Few contemporary social problems in the U.S. affect more people daily than those within the American health care system. Social Movements and the Transformation of American Health Care is the first collection of essays to examine dynamics of change in health care institutions through the lens of contemporary theory and research on collective action. Gathering scholars from medicine, health policy, history, sociology, and political science, the book considers health-related social movements from four distinct levels, concentrating on movements seeking changes in the regulation, financing, and distribution of health resources; changes in institutions in public health, bio-ethics, and other fields; interactions between social movements and professions; and the cultural dominance of the medical model, and the difficulties for framing and legitimizing new issues in health care it poses. At a time when American health care is long overdue for major changes, this book takes an essential look at movements, policies, and institutions to identify the common constraints and opportunities for reform within the health care system.

Preface1. Social Movements and the Transformation of U.S. Health Care: Introduction, Sandra R. Levitsky and Jane Banaszak-HollSection One: Transformation of State Financing and Regulation2. The Limitations of Social Movements as Catalysts for Change, Constance A. Nathanson3. The Challenge of Universal Health Care: Social Movements, Presidential, Leadership, and Private Power, Beatrix Hoffman4. The Consumer-Directed Health Care Movement: Defining the Limits of Democratic Representation, Jill Quadagno and J. Brandon McKelvey5. Mobilizing for Reform: Cohesion in State Healthcare Coalitions, Holly Jarman and Scott L. Greer6. The Strength of Diverse Ties: Multiple Hybridity in the Politics of Inclusion and Difference in U.S. Biomedical Research, Steven EpsteinSection Two: The Reorientation of Institutional Fields7. Field Analysis and Policy Ethnography in the Study of Health Social Movements, Phil Brown, Rachel Morello-Frosch, Stephen Zavestoski, Laura Senier, Rebecca Gasior Altman, Elizabeth Hoover, Sabrina McCormick, Brian Mayer, and Crystal Adams8. The Institutionalization of Community Action in Public Health, Mark Wolfson and Maria Parries9. Social Movement Challenges to Structural Archetypes: Abortion Rights, AIDS, and Long-Term Care, Martin Kitchener10. The "Hostile Takeover" of Bioethics by the Religious Right and the Counter-Offensive, Renee R. AnspachSection Three: Professions and Organizations in the Transformation of Health Care and Research11. Shadow Mobilization for Environmental Health and Justice, Scott Frickel12. Bringing Social Movement Theory to Health Care Practice in the English National Health Service, Paul Bate and Glenn Robert13. Complementary and Integrative Medicine in Medical Education: The Birth of an Organized Movement, Michael S. Goldstein14. Sources of Self-Help Movement Legitimation, Matthew E. ArchibaldSection Four: Culture and Legitimacy in US Health Care15. Hot or Not?: Obstacles to Emerging Climate-Induced Illness Movements, Sabrina McCormick16. From Infanticide to Activism: Emotions and Identity in Self Help Movements, Verta Taylor and Lisa Leitz17. Framing Hazards in the Health Arena: Mis-framings, Frame Disputes and Frame Shifting in Relation to Obesity, Work-Related Diseases, and Gamete Transfer in Infertility, David A. Snow and Roberta G. Lessor18. Conclusion: The Shape of Collective Action in the U.S. Health Sector, Verta Taylor and Mayer N. Zald