Unevenly distributed resources and rising costs have become enduring problems in the American health care system. Health care is more expensive in the United States than in other wealthy nations, and access varies significantly across space and social classes. James A. Schafer Jr. shows that these problems are not inevitable features of modern medicine, but instead reflect the informal organization of health care in a free market system in which profit and demand, rather than social welfare and public health needs, direct the distribution and cost of crucial resources. The Business of Private Medical Practice is a case study of how market forces influenced the office locations and career paths of doctors in one early twentieth-century city, Philadelphia, the birthplace of American medicine. Without financial incentives to locate in poor neighborhoods, Philadelphia doctors instead clustered in central business districts and wealthy suburbs. In order to differentiate their services in a competitive marketplace, they also began to limit their practices to particular specialties, thereby further restricting access to primary care. Such trends worsened with ongoing urbanization. Illustrated with numerous maps of the Philadelphia neighborhoods he studies, Schafer’s work helps underscore the role of economic self-interest in shaping the geography of private medical practice and the growth of medical specialization in the United States.
Unevenly distributed resources and rising costs have become enduring problems in the American health care system. Health care is more expensive in the United States than in other wealthy nations, and access varies significantly across space and social classes. James A. Schafer Jr. shows that these problems are not inevitable features of modern medicine, but instead reflect the informal organization of health care in a free market system in which profit and demand, rather than social welfare and public health needs, direct the distribution and cost of crucial resources. The Business of Private Medical Practice is a case study of how market forces influenced the office locations and career paths of doctors in one early twentieth-century city, Philadelphia, the birthplace of American medicine. Without financial incentives to locate in poor neighborhoods, Philadelphia doctors instead clustered in central business districts and wealthy suburbs. In order to differentiate their services in a competitive marketplace, they also began to limit their practices to particular specialties, thereby further restricting access to primary care. Such trends worsened with ongoing urbanization. Illustrated with numerous maps of the Philadelphia neighborhoods he studies, Schafer’s work helps underscore the role of economic self-interest in shaping the geography of private medical practice and the growth of medical specialization in the United States.
Describes a variety of techniques for studying the cell nucleus, its membrane system, and its cytoskeleton using tools from all the sciences available to cell and development biologists. Among the 22 topics are the import and routing of nucleus-encoded chloroplast proteins, organizing spatial pattern in limb development, germ cell development, signaling by extracellular nucleotides, and nuclear fusion in the yeast. Includes several color plates. Annotation copyrighted by Book News, Inc., Portland, OR
The first edition of this book has enjoyed a gratifying existence. 1s sued in 1965, it found its intended place as a research reference and as a graduate-Ievel text. Research laboratories and universities reported broad use. Published reviews-some twenty-five in number-were universally kind. Subsequently the book was translated and published in Russian (Svyaz; Moscow, 1968) and Spanish (Gredos, S.A.; Madrid, 1972). Copies of the first edition have been exhausted for several years, but demand for the material continues. At the behest of the publisher, and with the encouragement of numerous colleagues, a second edition was begun in 1970. The aim was to retain the original format, but to expand the content, especially in the areas of digital communications and com puter techniques for speech signal processing. As before, the intended audience is the graduate-Ievel engineer and physicist, but the psycho physicist, phonetician, speech scientist and linguist should find material of interest.
Climate change is one of the greatest challenges facing global society. The debate over what to do is confounded by the uncertain relationship between increasing greenhouse gas emissions and climate change, and the impact of those changes on nature and human civilization. Driving Climate Change will provide professionals and students alike with the latest information regarding greenhouse emissions while presenting the most up-to-date techniques for reducing these emissions. It will investigate three broad strategies for reducing greenhouse gas emissions: 1) reducing motorized travel, 2) shifting to less energy intensive modes, and 3) changing fuel and propulsion technologies. Findings will be presented by the leaders in the field with contributions from professors, researchers, consultants and engineers at the most prominent institutions - commercial, academic and federal - dealing with environmental research and policy. Includes a comprehensive evaluation of current industrial practice Provides technologically sound and manageable techniques for engineers, scientists and designers Incorporates guidelines for a sustainable future
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