In Sickness and in Wealth: American Hospitals in the Twentieth Century

"Stevens brilliantly views the hospital as a prism of the values and mores of society... She sees the stratification of the hospital population into private, semi-private, and charity patients as a manifestation of the social stratifications of American society."-- "Reviews in American History"American hospitals are unique: a combination of public and private institutions that are at once charities and businesses, social welfare institutions and icons of U.S. science, wealth, and technical achievement. "In Sickness and in Wealth" helps us understand this huge and often contradictory "industry" and shows that throughout this century the voluntary not-for-profit hospitals have been profit-maximizing enterprises, even though they have viewed themselves as charities serving the community. Although our hospitals have provided the most advanced medical care for acutely sick and curable patients, they have been much less successful in meeting the needs of the chronically ill and the socially disadvantaged. That, Stevens concludes, is the next urgent task of social policy."For me, personally, the book constituted an invitation to rethink the relationship -- warts and all -- among the benevolent, charitable, and business missions of the hospital, while at the same time disabusing me of my inclination to cite history to support or defend a view I might otherwise have preferred to hold." -- Merlin K. DuVal, M.D., Senior Vice President, Samaritan Health Service, Phoenix, Arizona"This book is beautifully written... and is must reading for anyone involved in the current debate on health policy. It will also make delightful reading for those who merely wish to view the shifting social andeconomic climate in modern America, as seen from the perspective of the hospital." -- "New England Journal of Medicine"