D. Organ transplants a. we are developing new technology to transplant organs b. i.e. kidney, liver, heart c. always a shortage of natural organs, while demand is really high main source is car accidents who gets them? The sickest (they need it more) or the healthiest people(they will live longer)? richest or poorest? should organs be bought and sold? should the smartest or the dumbest? most religious? the atheists? these questions haven’t been answered E. Fertilization technology (surrogate mothers, sperm donors) a. leads to strange social phenomena i. ex. infertile woman gets egg from mother; now baby is sibling ii. who gets responsibility over the children? 1. the partners? the surrogate? F. Cloning (sheep, humans?) a. will probably happen when someone makes money off it b. Dolly the sheep c. complex legal issues for a clone d. Clone slaving could definitely occur. (make clone do work that you don’t want to do) XXI. Health politics A. Extraordinarily complex!
B. Major players (5) a. Patients → medical needs b. Doctors and other health care providers → give treatment c. Health care institutions (hospitals, etc.) → centralized health care d. Private insurance → private PROFIT making e. Public insurance→ ex. medicare, medicaid, social security f. There is a lot of conflict among these 5 players. g. Any pair among these 5 –no central cooperation and health politics is chaotic. h. It is sort of American primary politics. History of illness and plague 2 History of Epidemic Disease, Germ Warfare, Anthrax I. History of disease the Black Death Black Death: Natural and Human Disaster in Medieval Europe. Robert S. Gottfried. New York: Free Press. 1983. A. Overview i. other flus like the Spanish flu killed up to 20 million worldwide ii. black plague killed more proportions ( up to 50% of people in Europe) iii. huge social changes b. Caused by bacillus Yersinia pestis i. “bubonic plague, Great plague, black plague” c. A disease of rats spread to humans by fleas i. groundhog, guinea pigs
ii. not transmitted between humans iii. disease turns into a nomadic, airborne version d. 3 “pandemics" of black plague that wiped out large proportions of populations iii. 400500 AD Rome 1. contributed to the decline of Rome 13471665 Europe – killed 33%50% of population 1. medieval Europe 2. higher death rates like in Greenland and Scandinavia—nomadic one probably manifested there a. only found the cows when they came back to check on the farmers 18961933 Asia
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