New Books in Medicine

For nearly a century, every Democratic president—and many Republicans—entered office promising to restructure America’s health care system. Barack Obama finally broke through but, in the process, opened a tumultuous decade in which battles over health care dominated American politics. In Whiplash: From the Battle for Obamacare to the War on Science (Yale University Press, 2026), Dr. David Blumenthal and Dr. James A. Morone go behind the scenes to describe how three very different presidents—pursuing very different goals—maneuvered through the fraught politics of health care.President Obama ended the century-long quest for reform but ignited a screaming culture war that blazed into the Trump administration and blew up during the COVID epidemic. President Trump, facing the greatest health crisis in a century, denied and dithered. Then he directed a medical triumph in Operation Warp Speed. He and President Biden, facing the pandemic’s devastation, mounted the most successful anti-poverty program in eighty years. But in the tumult, Trump launched a shattering new political war, not over coverage but over science itself.Authoritative and gripping, this book describes the remarkable achievements of these years while also showing how respect for science clashed with scorn toward the deep state and left the nation unprepared for the next health crisis.

This interview was conducted by Dr. Miranda Melcher whose 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. You can find Miranda’s interviews on New Books with Miranda Melcher, wherever you get your podcasts.
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Jim Downs’ most recent book is Maladies of Empire: How Colonialism, Slavery, and War Transformed Medicine. Professor Downs is the Gilder Lehrman-National Endowment for the Humanities Professor of Civil War Era Studies and History at Gettysburg College.

The book offers a new history of epidemiology by shifting focus to the people behind the data points—people who were enslaved, imprisoned, or in some circles overlooked by conventional histories of epidemiology. The book shifts across locations and empires from the late eighteenth to the late nineteenth century because it wants to show how the confluence of war, imperialism, and slavery really made modern epidemiology.

This interview was a collaborative effort among Professor Laura Stark and students at Vanderbilt University in the course, “American Medicine & the World.” Please email Laura with any feedback on the interview or questions about how to design collaborative interview projects for the classroom. Read Laura's article, "Can New Media Save the Book?"

email: [email protected]

Jim Downs is the Gilder Lehrman-National Endowment for the Humanities Professor of Civil War Era Studies and History at Gettysburg College.

Laura Stark is Associate Professor at Vanderbilt University’s Center for Medicine, Health, and Society.
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Europe's Laboratory: Climate and Health in Eighteenth-Century Russia (Cornell UP, 2025) is a history of eighteenth-century naturalists and physicians who were involved in the creation of a classification system for the people of the Russian Empire. These Enlightened scholars traveled through Russia describing its people, landscape, and customs. In an era when climate was seen as a significant factor affecting health and bodies, these men wondered: How did the Russians, a "cold" people—phlegmatic or melancholic, according to humoral theory—manage an empire?

The experiences and observations of doctors and scholars working within the Russian Empire contributed to advances in understanding and/or treating diseases like scurvy, smallpox, and more. Key insights were embedded in the travel writings and correspondences of colorful eighteenth-century figures who Romaniello brings to life with vibrant biographies. Medical knowledge was entangled with stories of culture and imperial politics as well. In Europe's Laboratory, Romaniello’s deft contextualization helps make sense of these intextricable branches of eighteenth-century taxonomies as he demonstrates that the Russian Empire was a part of global knowledge networks.
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Religion, Spirituality and Public Health: Competing and Complementary Epistemes (British Academy, 2025) focuses on exploring the role of different 'ways of knowing' or arriving at truth, i.e. epistemes, particularly those found in religious and alternative health milieus. While biomedical solutions offer a dominant narrative, these are articulated differently in global contexts. Moreover, individuals often draw upon alternative framings that are sometimes oppositional to and at other times engaged with directives from medical and governmental authorities. The focus of this volume is worldviews and epistemes that are often marginalised or rejected in dominant discourses -- from shamanism in Korea to African Pentecostalism in Britain, and from global online 'AntiVax' narratives to traditional Siddha medicine in South India. Detailed case studies explore the contested, competing and strategically aligned relationships between mainstream and marginal epistemes; between religious healing, spirituality and biomedicine; and between politics and belief. These explorations promote greater insight into how marginalised religious epistemes are employed. Which beliefs and practices are drawn upon to create meaningful and effective responses? And how can we better understand the depth and breadth of these reactions to design more successful public health strategies for future global health crises?

Links

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For this episode, we are joined by Dr Shingisai Chando, a published academic and Research Fellow of the POCHE Indigenous Health Centre at the University of Sydney to unpack the question: what does it mean for healthcare systems to be culturally safe? A big question, but one Shingisai tackles with detail and depth. Dr Chando talks to us about how cultural competence changes in different health contexts and across different communities but emphasises the underlying issues of racism in the workplace, as well as the importance of trust, belonging, and true community engagement to build trust.

Produced by: Adubi Plange, Dr Amy McHugh, Sarah Mashman

Podcast Artwork: Zein Arif

Resources:

Below are some of Shingisai’s academic works related to this episode of the Cultural Competence Collective:

Article: Chando, S., Howell, M., Dickson, M., Jaure, A., Craig, J., Eades, S., Howard, K. (2024). Factors informing funding of health services for Aboriginal and Torres Strait Islander children: perspectives of decision-makers. Australian Journal of Primary Health, 30(5), PY24054

Article: Chando, S., Dickson, M., Howell, M., Jaure, A., Craig, J., Slater, K., Smith, N., Nixon, J., Eades, S., Howard, K. (2022). Delivering health programs for Aboriginal and Torres Strait Islander children: Carer and staff views on what's important. Health Promotion Journal of Australia, 33(S1), 222-234.

Article: Chando, S., Howell, M., Young, C., Craig, J., Eades, S., Dickson, M., Howard, K. (2021). Outcomes reported in evaluations of programs designed to improve health in Indigenous people. Health Services Research, 56(6), 1114-1125

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