I Several years ago, when the Carter administration announced that it would support congressional action to end the public fund­ ing of abortions, the President was asked at a press conference whether he thought that such a policy was unfair; he responded, "Life is unfair." His remarks provoked a storm of controversy. For other than those who, for principled reasons, opposed abor­ tion on any grounds, it seemed that the President's comments were cruel, violating what was thought to be an American com­ mitment to providing equal access to health services to all citi­ zens, regardless of their capacity to pay. Those sentiments had, in fact, been reflected in public opinion polls that had, for at least three decades, indicated that Americans supported the propo­ sition that the government should guarantee health care to all. Ultimately, those beliefs had been translated into the oft-ex­ 1 pressed political demand for a one-class system of health care. This commitment to equality is rather remarkable. American society evidences a striking willingness to tolerate vast inequal­ ities with regard to income and wealth. While it guarantees ed­ ucation to all children, there is not even a pretense that the children of the wealthy and the children of the poor ought to get precisely the same kind of schooling. While some commitment 'Hazel Erskine. "The Polls: Health Insurance," Public Opinion Quarterly, XXXIX (Spring, 1975), 128-143.

Product Description: This is the first history of public health surveillance in the United States to span more than a century of conflict and controversy. The practice of reporting the names of those with disease to health authorities inevitably poses questions about the interplay between the imperative to control threats to the public's health and legal and ethical concerns about privacy...read more

Since public health seeks to protect the health of populations, it inevitably confronts a range of ethical challenges having to do primarily with the friction between individual freedoms and what might be perceived as governmental paternalism. This volume brings together twenty-five articles by leading thinkers in the field, writing on topics that concern both classic and novel problems. They open up new terrain in each area, including tobacco and drug control, infectious disease, environmental and occupational health, the effect of new genetics on the publics health, and the impact of social inequalities on patterns of morbidity and mortality. The volume editors offer a context for discussion with introductory essays for each of the books five sections.

A sweeping narrative of the AIDS epidemic chronicles the terrifying early years to the current climate of therapeutic optimisim, weaving together the intensely personal stories of the doctors who first confronted the crisis.

Product Description: In the mid-1980s public health officials in North America, Europe, Japan, and Australia discovered that almost half of the hemophiliac population, as well as tens of thousands of blood transfusion recipients, had been infected with HIV-tainted blood...read more

Product Description: As the financial and social costs of the war on drugs become increasingly clear, there has been renewed debate about drug control in American society. Why, for instance, do the current policies lump less dangerous drugs with more dangerous ones in making possession of any illegal drug a criminal offense? And why does the United States government spend more on law enforcement to repress drug sales than on treatment for individuals who are addicted to drugs? One alternative to the current prohibitionist policies is decriminalisation - a proposal that has drawn both supporters and critics from across the political spectrum...read more

Product Description: In the ten years since the first cases of AIDS were reported, the disease has spread around the world. Every country has had to come up with policies suited to its own conditions, economy, culture, and institutions. The differences among their approaches are striking...read more

Product Description: In this timely, penetrating analysis, Bayer examines the legal and political implications of creating and implementing an effective and rational nationwide health policy that balances public safety with private freedom.

Documents the confrontation between homosexual civil rights groups and the American Psychiatric Association over whether or not homosexuality is a mental disorder