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Patchwork Pandemic

State Politics and the Fractured US Response to HIV/AIDS
Buch | Hardcover
272 Seiten
2026
University Press of Kansas (Verlag)
9780700641086 (ISBN)
CHF 144,90 inkl. MwSt
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Patchwork Pandemic is the first ever history of how individual American states responded to the HIV/AIDS crisis—and an eyeopening look at how a fragmented federalist system creates disparities in public health policy.

Public health in the United States has long been rife with inequity due to a federalist system that relies on state and local governments to bear the bulk of the responsibility for addressing crises, as seen in the 1918 outbreak of influenza and, most recently, in the COVID19 pandemic. The HIV/AIDS crisis is a classic example of this enduring problem, though the variation in state responses to HIV has not received the attention it deserves.

Patchwork Pandemic provides the first statelevel history of the AIDS crisis in the United States. It is wellknown that the federal government’s response to HIV was painstakingly slow, partly because the disease disproportionately affected stigmatized minorities—especially gay men and IV drug users. Rebuffed at the national level, AIDS activists and policy elites turned to state legislatures to address a host of concerns stemming from the pandemic, including the high cost of drug therapies, the rampant discrimination experienced by those suspected of infection, and the housing and healthcare needs of people living with HIV.

Anchored in case studies of California, Illinois, and Texas, Patchwork Pandemic argues that the states—not the federal government—were at the vanguard of the political and policy response to the epidemic in the 1980s and early 1990s. But this fractured and decentralized system produced a dangerous lack of coordination between different tiers of the United States government, leading to vast geographic inequities in morbidity and mortality rates. As both HIV/AIDS and COVID19 have starkly exposed, pandemics are not merely a function of individual microbes and pathogens; they also reflect how states and governments wield power.

Stephen Colbrook completed his PhD in policy history at University College London in 2023. His work has appeared in a range of venues, including Modern American History, the Journal of Policy History, Modern British History, and the Washington Post.

Acknowledgments

Introduction

1. The Structure of American Public Health Policy Before the AIDS Epidemic

2. Clandestine Networks and Closeted Bureaucrats: AIDS and the Forming of a Gay Policy Network in California

3. Anti-Feminism, Bisexuality, and the Protean Politics of Child Protection: The Anti-ERA Movement and the Illinois Response to AIDS

4. An Unequal Epidemic: Sodomy, State Legislative Capacity, and the Texan Response to AIDS

5. A New Federal Role is Born: The Genesis and Enactment of the Ryan White CARE Act

6. Public Health Divided: Devolution, Geographic Inequities, and the Mixed Legacy of the CARE Act

Conclusion

Notes

Bibliography

Index

Erscheint lt. Verlag 10.3.2026
Reihe/Serie Studies in Government and Public Policy
Zusatzinfo 6 Figures
Verlagsort Kansas
Sprache englisch
Maße 152 x 229 mm
Themenwelt Medizin / Pharmazie Gesundheitswesen
Studium Querschnittsbereiche Prävention / Gesundheitsförderung
Sozialwissenschaften Politik / Verwaltung Staat / Verwaltung
Wirtschaft
ISBN-13 9780700641086 / 9780700641086
Zustand Neuware
Informationen gemäß Produktsicherheitsverordnung (GPSR)
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