Imagining Health

A surprising look at how American writers envision a more equitable healthcare system

In the United States, a deep suspicion of professional medical expertise is becoming increasingly prominent. Meanwhile, many arguments for health justice take a highly critical view of medical authority, even rejecting it entirely. In the early to mid-twentieth century, alternatively, as medicine rapidly professionalized, Americans came to hold the medical establishment in a particularly high regard, while many saw how it could play a crucial role in progressive politics. In this period, technologies developed, specializations grew, and medical education became standardized. With this process came inequities, as marginalized populations struggled to access the highest levels of care. Literary writers confronting social ills through their work included critiques of this new system in their writing, Ira Halpern argues. Without abandoning professional medicine, they called for alternative systems of care that could better serve diverse populations.

Halpern examines the work of several writers--including Robert Herrick, Wallace Thurman, Frank Slaughter, Charles Chesnutt, Walter White, Ralph Ellison, Charlotte Perkins Gilman, Upton Sinclair, Stephen Crane, and Edith Wharton--to demonstrate how American writing from this period embedded a critical look at healthcare within other elements of progressive politics, from racial protest and women's rights to disability justice and counter-capitalist viewpoints. Placing this writing into historical context, in terms of medical and scientific developments as well as traditions of social protest, Halpern reveals the efforts of these writers to envision better alternative trajectories for a quickly evolving medical establishment that left too many Americans without reliable care.

IRA HALPERN is visiting assistant professor in English at the College of New Jersey. His scholarship has appeared in Literature and Medicine and American Literature.