New Books in Medicine Marshall Poe

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.co
Suggested 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)


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In a broken world, in which even God Himself is in a state of deep crisis, what is required in order to mend the rupture? How can one heal God and His world? Moreover, what might allow our actions to be effective? These questions stand at the heart of the Lurianic Kabbalah, the apex of the Safedian intellectual and religious renaissance of the sixteenth century, and one of the constituting phenomena of Modern Jewish thought. 
God as Patient: The Medical Discourse of Lurianic Kabbalah (Magnes Press, 2023) presents medical discourse – the knowledge, language, and practice of medicine – as a significant key to our understanding of the Lurianic search for a way to mend reality, and first and foremost the Godhead. The book reads together the Lurianic texts alongside the medical writings of R. Hayyim Vital, R. Isaac Luria's chief disciple, and a medical practitioner. Consequently, the book analyzes how medicine becomes the model for the Lurianic language of action. In its final part, the book shows how God becomes in this Kabbalah the ultimate patient of the Lurianic Kabbalist, who in turn becomes the private court physician of the King of Kings, and needs, like every physician, the proper modes of healing to accomplish his task.
Dr. Assaf Tamari studies Jewish intellectual history in the early modern eastern Mediterranean, focusing on the affinities between theology, science and political thought, especially in the literature of the Kabbalah. He is currently the deputy head of the Ben Zvi Institute for the Study of Jewish Communities in the East, and teaches at Tel Aviv University, Shalem College and Alma - a Home for Hebrew Culture.
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Lucy Barnhouse of Arkansas State University talks with Jana Byars about her new book, Hospitals in Communities of the Late Medieval Rhineland: Houses of God, Places for the Sick, out 2023 with Amsterdam University Press. From the mid-twelfth century onwards, the development of European hospitals was shaped by their claim to the legal status of religious institutions, with its attendant privileges and responsibilities. The questions of whom hospitals should serve and why they should do so have recurred -- and been invested with moral weight -- in successive centuries, though similarities between medieval and modern debates on the subject have often been overlooked. Hospitals' legal status as religious institutions could be tendentious and therefore had to be vigorously defended in order to protect hospitals' resources. This status could also, however, be invoked to impose limits on who could serve in and be served by hospitals. As recent scholarship demonstrates, disputes over whom hospitals should serve, and how, find parallels in other periods of history and current debates.
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Rustam Alexander's Gay Lives and 'Aversion Therapy' in Brezhnev's Russia, 1964-1982 (Palgrave Macmillan, 2023) examines the autobiographies and diaries of Soviet homosexual men who underwent psychotherapy during the period from 1970 to 1980 under the guidance of Yan Goland, a psychiatrist-sexopathologist from Gorky. The examination of these unique and little-known documents contributes to our scant knowledge about the practices that many would call a Soviet proto-type of 'aversion therapy'. It also helps us understand the way homosexual people faced "queer dilemmas" of the self and how they sought to reconcile their queer desire with being Soviet.
Tatiana Klepikova is a Postdoctoral Fellow at the University of Regensburg, where she leads a research group on queer literatures and cultures under socialism.
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Decisions to go to war are often framed in cost-benefit terms, and typically such assessments do not factor in longer term costs. However, recent dramatic improvements in American military medicine have had an unanticipated effect: saving more soldiers' lives has vastly increased long-term, downstream costs of war with profound consequences for global politics in an era of heightened great power competition.
In Military Medicine and the Hidden Costs of War (Oxford UP, 2024), Tanisha Fazal traces the modern history of medical treatment and casualty rates in American conflicts from the Civil War to the more recent counterinsurgency wars. As she shows, wars became increasingly survivable for wounded troops, to the point now where a large majority of wounded soldiers survive. 
Yet the human and financial implications of this steep increase in the wounded-to-killed ratio are dramatic, and her powerful analysis of this shift provides a necessary corrective to how we understand the costs of war. For each major conflict, Fazal analyzes the weapons used, injuries sustained, and policies put in place for veterans' care and pensions. As she argues, these improvements have significant financial and deeply personal implications for the returned wounded and their families, as well as the US government and its citizenry. Fazal's analysis highlights the significance of policymakers underestimating the costs of war, which in turn makes it easier both to initiate and continue military action abroad, contributing to Americas' penchant for engaging in so-called "endless wars."
Tanisha Fazal is a Professor of Political Science at the University of Minnesota. Her scholarship focuses on sovereignty, international law, and armed conflict. In addition to her new book, she is the author of two award-winning books and numerous articles in academic and policy journals. From 2021-2023, she was an Andrew Carnegie Fellow
Lamis Abdelaaty is an associate professor of political science at the Maxwell School of Syracuse University. She is the author of Discrimination and Delegation: Explaining State Responses to Refugees (Oxford University Press, 2021). Email her comments at labdelaa@syr.edu
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Dr Pierce Salguero sits down with Justin B. Stein, a specialist in modern Japanese religion and the preeminent historian of Reiki. We discuss Justin’s new book, Alternate Currents: Reiki’s Circulation in the Twentieth-Century North Pacific (U Hawaii Press, 2023), about the transnational origins of Reiki, and also get into his perspective as a both a scholar and a Reiki practitioner. Along the way, we ask what Reiki has to do with Buddhism, what subtle energy feels like up close, and what kinds of extraordinary experiences might occur when you open up to energy of the universe.
Remember, if you want to hear from more experts on Buddhism, Asian medicine, and embodied spirituality, subscribe to Blue Beryl for monthly episodes. Please enjoy!
Resources mentioned in the episode:


C. Pierce Salguero, Buddhism and Medicine: An Anthology of Modern and Contemporary Sources (2020). Justin’s translation is Chapter 5, “Psychosomatic Buddhist Medicine at the Dawn of Modern Japan”

Justin B. Stein, Alternate Currents: Reiki’s Circulation in the Twentieth-Century North Pacific (2023).

BBP interview with Nathan Michon

Dr. Pierce Salguero is a transdisciplinary scholar of health humanities who is fascinated by historical and contemporary intersections between Buddhism, medicine, and crosscultural exchange. He has a Ph.D. in History of Medicine from the Johns Hopkins School of Medicine (2010), and teaches Asian history, medicine, and religion at Penn State University’s Abington College, located near Philadelphia. www.piercesalguero.com.
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