Two past presidents of the American Public Health Association have edited this book, on the ways in which social injustice causes and contributes to public health problems. Their previous books, War and Public Health and errorism and Public Health, both dealt with specific issues of social injustice as they relate to public health. The current book addresses a broader set of issues in a more comprehensive manner. This book defines social injustice as the denial or violation of economic, sociocultural, political, civil, or human rights of specific populations or groups in society. These groups are socially defined in terms of racial or ethnic status, language, country of origin, socioeconomic status, age, gender, sexual orientation or other perceived group characterisitics. Social injustice manifests in many ways ranging from various forms of overt discrimination to the wide gaps between the "haves" and the "have-nots" within a country or between richer and poorer countries. It increases the prevalence of risk factors and hazardous exposures, which in turn lead to higher rates of disease, injury, disability, and premature death. Public health professionals as well as students need to have a clear understanding of social injustice in order to address these problems, but few books address such a wide range of issues. This book will enable readers to understand social injustice and will prepare them to recognize, document, investigate, and prevent social injustice and its effects on health. This book is organized so that health professionals, students in the health professions, and others will find it of practical value in public health and medical care, research, education, policy development, and advocacy.
Since the first edition of Who Shall Live? (1974), over 100,000 students, teachers, physicians, and general readers from more than a dozen fields have found this book to be a reader-friendly, authoritative introduction to economic concepts applied to health and medical care.Health care is by far the largest industry in the United States. It is three times larger than education and five times as large as national defense. In 2001, Americans spent over $12,500 per person for hospitals, physicians, drugs and other health care services and goods. Other high-income democracies spend one third less, enjoy three more years of life expectancy, and have more equal access to medical care.In this book, each of the chapters of the original edition is followed by supplementary readings on such subjects as: 'Social Determinants of Health: Caveats and Nuances', 'The Structure of Medical Education — It's Time for a Change', and 'How to Save $1 Trillion Out of Health Care'.The ten years following publication of the 2nd expanded edition in 2011 were arguably more turbulent for US health and health care than any other ten-year period since World War II. They span the implementation of the Affordable Care Act, the deepening opioid epidemic, and the physical, psychological, and socio-economic traumas of the COVID-19 pandemic.An important new contribution to this book is to describe and analyze the changes in five sections: 'The Affordable Care Act and the Uninsured', 'Health Care Expenditures', 'Health Outcomes', 'The COVID-19 Pandemic', and 'Health and Politics'. This part includes 24 tables and figures.This book will be welcomed by students, professionals, and life-long learners to gain increased understanding of the relation between health, economics, and social choice.
This book presents experimental and theoretical results on extremely powerful plasma generators. It addresses pulsed electrical mega-ampere arcs and the mechanisms of energy transfer from the arc into hydrogen, helium and air under pressures up to 250 MPa and currents up to 2 MA. Extreme plasma parameters and increased energy density in the arc were achieved. It was found experimentally that increasing the initial gas pressure to hundreds of MPa leads to improved arc stability, high efficiency of energy transfer from arc to gas, and plasma enthalpy growth. The data obtained data provides the basis for the development of electrophysical devices with high energy density, e.g. high intensity sources for visible, UV and X-ray irradiation for laser pumping, generators of high enthalpy plasma jets, and plasma chemical reactors.
Since the first edition of Who Shall Live? (1974) over 100,000 students, teachers, physicians, and general readers from more than a dozen fields have found this book to be a reader-friendly, authoritative introduction to economic concepts applied to health and medical care. Fuchs provides clear explanations and memorable examples of the importance of the non-medical determinants of health, the dominant role of physicians in health care expenditures, the necessity of choices about health at the individual and societal levels, and many other compelling themes.Now, in a new introduction of some 8,000 words including new tables and figures, Fuchs, often called the “Dean of health economists”, concisely summarizes the major changes of the past 37 years in health, medical care, and health policy. He focuses primarily on the United States but includes remarks about health policy in other countries, and addresses the question of whether national health care systems are becoming more alike. In addition to reviewing changes, the introduction explains why health expenditures grow so rapidly, why health spending in the United States is so much greater than in other countries, and what physicians need in order to practice cost-effective medicine.This second expanded edition also includes recent papers by Fuchs on the economics of aging, the socio-economic correlates of health, the future of health economics, and his policy recommendations for the United States to secure universal coverage, control of costs, and improvement in the quality of care. As was true of the first expanded edition (1998), this book will be welcomed by current students and life-long learners in economics, other social and behavioral sciences, medicine, public health, law, business, public policy, and other fields who want to understand the relation between health, economics, and social choice.
New York. London. Paris. Although these cities have similar sociodemographic characteristics, including income inequalities and ethnic diversity, they have vastly different health systems and services. This book compares the three and considers lessons that can be applied to current and future debates about urban health care. Highlighting the importance of a national policy for city health systems, the authors use well-established indicators and comparable data sources to shed light on urban health policy and practice. Their detailed comparison of the three city health systems and the national policy regimes in which they function provides information about access to health care in the developed world’s largest cities. The authors first review the current literature on comparative analysis of health systems and offer a brief overview of the public health infrastructure in each city. Later chapters illustrate how timely and appropriate disease prevention, primary care, and specialty health care services can help cities control such problems as premature mortality and heart disease. In providing empirical comparisons of access to care in these three health systems, the authors refute inaccurate claims about health care outside of the United States.
This resource provides a comprehensive treatment of the methods, analysis, and practice of impulse and ultrawideband (UWB) systems. Sources, antennas, propagation, electromagnetic theory, and actual practical systems are explored.This book provides novel perspective on impulse and short-pulse wireless engineering along with practical guidance on how to build antennas and radio hardware for high-power impulse signals. Theoretical and experimental results in the time-frequency domain are presented. The book explains and discusses the scattering of UWB electromagnetic pulses by conducting and dielectric objects. Impulse responses of objects and propagation channels are explored with details of signal models and their spectral characteristics and uses of regularization of a Kramers-Kroning type relation for estimating transfer functions. Readers gain insight into the development of high-power sources of UWB radiation with megavolt effective potential on the base of combined antenna arrays excited with bipolar voltage pulses. This in-depth volume includes chapters on receiving antennas, transmitting antennas, and antenna arrays along with details on high-power UWB radiation sources as well as problem sets.
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