New Books In Public Health

Dialysis is a medical miracle, a treatment that allows people with kidney failure to live when otherwise they would die. It also provides a captive customer for the dialysis industry, which values the steady revenues that come from critically required long-term care that is guaranteed by the government. Tom Mueller's six year deep dive into the dialysis industry has yielded his latest book, How to Make a Killing: Blood, Death, and Dollars in American Medicine (W. W. Norton, 2023). It's both an historical account of this lifesaving treatment and an indictment of the industry that is dominated by two for-profit companies that control ~80% of the market.  There is a precarious balance between ethical care for patients and the prioritization of profits for the providers, a tension that has led to ethical, political, and legal debates about the rationing and exploitation of life-saving care and quality of life. Dialysis services are desperately needed by patients who require the dangerous, uncomfortable, and exhausting treatments multiple times per week, and pay for it through complex insurance procedures.Tom Mueller’s book includes a vivid account of CEOs who lead their companies with messianic zeal to drive revenues continually up while simultaneously reducing the cost of care. He introduces us to the doctors charged with reducing those costs even at the expense of high-quality care and negative health outcomes. And we meet the patients themselves, who have little choice but to put their lives and well-being at the mercy of this system.How did a lifesaving medical breakthrough become a for-profit enterprise that threatens many of the people it’s meant to save? And who are the brave people -patients, doctors, and employees of the system who are willing to tell their stories despite tremendous pressure to remain silent? And why do we as Americans accept worse outcomes at higher costs than the rest of the world?Tom Mueller's highly readable yet devastating book illustrates the dialysis industry as a microcosm of American medicine. Mueller challenges us to find a solution for dialysis, an approach that could also provide the opportunity to begin fixing our country’s dysfunctional healthcare system and a fighting chance at restoring human health outcomes, rather than the extraction of profits, as its true purpose.To contact Tom Mueller, visit www.tommueller.coSuggested reading:  The Body's Keepers by Paul L. Kimmel, M.D. The Occasional Human Sacrifice: Medical Experimentation and the Price of Saying No by Carl Elliott Also mentioned:  How to Get Away with Merger by Thomas G. Wollman (NBER working paper, 2020) "How Acquisitions Affect Firm Behavior and Performance" by Eliason, Heebsh et al. (The Quarterly Journal of Economics, 2020) Learn more about your ad choices. Visit megaphone.fm/adchoices

During the COVID pandemic, billions of dollars in relief aid was sent out to help us ride out the storm, although many people who struggled through it might scratch their heads at such a number, having seen little of it make any concrete impact in their own lives. This discrepancy is indicative of the underlying problem with the contemporary care economy, a series of federal and state programs, healthcare facilities and NGO’s, all trying to bend the needs of those under their care to the mechanisms and incentives laid out by capitalism. The result is a massive apparatus that regularly fails to fulfill its supposed intentions, leaving workers and those in need of help in precarious and often dangerous situations. This apparatus is untangled and explained in clear detail by Premilla Nadasen in her book Care: The Highest Stage of Capitalism (Haymarket Books, 2023). Informed by both her work as a historian and as a political activist, she manages to untangle and explain why the massive apparatus regularly fails to fulfill its purpose. She also outlines offramps, forms of resistance that workers and activists have taken to develop alternative anticapitalist forms of care that might someday allow us to truly flourish together.Premilla Nadasen is a professor of history at Barnard College, Columbia University. She is the co-director of the Barnard Center for Research on Women. She is also the author of Welfare Warriors: The Welfare Rights Movement in the United States and Household Workers Unite: The Untold Story of African American Women Who Built a Movement. Learn more about your ad choices. Visit megaphone.fm/adchoices

Global risks present formidable challenges to international law. Although they have long been identified in many other scientific disciplines, they are currently only considered on a sectoral basis in international law in the absence of a legal definition. The aim of Sarah Cassella's book Global Risks and International Law: The Case of Climate Change and Pandemics (Brill/Nijhoff, 2023) is threefold: to identify the main elements that characterise global risks in a legal perspective, to determine the characteristics that make them a new category of risk, and to analyse the changes they bring about in the main mechanisms of international law. Drawing on the relationship between international law and other legal systems, and in particular national law, this book highlights possible responses to the challenges posed by global risks. The study is based on extensive practice related to the examples of climate change and pandemics, but opens up perspectives on conclusions that could be common to other global risks, such as financial risks or cyber risks.Sarah Cassella, Ph.D. (2009), is Professor of International Law at Université Paris. Learn more about your ad choices. Visit megaphone.fm/adchoices

Ryan Reft is a historian in the Manuscript Division at the Library of Congress, where he oversees collections pertaining to 20th and 21st century domestic politics and policies. He received his PhD in U.S. urban history from the University of California San Diego in 2014, and his writing has appeared all over the place, from edited volumes to academic journals, to the Washington Post and Zocalo Public Square. He’s also currently the senior co-editor of the Urban History Association’s blog The Metropole, where he recently authored a great article called “Heroin and Chocolate City: Black Community Responses to Drug Addiction in the Nation’s Capital, 1967-1973.” While it’s not a book, “Heroin and Chocolate City” is a deeply-researched article that offers compelling new insights into how Washington, D.C., responded to heroin use in the late 60s and early 70s, when both D.C., and heroin, were really unique.*Note to listeners: Ryan realized later he connected Julius Hobson with SNCC. Hobson was actually associated with CORE.Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, her second book, on the development of the opioid addiction medication industry, is under contract with the University of Chicago Press. Learn more about your ad choices. Visit megaphone.fm/adchoices

'A woman, a dog and a walnut tree, the more they are beaten, the better they’ll be.' So went the proverb quoted by a prominent MP in the Houses of Parliament in 1853. His words – intended ironically in a debate about a rise in attacks on women – summed up the prevailing attitude of the day, in which violence against women was waved away as a part and parcel of modern living – a chilling seam of misogyny that had polluted both parliament and the law. But were things about to change?The Walnut Tree: Women, Violence and the Law – A Hidden History (Mudlark, 2024) is a vivid and essential work of historical non-fiction. In it, Kate Morgan explores the legal campaigns, test cases and individual injustices of the Victorian and Edwardian eras which fundamentally re-shaped the status of women under British law. These are seen through the untold stories of women whose cases became cornerstones of our modern legal system and shine a light on the historical inequalities of the law.We hear of the uniquely abusive marriage which culminated in the dramatic story of the ‘Clitheroe wife abduction’; of the domestic tragedies which changed the law on domestic violence; the controversies surrounding the Contagious Diseases Act and the women who campaigned to abolish it; and the real courtroom stories behind notorious murder cases such as the ‘Camden Town Murder’.Exploring the 19th- and early 20th Century legal history that influenced the modern-day stances on issues such as domestic abuse, sexual violence and divorce, The Walnut Tree lifts the lid on the shocking history of women under British law – and what it means for women today.This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars. Learn more about your ad choices. Visit megaphone.fm/adchoices

Indonesia is the world's second largest cigarette market: two out of three men smoke, and clove-laced tobacco cigarettes called kretek make up 95 percent of the market. To account for the staggering success of this lethal industry, Kretek Capitalism: Making, Marketing, and Consuming Clove Cigarettes in Indonesia (University of California Press, 2024) moves beyond a focus on the addictive hold of nicotine to examine how kretek manufacturers have adopted global tobacco technologies and enlisted Indonesians to labor on their behalf in fields and factories, at retail outlets and social gatherings, and online. The book charts how Sampoerna, a Philip Morris International subsidiary, uses contracts, competitions, and gender, class, and age hierarchies to extract overtime, shift, seasonal, gig, and unpaid labor from workers, influencers, artists, students, retailers, and consumers. Critically engaging nationalist claims about the commodity's cultural heritage and the jobs it supports, Marina Welker shows how global capitalism has transformed both kretek and the labor required to make and promote it. Marina Welker is Professor of Anthropology at Cornell University and author of Enacting the Corporation: An American Mining Firm in Post-Authoritarian Indonesia. Reighan Gillam is an Associate Professor in the Department of Latin American, Latino, and Caribbean Studies at Dartmouth College. Her research examines the ways in which Afro-Brazilian media producers foment anti-racist visual politics through their image creation. She is the author of Visualizing Black Lives: Ownership and Control in Afro-Brazilian Media (University of Illinois Press). Learn more about your ad choices. Visit megaphone.fm/adchoices

After a storied career as a health policy expert, Stanford Medicine's Dr. Jay Bhattacharya's work became a political focal point during the COVID-19 pandemic, when he advocated against widespread lockdowns. He co-authored the Great Barrington Declaration, an open letter signed by infectious disease epidemiologists and public health scientists which advocated for a focused protection approach to COVID-19, and the Twitter Files revealed that his Twitter account had been placed on Twitter's "black list." In this conversation, he sits down to discuss how the history of American infectious disease affected our COVID response, the mimetic nature of lockdown policy, the importance of freedom of speech to the scientific endeavor, and more.Dr. Jay Bhattacharya is a Professor of Medicine at Stanford University. He is also a research associate at the National Bureau of Economics Research, a senior fellow at the Stanford Institute for Economic Policy Research, a senior fellow at the Stanford Freeman Spogli Institute, and the Director of the Stanford Center on the Demography of Health and Aging. He holds an MD and a PhD in Economics, both from Stanford University.Contributions to and/or sponsorship of any event does not constitute departmental or institutional endorsement of the specific program, speakers or views presented.Annika Nordquist is the Communications Coordinator of Princeton University’s James Madison Program in American Ideals and Institutions and host of the Program’s podcast, Madison’s Notes. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Susan Partovi first experienced poverty medicine volunteering at a dump site in Tijuana during high school. There, she recognized the need for all people to have access to quality medical care. Over the years, she has worked in various facilities around Los Angeles County, incorporating her renegade method of going the extra mile for her patients. As Medical Director of Homeless Health Care Los Angeles, she works to provide a safety net of care for the underserved skid row community and surrounding neighborhoods.Recognized internationally as a leader in street medicine, Dr. Partovi started documenting her patients' stories so that others could hear their voices. By addressing the practical and moral considerations when treating each patient, Dr. Partovi developed her philosophies about what it means to be a "good doctor." Along the way, she began to understand how her personal ethics evolved--from a challenging childhood and complicated relationships with her parents, through professional hurdles--often, she had to push against a system that doesn't always put the patient first.Renegade M.D.: A Doctor's Stories from the Streets (Bookbaby, 2024) is a powerful and inspiring memoir by Dr. Susan Partovi, a renowned street doctor who has dedicated her life to treating the impoverished around the world and people experiencing homelessness on LA's skid row. Through her stories, Dr. Partovi takes us on a journey to the heart of the challenges faced by those living on the streets, and shines a light on her unwavering commitment to advocate for social justice and to provide compassionate care to some of the most vulnerable people in our society. Learn more about your ad choices. Visit megaphone.fm/adchoices

Most of us appreciate the importance of the immune system yet have very little knowledge about how it actually works. If you fall into this camp and are curious to learn more about this intricate system, Bobby Cherayil's book is an excellent resource.The Logic of Immunity: Deciphering an Enigma was published in January 2024 by John Hopkins University Press. It gives a great overview of this complex system, including several findings from the recent years. It also points out the many areas of ongoing research and open questions.The book introduces the actors of the system and the many interactions between them: the various types of immune cells, the pathogens and pathogen-associated patterns they recognize, the cascade of events that ultimately leads to an immune response. The opening chapter explains (and visualizes!) where these cells are located. It explains how they contribute to the immune response, and how we broadly categorize them into innate and adaptive immunity.Chapters 2 and 3 discuss the innate immune system. We get to know the general concepts, like molecular patterns and receptors recognizing them. They describe in detail some well-studied mechanisms, like the LPS-TLR4 interaction. And we also learn the story of their research spanning multiple years and multiple discoveries building upon each other.Chapters 4-6 delve into the mechanisms of adaptive immunity and their main cell types: B- and T-lymphocytes. Have you ever wondered how the immune system is able to "remember" earlier infections? You'll find here both an overview of "immune memory" and a detailed description how B and T cell proliferate and specialize.Chapter 7 shows how these immune reactions are sometimes provoked by harmless substances - that's what we call allergy. Or even by human cells - that's what we call autoimmune diseases.The next chapters put the immune system into a bigger context. They discuss the variability of immunity across different individuals and the many reasons behind it. Genes, environment, past infections, life style. A particularly fascinating part of "the human ecosystem" is the microbiota. Its importance has been recognized only in the last two decades. Chapter 8 introduces really well this emerging field of study.Chapter 11 is dedicated to an immunology topic that affects all of us: vaccines. Building upon the knowledge from previous chapters, it explains how vaccines work.Throughout the book, we learn a lot both about the exciting developments and the open questions in the field of immunology. Chapter 12 gives a summary of some trends of the last decades and an outlook for the next big puzzles to tackle. Learn more about your ad choices. Visit megaphone.fm/adchoices

Our stress response system is magnificent - it operates beneath our awareness, like an orchestra of organs playing a hidden symphony. When we are healthy, the orchestra plays effortlessly, but what happens when our bodies face chronic stress, and the music slips out of tune? The alarming rise of stress-related conditions, such as heart disease, diabetes, and depression, show the price we're paying for our high-pressure living, while global warming, pandemics and technology have brought new kinds of stress into all our lives. But what can we do about it? Explore the fascinating mysteries of our hidden stress response system with Dr. Wulsin, who uses his decades of experience to show how toxic stress impacts our bodies. In Toxic Stress: How Stress Is Making Us Ill and What We Can Do About It (Cambridge UP, 2024), Wulsin gives us the expert advice and tools needed to prevent toxic stress from taking over. Chapter by chapter, learn to help your body and mind recover from toxic stress. Learn more about your ad choices. Visit megaphone.fm/adchoices