No One Was Turned Away: The Role of Public Hospitals in New York City since 1900

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Sandra Opdycke (Adjunct Visiting Professor, Department of Urban Studies at Vassar College; Associate Director of the Institution in Social Policy, Fordham University)

No One Was Turned Away

The Role of Public Hospitals in New York City since 1900

Sandra Opdycke (Adjunct Visiting Professor, Department of Urban Studies at Vassar College; Associate Director of the Institution in Social Policy, Fordham University)

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English

Oxford University Press Inc
01 January 1999

Institutions & learned societies: general; History: specific events & topics; Social & cultural history; Health systems & services; Medical administration & management

No One Was Turned Away is a book about the importance of public hospitals to New York City. At a time when less and less value seems to be placed on public institutions, argues author Sandra Opdycke, it is both useful and prudent to consider what this particular set of public institutions has meant to this particular city over the last hundred years, and to ponder what its loss might mean as well. Opdycke suggests that if these public hospitals close or convert to private management--as is currently being discussed--then a vital element of the civic life of New York City will be irretrievably lost. The story is told primarily through the history of Bellevue Hospital, the largest public hospital in the city and the oldest in the nation. Following Bellevue through the twentieth century, Opdycke meticulously charts the fluctuating fortunes of the city's public hospital system. Readers will learn how medical technology, urban politics, changing immigration patterns, economic booms and busts, labor unions, health insurance, Medicaid, and managed care have interacted to shape both the social and professional environments of New York's public hospitals. Having entered the twentieth century with high hopes for a grand expansion, Bellevue now faces financial and political pressures so acute that its very future is in doubt. In order to give context to the Bellevue experience, Opdycke also tracks the history of a private facility over the same century: New York Hospital. By noting the points at which the paths of these two mighty institutions have overlapped--as well as the ways in which they have diverged--this book clearly and persuasively highlights the significance of public hospitals to the city. No One Was Turned Away shows that private facilities like New York Hospital have generally provided superb care for their patients, but that in every era they have also excluded certain groups. This exclusion has occurred for various reasons, such as patients' diagnoses, their social characteristics, behavior, or financial status--or simply because of a lack of unoccupied beds. Fortunately, however, year in and year out, Bellevue and its fellow public facilities have acted as the city's medical safety net. Opdycke's book maintains that public hospitals will be as essential in the future as they have been in the past. This is a thoughtful and well-written study that will appeal to anyone interested in the history of medicine, public policy, urban affairs, or the City of New York.

By: Sandra Opdycke (Adjunct Visiting Professor Department of Urban Studies at Vassar College; Associate Director of the Institution in Social Policy Fordham University)
Imprint: Oxford University Press Inc
Country of Publication: United States
Dimensions: Height: 241mm, Width: 163mm, Spine: 24mm
Weight: 560g
ISBN: 9780195119503
ISBN 10: 0195119509
Pages: 256
Publication Date: 01 January 1999
Audience: Professional and scholarly , Undergraduate
Format: Hardback
Publisher's Status: Active

Reviews for No One Was Turned Away: The Role of Public Hospitals in New York City since 1900

This book should be widely read and discussed by scholars of urban history, medical history, and public policy. Most importantly, it should be required reading for public analysts American Historical Review In an era of increasing calls for the privatization of public services, Opdycke has given us a riveting, well-written history that speaks to the present and future as well as our past. This fascinating, cogently argued book deserves a broad popular readership. American Historical Review perceptive analysis of this important area of public policy American Historical Review