playing a central social and medical role in their communities. Power and legitimacy, religion and economic development, biomedical encounters and Indian geopolitics all intersect in the work and identities of contemporary Himalayan amchi. This volume examines the crucial moment of crisis and transformation that occurred in the early 2000s to offer insights into the beginnings of Tibetan medicine's professionalization, industrialization, and official recognition in India and elsewhere. Based on fine-grained ethnographic studies in Ladakh, Zangskar, Sikkim, and the Darjeeling Hills, Healing at the Periphery asks how the dynamics of capitalism, social change, and the encounter with biomedicine affect small communities on the fringes of modern India, and, conversely, what local transformations of Tibetan medicine tell us about contemporary society and health care in the Himalayas and the Tibetan world. Contributors. Florian Besch, Calum Blaikie, Sienna R. Craig, Barbara Gerke, Isabelle Guérin, Kim Gutschow, Pascale Hancart Petitet, Stephan Kloos, Fernanda Pirie, Laurent Pordié

"In the 1990s, Yugoslavia, which had once been a role model for development, became a symbol for state collapse, external intervention and post-war reconstruction. Today the region has two international protectorates, contested states and borders, severe ethnic polarisation and minority concerns. In this first in-depth critical analysis of international administration, aid and reconstruction policies in Kosovo, Jens Stilhoff Sorensen argues that the region must be analysed as a whole, and that the process of state collapse and recent changes in aid policy must be interpreted in connection to the wider transformation of the global political economy and world order. He examines the shifting inter- and intracommunity relations, the emergence of a 'political economy' of conflict, and of informal clientelist arrangements in Serbia and Kosovo and provides a framework for interpreting the collapse of the Yugoslav state, the emergence of ethnic conflict and shadow economies, and the character of western aid and intervention. Western governments and agencies have built policies on conceptions and assumptions for which there is no genuine historical or contemporary economic, social or political basis in the region. As the author persuasively argues, this discrepancy has exacerbated and cemented problems in the region and provided further complications that are likely to remain for years to come." -- Back cover.

Written by a groundbreaking figure of modern medical study, Tracking Medicine is an eye-opening introduction to the science of health care delivery, as well as a powerful argument for its relevance in shaping the future of our country. An indispensable resource for those involved in public health and health policy, this book uses Dr. Wennberg's pioneering research to provide a framework for understanding the health care crisis; and outlines a roadmap for real change in the future. It is also a useful tool for anyone interested in understanding and forming their own opinion on the current debate.

Finalist, PEN Center USA Literary Awards, Research NonfictionRich in oil and strategically located between Russia and China, Kazakhstan is one of the most economically and geopolitically important of the so-called Newly Independent States that emerged after the USSR's collapse. Yet little is known in the West about the region's turbulent history under Soviet rule, particularly how the regime asserted colonial dominion over the Kazakhs and other ethnic minorities.Grappling directly with the issue of Soviet colonialism, Curative Powers offers an in-depth exploration of this dramatic, bloody, and transformative era in Kazakhstan's history. Paula Michaels reconstructs the Soviet government's use of medical and public health policies to change the society, politics, and culture of its outlying regions. At first glance the Soviets' drive to modernize medicine in Kazakhstan seems an altruistic effort to improve quality of life. Yet, as Michaels reveals, beneath the surface lies a story of power, legitimacy, and control. The Communist regime used biomedicine to reshape the function, self-perception, and practices of both doctors and patients, just as it did through education, the arts, the military, the family, and other institutions.Paying particular attention to the Kazakhs' ethnomedical customs, Soviet authorities designed public health initiatives to teach the local populace that their traditional medical practices were backward, even dangerous, and that they themselves were dirty and diseased. Through poster art, newsreels, public speeches, and other forms of propaganda, Communist authorities used the power of language to demonstrate Soviet might and undermine the power of local ethnomedical practitioners, while moving the region toward what the Soviet state defined as civilization and political enlightenment.As Michaels demonstrates, Kazakhs responded in unexpected ways to the institutionalization of this new pan-Soviet culture. Ethnomedical customs surreptitiously lived on, despite direct, sometimes violent, attacks by state authorities. While Communist officials hoped to exterminate all remnants of traditional healing practices, Michaels points to evidence that suggests the Kazakhs continued to rely on ethnomedicine even as they were utilizing the services of biomedical doctors, nurses, and midwives. The picture that ultimately emerges is much different from what the Soviets must have imagined. The disparate medical systems were not in open conflict, but instead both indigenous and alien practices worked side by side, becoming integrated into daily life.Combining colonial and postcolonial theory with intensive archival and ethnographic research, Curative Powers offers a detailed view of Soviet medical initiatives and their underlying political and social implications and impact on Kazakh society. Michaels also endeavors to link biomedical policies and practices to broader questions of pan-Soviet identity formation and colonial control in the non-Russian periphery.

Big data, genomics, and quantitative approaches to network-based analysis are combining to advance the frontiers of medicine as never before. Network Medicine introduces this rapidly evolving field of medical research, which promises to revolutionize the diagnosis and treatment of human diseases. With contributions from leading experts that highlight the necessity of a team-based approach in network medicine, this definitive volume provides readers with a state-of-the-art synthesis of the progress being made and the challenges that remain. Medical researchers have long sought to identify single molecular defects that cause diseases, with the goal of developing silver-bullet therapies to treat them. But this paradigm overlooks the inherent complexity of human diseases and has often led to treatments that are inadequate or fraught with adverse side effects. Rather than trying to force disease pathogenesis into a reductionist model, network medicine embraces the complexity of multiple influences on disease and relies on many different types of networks: from the cellular-molecular level of protein-protein interactions to correlational studies of gene expression in biological samples. The authors offer a systematic approach to understanding complex diseases while explaining network medicine’s unique features, including the application of modern genomics technologies, biostatistics and bioinformatics, and dynamic systems analysis of complex molecular networks in an integrative context. By developing techniques and technologies that comprehensively assess genetic variation, cellular metabolism, and protein function, network medicine is opening up new vistas for uncovering causes and identifying cures of disease.

Since the appearance of Waitzkin’s The Second Sickness, a landmark book of the 1980s, American medicine has been dramatically transformed. Waitzkin’s earlier edition used qualitative research to take readers inside the “black box” of medical decisionmaking. This new, fully updated and expanded edition retains the earlier edition's vivid approach and adds timely analysis of how managed care and other economic and social forces influence medical practice today.

What Is Medicine? Western and Eastern Approaches to Healing is the first comparative history of two millennia of Western and Chinese medicine from their beginnings in the centuries BCE through present advances in sciences like molecular biology and in Western adaptations of traditional Chinese medicine. In his revolutionary interpretation of the basic forces that undergird shifts in medical theory, Paul U. Unschuld relates the history of medicine in both Europe and China to changes in politics, economics, and other contextual factors. Drawing on his own extended research of Chinese primary sources as well as his and others' scholarship in European medical history, Unschuld argues against any claims of "truth" in former and current, Eastern and Western models of physiology and pathology. What Is Medicine? makes an eloquent and timely contribution to discussions on health care policies while illuminating the nature of cognitive dynamics in medicine, and it stimulates fresh debate on the essence and interpretation of reality in medicine's attempts to manage the human organism.

In the late nineteenth century, medical educators intent on transforming American physicians into scientifically trained, elite professionals recognized the value of medical school design for their reform efforts. Between 1893 and 1940, nearly every medical college in the country rebuilt or substantially renovated its facility. In Building Schools, Making Doctors, Katherine Carroll reveals how the schools constructed during this fifty-year period did more than passively house a remodeled system of medical training; they actively participated in defining and promoting an innovative pedagogy, modern science, and the new physician. Interdisciplinary and wide ranging, her study moves architecture from the periphery of medical education to the center, uncovering a network of medical educators, architects, and philanthropists who believed that the educational environment itself shaped how students learned and the type of physicians they became. Carroll offers the first comprehensive study of the science and pedagogy formulated by the buildings, the influence of the schools’ donors and architects, the impact of the structures on the urban landscape and the local community, and the facilities’ privileging of white men within the medical profession during this formative period for physicians and medical schools.