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020 _a9780812251678
_qprint
020 _a9780812296518
_qPDF
024 7 _a10.9783/9780812296518
_2doi
035 _a(DE-B1597)9780812296518
035 _a(DE-B1597)531783
035 _a(OCoLC)1136960803
040 _aDE-B1597
_beng
_cDE-B1597
_erda
072 7 _aBUS077000
_2bisacsh
084 _aonline - DeGruyter
100 1 _aSimpson, Andrew T.
_eautore
245 1 4 _aThe Medical Metropolis :
_bHealth Care and Economic Transformation in Pittsburgh and Houston /
_cAndrew T. Simpson.
264 1 _aPhiladelphia :
_bUniversity of Pennsylvania Press,
_c[2019]
264 4 _c©2020
300 _a1 online resource (288 p.) :
_b11 illus.
336 _atext
_btxt
_2rdacontent
337 _acomputer
_bc
_2rdamedia
338 _aonline resource
_bcr
_2rdacarrier
347 _atext file
_bPDF
_2rda
490 0 _aAmerican Business, Politics, and Society
505 0 0 _tFrontmatter --
_tContents --
_tIntroduction. Making the Medical Metropolis --
_tChapter 1. Building Cities of Health: Medical Centers in Pittsburgh and Houston Before 1965 --
_tChapter 2. The Hospital-Civic Relationship in the Shadow of the Great Society --
_tChapter 3. City of Hearts, City of Livers: Specialty Medicine and the Creation of New Civic Identities --
_tChapter 4. “When the Fire Dies”: Biotechnology and the Quest for a New Economy --
_tChapter 5. The Coming of the System: Changing Health Care Delivery in the Medical Metropolis --
_tChapter 6. A Charitable Mission or a Profitable Charity? Redefining the Hospital-Civic Relationship --
_tEpilogue. The Future of the Medical Metropolis --
_tNotes --
_tArchival Collections and Abbreviations --
_tIndex --
_tAcknowledgments
506 0 _arestricted access
_uhttp://purl.org/coar/access_right/c_16ec
_fonline access with authorization
_2star
520 _aIn 2008, the University of Pittsburgh Medical Centers (UPMC) hoisted its logo atop the U.S. Steel Building in downtown Pittsburgh, symbolically declaring that the era of big steel had been replaced by the era of big medicine for this once industrial city. More than 1,200 miles to the south, a similar sense of optimism pervaded the public discourse around the relationship between health care and the future of Houston's economy. While traditional Texas industries like oil and natural gas still played a critical role, the presence of the massive Texas Medical Center, billed as "the largest medical complex in the world," had helped to rebrand the city as a site for biomedical innovation and ensured its stability during the financial crisis of the mid-2000s.Taking Pittsburgh and Houston as case studies, The Medical Metropolis offers the first comparative, historical account of how big medicine transformed American cities in the postindustrial era. Andrew T. Simpson explores how the hospital-civic relationship, in which medical centers embraced a business-oriented model, remade the deindustrialized city into the "medical metropolis." From the 1940s to the present, the changing business of American health care reshaped American cities into sites for cutting-edge biomedical and clinical research, medical education, and innovative health business practices. This transformation relied on local policy and economic decisions as well as broad and homogenizing national forces, including HMOs, biotechnology programs, and hospital privatization. Today, the medical metropolis is considered by some as a triumph of innovation and revitalization and to others a symbol of the excesses of capitalism and the inequality still pervading American society.
538 _aMode of access: Internet via World Wide Web.
546 _aIn English.
588 0 _aDescription based on online resource; title from PDF title page (publisher's Web site, viewed 27. Jan 2023)
650 7 _aBUSINESS & ECONOMICS / Corporate & Business History.
_2bisacsh
653 _aBooks of Regional Interest.
653 _aBusiness.
653 _aEconomics.
653 _aHistory.
653 _aPolitical Science.
653 _aPublic Policy.
653 _aUrban Studies.
850 _aIT-RoAPU
856 4 0 _uhttps://doi.org/10.9783/9780812296518
856 4 0 _uhttps://www.degruyter.com/isbn/9780812296518
856 4 2 _3Cover
_uhttps://www.degruyter.com/document/cover/isbn/9780812296518/original
942 _cEB
999 _c199383
_d199383