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U.S. military conflicts abroad have left nine million Americans dependent on the Veterans Health Administration (VHA) for medical care. Their "wounds of war" are treated by the largest hospital system in the country-one that has come under fire from critics in the White House, on Capitol Hill, and in the nation's media. The resulting public debate about the future of veterans' health care has pitted VHA patients and their care-givers against politicians and policy-makers who believe that former military personnel would be better served by private health care providers.This high stakes controversy led Suzanne Gordon, award-winning health care journalist and author, to seek insight from veterans and their families, VHA staff and administrators, advocates for veterans, and proponents of privatization. Gordon spent five years closely observing the VHA's treatment of patients suffering from service related injuries, physical and mental.In Wounds of War, Gordon describes how the VHA-tasked with a challenging patient population- does a better job than private sector institutions offering primary and geriatric care, mental health and home care services, and support for patients nearing the end of life. The VHA, Gordon argues, is an integrated health care system worthy of wider emulation, rather than piece-meal dismantling for the benefit of private contractors. In the unusual culture of solidarity between patients and providers that the VHA has fostered, the author finds a working model for higher quality health care and a much-needed alternative to the practice of for-profit medicine.

Veterans --- Medical care --- United States. --- VHA --- model of care, Veterans Health Administration, veterans, Government, Health, VA Mission Act, Pivitization.

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Black women have higher rates of premature birth than other women in America. This cannot be simply explained by economic factors, with poorer women lacking resources or access to care. Even professional, middle-class black women are at a much higher risk of premature birth than low-income white women in the United States. Dána-Ain Davis looks into this phenomenon, placing racial differences in birth outcomes into a historical context, revealing that ideas about reproduction and race today have been influenced by the legacy of ideas which developed during the era of slavery. While poor and low-income black women are often the "mascots" of premature birth outcomes, this book focuses on professional black women, who are just as likely to give birth prematurely. Drawing on an impressive array of interviews with nearly fifty mothers, fathers, neonatologists, nurses, midwives, and reproductive justice advocates, Dána-Ain Davis argues that events leading up to an infant's arrival in a neonatal intensive care unit (NICU), and the parents' experiences while they are in the NICU, reveal subtle but pernicious forms of racism that confound the perceived class dynamics that are frequently understood to be a central factor of premature birth. The book argues not only that medical racism persists and must be considered when examining adverse outcomes--as well as upsetting experiences for parents--but also that NICUs and life-saving technologies should not be the only strategies for improving the outcomes for black pregnant women and their babies. Davis makes the case for other avenues, such as community-based birthing projects, doulas, and midwives, that support women during pregnancy and labor are just as important and effective in avoiding premature births and mortality. -- Provided by publisher. A troubling study of the role that medical racism plays in the lives of black women who have given birth to premature and low birth weight infants. -- Provided by publisher. "'Reproductive Injustice: Racism, Pregnancy, and Premature Birth' explores the issues of racism, medicine, and motherhood"--

Race discrimination --- African American women --- Discrimination in medical care --- Reproductive health services --- Reproductive Health Services --- African Americans --- Racism --- Health aspects --- Medical care --- Social aspects --- United States. --- Baby Doe rules. --- Black feminist framework. --- Children’s Bureau. --- German measles. --- March of Dimes. --- NICU. --- NICUs. --- Sheppard-Towner Act. --- afterlife of slavery. --- birth stories. --- birth workers. --- comprehensive care. --- definition of prematurity. --- diagnostic lapse. --- doula. --- doulas. --- etiology. --- hardy babies. --- labor. --- medical encounters. --- medical racism. --- midwives. --- misdiagnosis. --- model of care. --- neonatal intensive care unit. --- neonatologists. --- obstetric hardiness. --- polio. --- premature birth. --- preventive approaches. --- race and pregnancy. --- racial disparity. --- racial politics. --- racial science. --- racism. --- technologies of saving. --- temporality.