This work, examines the transformation of American hospitals from a series of community- based charitable institutions into the large, bureaucratic system that existed by the end of the Progressive era. Originally published in 1986. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

First went the power. Then came the water, and for five days, the country's oldest hospital was under siege. The never-before-told story of the heroic doctors, nurses, and patients who fought to survive Hurricane Katrina at Charity Hospital in New Orleans. This book traces a remarkable five-day transformation of an infirm institution, caught in a sea of death and indifference, into an island of care and tenderness. The hour-by-hour recreation of this hospital's final days is one of the most grievous and heroic stories in American history. Jim Carrier, who moved to New Orleans 28 days before Katrina (and lost his home), recreates with emotional and poignant detail the rich, sad and uplifting saga of Charity Hospital.

For more than 250 years New Orleans' Charity Hospital has struggled to serve the city's indigent ill, and in so doing has become an institution steeped in Louisiana history and politics. In this fascinating new book John Salvaggio traces the colorful history of Charity Hospital from the early days of French colonial medicine through the Spanish period, the early American years, the volatile Huey Long and World War II eras, and the modern postwar period.Established in 1736, with the legacy of a compassionate French ship builder, Charity Hospital has weathered many storms to maintain its status as the oldest continually operating hospital in the United States. It has withstood the transfer of Louisiana territory from the French to the Spanish and survived devastating hurricanes and a fire. The institution has also endured the stormy beginnings of Louisiana statehood, the hardships of the Civil War, and more recently, the stresses of caring for an ever-expanding patient load. Throughout much of its history, Charity Hospital has encountered political squabbles, patronage problems, and financial woes. As a new century approaches, the hospital finds its future threatened by inadequate funding and the crumbling of its physical facilities.Despite many setbacks, Charity Hospital has accomplished much in its history. Salvaggio presents a summary of the many medical procedures, diagnostic techniques, and therapeutic innovations that have been introduced at the "Big Free," as the hospital is popularly known. He also provides previously unchronicled information on the hospital's history during the twentieth century, writing about political infighting during the governorship of Huey P. Long, construction of a new hospital building in the 1930s, integration of the hospital in the 1960s, its relationships with the medical schools of Louisiana State University and Tulane University, and the current frustrating attempts to adequately staff the institution.Interviews with many of Charity's past directors and others associated with the hospital, as well as lively anecdotes from the author's own experience, bring the hospital's history to life and provide valuable insight into the institution's inner workings. These reminiscences, coupled with Salvaggio's depiction of Charity's past, present, and now questionable future, make this a fascinating and informative work on an important hospital of the South.

Approximately one-in-six Americans carry medical debt, which hinders physical and mental health, opportunities for economic mobility, and pursuits of necessary medical treatment. In the absence of strong social programs to prevent medical debt, many hospitals provide charity care. Charity care represents an economic loss to hospitals, but patients receiving charity care are absolved from paying their hospital bills. Nonprofit hospitals have a legacy of providing charity care, but there are no uniform standards for charity care provision. Research is needed to identify which hospitals act as good faith participants in the social safety net. In this dissertation, I study hospitals' behaviors related to charity care to better understand which characteristics of nonprofit hospitals are associated with their fulfillment of their legacy related to charity.

"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.