New Books In Public Health

How
can a nation with unmatched wealth and medical innovation also have the
highest health care costs and the poorest health outcomes among its
peers? In America's Wrong Turn: US Health Care in the Neoliberal Era
(Johns Hopkins University Press, 2026), Dr. John E. McDonough offers a
compelling explanation for this troubling puzzle of contemporary US life
and shows that this reality did not arise by accident.

Beginning
in the later twentieth century, a powerful political and economic
philosophy began to reshape the United States and continues to mold
the institutions that govern health care, insurance coverage, and
population health. Across four decades, the rise of neoliberal thinking
elevated privatization, deregulation, and profit maximization as guiding
principles for public policy. Dr. McDonough illustrates how these ideas
influenced medical care at every level, altering government roles,
accelerating consolidation, encouraging the financialization of
once-mission-driven sectors, and shifting the US health system's
priorities away from patients and communities. The consequences of these
changes include deepening inequality, eroded public health capacity,
and a growing burden of medical debt.

Synthesizing
history, policy analysis, and the lived realities of the American
health system, Dr. McDonough reveals how a national commitment to
economic freedom above all else
set the stage for today's dysfunctional health care system. Despite
today's crises, he also highlights emerging efforts that signal the
possibility of a new direction, one based on fairness, accountability,
and the restoration of health as a public value. America's Wrong Turn
offers a framework for understanding how the United States arrived at
this moment and what it will take to create a system worthy of the
people it serves.

This interview was conducted by Dr. Miranda Melcher whose book
focuses on post-conflict military integration, understanding treaty
negotiation and implementation in civil war contexts, with qualitative
analysis of the Angolan and Mozambican civil wars. You can find
Miranda’s interviews on New Books with Miranda Melcher, wherever you get your podcasts. 
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Queer theory and reproductive justice need each other—now more than ever. As liberals and leftists increasingly frame reproductive justice in terms of LGBTQ+ rights, often adopting the language of “queerness,” it has become difficult to see that their political demands and strategies are often quite conservative. In Reproductive Justice, Queerly (U California Press, 2026), Carly Thomsen examines typical reproductive justice issues—including abortion, surrogacy, crisis pregnancy centers, paid parental leave, and parenting—in queer ways. She shows what can happen when we bring queer theory and reproductive justice together: a queerer, more powerful articulation of what we are fighting for.

Your host Yining Pan is a Ph.D. candidate in anthropology at Washington University in St. Louis.
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An unsettling exploration of the persistence of racism in reproductive healthcare in the US—and why even affluent Black women are imperiled by substandard care.From a leading expert on race, class, maternal health, and reproductive rights.Racism in maternal healthcare is not reserved for the poor. An unsparing picture of inequities in prenatal care and childbirth in the United States, Expecting Inequity: How the Maternal Health Crisis Affects Even the Wealthiest Black Americans (MIT Press, 2026) reveals that not only are black people three to four times more likely to die from a pregnancy-related cause, but racial disparities in maternal mortality persist across income levels. That is, wealthier black people are much more likely to die during pregnancy, childbirth, or the postpartum period than their white counterparts. Focusing on a San Francisco obstetrics clinic that caters to the affluent, Khiara Bridges looks at the choices around prenatal care and childbirth that class-privileged, pregnant black people are making in order to survive what has been called the “black maternal health crisis.”Bridges, whose previous work exposed how race and racism are embedded in maternal healthcare for the poor, draws on two years of participant-observation to show how wealthier black people try to leverage their class privilege to avoid some of the negative effects of their blackness—only to discover that in a country that has never reckoned with its horrific racial past, there is no escaping racism’s reach. Throughout the book, engaging, heartbreaking, infuriating stories of women’s experiences with pregnancy and prenatal care illustrate how race and racism matter regardless of wealth or status.
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Stove
improvers have been designing and promoting “clean” or “efficient”
biomass cookstoves in India since the 1940s and have been frustrated to
find their carefully engineered stoves abandoned in trash heaps or
repurposed as storage bins, while the traditional mud chulha retains a
central place in the kitchen. Why do so many Indian women continue to
use wood-burning, smoke-spewing stoves when they have other options?

Based on anthropological research in Rajasthan, Cookstove Chronicles: Social Life of a Women’s Technology in India (University of Arizona Press, 2024) by Dr. Meena Khandelwal argues that the supposedly obsolete
chulha persists because it offers women control over the tools needed
to feed their families. Their continued use of old stoves alongside the
new is not a failure to embrace new technologies
but instead a strategy to maximize flexibility and autonomy. The chulha
is neither the villain nor hero of this story. It produces particulate
matter that harms people’s bodies, leaves soot on utensils and walls, and
accelerates glacial melting and atmospheric warming. Yet it also
depends on renewable biomass fuel and supports women’s autonomy as a
local, do-it-yourself technology.

Dr.
Khandelwal, a feminist anthropologist, describes her collaboration with
engineers, archaeologists, and others. She employs critical social
theory and reflections from fieldwork to bring together research from a
range of fields, including history, geography, anthropology, energy and
environmental studies, public health, and science and technology studies
(STS). In so doing she not only demystifies multidisciplinary research
but also highlights the messy reality of actual behavior.

Cookstove Chronicles
critically examines why, despite extensive development efforts, use of
the chulha persists. It offers an important new framework for looking at
development, technology, environmental change, and human behavior.

This interview was conducted by Dr. Miranda Melcher whose book
focuses on post-conflict military integration, understanding treaty
negotiation and implementation in civil war contexts, with qualitative
analysis of the Angolan and Mozambican civil wars. You can find
Miranda’s interviews on New Books with Miranda Melcher, wherever you get your podcasts. 
Learn more about your ad choices. Visit megaphone.fm/adchoices

Today I'm speaking with Nicholas Freudenberg, Distinguished Professor Emeritus of Public Health at the CUNY School of Public Health. We are discussing his book, Fighting for New York: Activism for Health and Social Justice Since the 1960s (Columbia University Press, 2026). In March 2020, during one of the first major US outbreaks of Covid, New York became an epicenter of the spread. New York's connective tissue, like the walkable city streets, subways, and taxi cabs, became pathways of transmission. In places where ideas and cultures can spread, diseases can, too. As the hospitals began to fill, essential workers from doctors and nurses to ambulance drivers and social workers stepped up to help heal the city in a time of crisis. For a brief moment, health workers became highly visible in our public consciousness. For many, the pandemic came as a shock. It had been more than 100 years since the last pandemic of comparable magnitude hit the five boroughs. We soon discovered that there already existed a network of public health workers and activists waiting to spring into action to blunt the virus's spread. Many wished that this network had been more robust, better developed, and better funded. Fighting for New York looks at the long sweep of public health activism in New York City from the 1960s to now. Covid was not the first public health crisis the city faced, and it certainly won't be the last. Nicholas details various initiatives to mobilize support for public health projects in the city. How have activists identified problems in their communities? How have they gained institutional support in addressing these problems? And how do they discover and implement workable solutions to the identified problems? Though primarily a work of history, Fighting for New York also serves as a road map for public health workers and activists seeking to navigate contemporary issues.

Caleb Zakarin is CEO and Publisher of the New Books Network.
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