PubMed · 15685285
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Bruce McGregor. 2005. Constructing a concise medical taxonomy.. https://pubmed.ncbi.nlm.nih.gov/15685285/
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Hope was central to cancer control in twentieth-century America. Physicians placed great store in its power to persuade people to seek medical help as early as possible in the development of the disease, when it was most amenable to treatment; to maintain patients' loyalty through what could be a long, painful and uncertain course of therapy; and to encourage doubts about alternative healers. Some also argued that hope could have beneficial therapeutic and psychological effects for patients. However, we know very little about its meanings for the public. Focusing on a large collection of letters written to the Food and Drug Administration in the 1950s concerning an anti-quackery campaign, this article explores how men and women responded to the competing messages of hope promoted by orthodox cancer organizations and by alternative healers. It asks: What did hope mean to such men and women? How did they construct this meaning? How did they decide which treatments were hopeful and which were not? And, how did they use hope to imagine the social world of cancer? In short, this article explores the vernacular meanings, epistemologies, and imaginative uses of hope among Americans in the mid-twentieth century.
Influenza virus vaccine shortages and delays in distribution require continued collaborative efforts by all stakeholders to ensure that Healthy People 2010 goals are met. Problems with supplies of other vaccines jeopardize at-risk populations. The American Medical Association recommends that the US Department of Health and Human Services establish a task force to explore the causes of vaccine shortages and maldistribution. The task force should commission an appropriate body of experts to identify solutions for breakdowns in vaccine manufacturing and distribution systems. Potential areas for improvement include earlier notification of shortages to the US Food and Drug Administration, improved communication to physicians, financial incentives to market medically necessary but unprofitable products, and a national stockpile of certain vaccines. The American Medical Association believes that the strategies proposed by the National Vaccine Program Office (i.e., increasing financial incentives, streamlining the regulatory process, establishing government-directed programs, creating and maintaining vaccine stockpiles, and increasing liability protection) could improve vaccine availability; however, increasing vaccine stockpiles is the most promising strategy.
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