Burdens of War: Creating the United States Veterans Health System
How have Americans grappled with the moral and financial issues of veterans’ health care?

In the World War I era, veterans fought for a unique right: access to government-sponsored health care. In the process, they built a pillar of American social policy. Burdens of War explores how the establishment of the veterans’ health system marked a reimagining of modern veterans’ benefits and signaled a pathbreaking validation of the power of professionalized institutional medical care.

Adler reveals that a veterans’ health system came about incrementally, amid skepticism from legislators, doctors, and army officials concerned about the burden of long-term obligations, monetary or otherwise, to ex-service members. She shows how veterans’ welfare shifted from centering on pension and domicile care programs rooted in the nineteenth century to direct access to health services. She also traces the way that fluctuating ideals about hospitals and medical care influenced policy at the dusk of the Progressive Era; how race, class, and gender affected the health-related experiences of soldiers, veterans, and caregivers; and how interest groups capitalized on a tense political and social climate to bring about change.

The book moves from the 1910s—when service members requested better treatment, Congress approved new facilities and increased funding, and elected officials expressed misgivings about who should have access to care—to the 1930s, when the economic crash prompted veterans to increasingly turn to hospitals for support while bureaucrats, politicians, and doctors attempted to rein in the system. By the eve of World War II, the roots of what would become the country’s largest integrated health care system were firmly planted and primed for growth. Drawing readers into a critical debate about the level of responsibility America bears for wounded service members, Burdens of War is a unique and moving case study.

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Burdens of War: Creating the United States Veterans Health System
How have Americans grappled with the moral and financial issues of veterans’ health care?

In the World War I era, veterans fought for a unique right: access to government-sponsored health care. In the process, they built a pillar of American social policy. Burdens of War explores how the establishment of the veterans’ health system marked a reimagining of modern veterans’ benefits and signaled a pathbreaking validation of the power of professionalized institutional medical care.

Adler reveals that a veterans’ health system came about incrementally, amid skepticism from legislators, doctors, and army officials concerned about the burden of long-term obligations, monetary or otherwise, to ex-service members. She shows how veterans’ welfare shifted from centering on pension and domicile care programs rooted in the nineteenth century to direct access to health services. She also traces the way that fluctuating ideals about hospitals and medical care influenced policy at the dusk of the Progressive Era; how race, class, and gender affected the health-related experiences of soldiers, veterans, and caregivers; and how interest groups capitalized on a tense political and social climate to bring about change.

The book moves from the 1910s—when service members requested better treatment, Congress approved new facilities and increased funding, and elected officials expressed misgivings about who should have access to care—to the 1930s, when the economic crash prompted veterans to increasingly turn to hospitals for support while bureaucrats, politicians, and doctors attempted to rein in the system. By the eve of World War II, the roots of what would become the country’s largest integrated health care system were firmly planted and primed for growth. Drawing readers into a critical debate about the level of responsibility America bears for wounded service members, Burdens of War is a unique and moving case study.

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Burdens of War: Creating the United States Veterans Health System

Burdens of War: Creating the United States Veterans Health System

by Jessica L. Adler
Burdens of War: Creating the United States Veterans Health System

Burdens of War: Creating the United States Veterans Health System

by Jessica L. Adler

Hardcover(New Edition)

$52.00 
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Overview

How have Americans grappled with the moral and financial issues of veterans’ health care?

In the World War I era, veterans fought for a unique right: access to government-sponsored health care. In the process, they built a pillar of American social policy. Burdens of War explores how the establishment of the veterans’ health system marked a reimagining of modern veterans’ benefits and signaled a pathbreaking validation of the power of professionalized institutional medical care.

Adler reveals that a veterans’ health system came about incrementally, amid skepticism from legislators, doctors, and army officials concerned about the burden of long-term obligations, monetary or otherwise, to ex-service members. She shows how veterans’ welfare shifted from centering on pension and domicile care programs rooted in the nineteenth century to direct access to health services. She also traces the way that fluctuating ideals about hospitals and medical care influenced policy at the dusk of the Progressive Era; how race, class, and gender affected the health-related experiences of soldiers, veterans, and caregivers; and how interest groups capitalized on a tense political and social climate to bring about change.

The book moves from the 1910s—when service members requested better treatment, Congress approved new facilities and increased funding, and elected officials expressed misgivings about who should have access to care—to the 1930s, when the economic crash prompted veterans to increasingly turn to hospitals for support while bureaucrats, politicians, and doctors attempted to rein in the system. By the eve of World War II, the roots of what would become the country’s largest integrated health care system were firmly planted and primed for growth. Drawing readers into a critical debate about the level of responsibility America bears for wounded service members, Burdens of War is a unique and moving case study.


Product Details

ISBN-13: 9781421422879
Publisher: Johns Hopkins University Press
Publication date: 07/31/2017
Series: Reconfiguring American Political History
Edition description: New Edition
Pages: 368
Product dimensions: 6.00(w) x 9.10(h) x 1.20(d)
Age Range: 18 Years

About the Author

Jessica L. Adler is an assistant professor in the Departments of History and Health Policy & Management at Florida International University.

Table of Contents

Acknowledgments vii

Abbreviations Used in the Text xi

Introduction: War and Federally Sponsored Health Care 1

1 An Extra-Hazardous Occupation: Preparing for the Health Outcomes of War 10

2 A Stupendous Task: The Challenges of Domestic Military Health Care 43

3 War Is Hell but after Is "Heller": An Army Responsibility Becomes a Societal Obligation 83

4 The Debt We Owe Them: Advocating, Funding, and Planning for Veterans' Health Care 121

5 Administrative Geometry: Creating and Growing the Veterans Bureau and Its Hospitals 156

6 I Never Did Feel Well Again: Entrenching a Federal Health System 192

7 State Medicine: Enduring under Fire 227

Conclusion. The Legacy of Great War Health Policy 253

Notes 265

Essay on Sources 329

Index 341

What People are Saying About This

Dale C. Smith

Thoroughly researched, logically constructed, and engagingly written, Jessica Adler’s Burdens of War sheds light on Progressive reform, the nature of expertise, and the political and cultural complexity of building social policy. Most of all, it takes the reader into the continuing debate that shaped the emergence of the Veteran’s Health System, a debate that continues to rage to this day.

Rosemary Stevens

Deeply researched, vividly written, compelling, this isaAn important contribution to the history of US government, social policy, and health care. The voices of needy, often angry, veterans, black and white, ring out in the book, but, as Adler makes clear, improvements to veterans’ health care are often contentious—a theme germane today.

Stephen R. Ortiz

Adler's excellent book provides a definitive examination of the emergence of the modern veterans healthcare system during and after World War I. In doing so, she goes beyond existing accounts' emphasis on institutional development with a fine-grained focus on the political activism of individual veterans and their emerging organizations as the critical actors who shaped it. Superbly researched and deftly written, Burdens of War offers an extended and timely meditation on the creation both of American healthcare systems and of new government entitlements.

Edward D. Berkowitz

As Jessica Adler demonstrates, the Great War had great consequences for American health care and much else besides. She has written a masterful book, both deeply researched and artfully written, on the origins of the medical and social service systems for veterans. This is policy history and medical history at its best.

Jennifer D. Keene

The creation of a universal healthcare system for veterans is one of the untold social-welfare stories of the twentieth century. Adler rightly places World War I veterans at the center of her narrative, illuminating how their ongoing health struggles spurred sweeping reforms. Through evocative prose and razor-sharp analysis, Burdens of War details this generation’s determination to fight for the right to government-funded health care. We still live in the shadows of World War I, heirs to the veterans’ health care system that this generation forged.

From the Publisher

The creation of a universal healthcare system for veterans is one of the untold social-welfare stories of the twentieth century. Adler rightly places World War I veterans at the center of her narrative, illuminating how their ongoing health struggles spurred sweeping reforms. Through evocative prose and razor-sharp analysis, Burdens of War details this generation’s determination to fight for the right to government-funded health care. We still live in the shadows of World War I, heirs to the veterans’ health care system that this generation forged.
—Jennifer D. Keene, Chapman University, author of Doughboys, the Great War, and the Remaking of America

As Jessica Adler demonstrates, the Great War had great consequences for American health care and much else besides. She has written a masterful book, both deeply researched and artfully written, on the origins of the medical and social service systems for veterans. This is policy history and medical history at its best.
—Edward D. Berkowitz, George Washington University, coauthor of The Other Welfare: Supplemental Security Income and U.S. Social Policy

Deeply researched, vividly written, compelling, this isaAn important contribution to the history of US government, social policy, and health care. The voices of needy, often angry, veterans, black and white, ring out in the book, but, as Adler makes clear, improvements to veterans’ health care are often contentious—a theme germane today.
—Rosemary Stevens , Weill Cornell Medical College, author of A Time of Scandal: Charles R. Forbes, Warren G. Harding, and the Making of the Veterans Bureau

Thoroughly researched, logically constructed, and engagingly written, Jessica Adler’s Burdens of War sheds light on Progressive reform, the nature of expertise, and the political and cultural complexity of building social policy. Most of all, it takes the reader into the continuing debate that shaped the emergence of the Veteran’s Health System, a debate that continues to rage to this day.
—Dale C. Smith, Uniformed Services University

Adler's excellent book provides a definitive examination of the emergence of the modern veterans healthcare system during and after World War I. In doing so, she goes beyond existing accounts' emphasis on institutional development with a fine-grained focus on the political activism of individual veterans and their emerging organizations as the critical actors who shaped it. Superbly researched and deftly written, Burdens of War offers an extended and timely meditation on the creation both of American healthcare systems and of new government entitlements.
—Stephen R. Ortiz, Binghamton University (SUNY), author of Veterans' Policies, Veterans' Politics: New Perspectives on Veterans in the Modern United States

Burdens of War tells the compelling story of the creation of the US veterans’ health care system in the decades after World War I. Jessica Adler skillfully blends medical and policy history to examine the ideas and actions of government, the medical profession, local communities, and veterans themselves in building what became one of the nation’s most successful yet embattled 'entitlement' programs.
—Beatrix Hoffman, Northerin Illinois University, author of Health Care for Some: Rights and Rationing in the United States since 1930

Beatrix Hoffman

Burdens of War tells the compelling story of the creation of the US veterans’ health care system in the decades after World War I. Jessica Adler skillfully blends medical and policy history to examine the ideas and actions of government, the medical profession, local communities, and veterans themselves in building what became one of the nation’s most successful yet embattled 'entitlement' programs.

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