Research Catalog

An ungovernable foe : science and policy innovation in the U.S. National Cancer Institute

Title
An ungovernable foe : science and policy innovation in the U.S. National Cancer Institute / Natalie B. Aviles.
Author
Aviles, Natalie B.
Publication
New York : Columbia University Press, [2024]

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TextRequest in advance RC262 .A855 2024Off-site

Details

Description
x, 345 pages : illustrations; 24 cm
Summary
"Health-care in the United States is a complicated mixture of public and private institutions with extreme levels of inequality. The case against reform to improve equity in delivery generally focuses on innovation. A more market based system it is believed lends itself to greater risk taking and innovations in treatment. This argument is largely false when it comes to cancer. The U.S. National Cancer Institute through an expansive mandate from the National Institutes of Health (NIH) has been tasked with developing a cure for cancer - remedying a public health problem - without recourse to reform the public health care system. What role does government investment in cutting edge medical research play in the American health-care system? How do government researchers conceptualize the public good? How does these conceptions shape the possibilities of ethical policy making and innovation. In An Ungovernable Foe, Natalie B. Aviles analyzes 70 years of scientific breakthroughs in the laboratories of the NCI. She argues that its dual mandate to fund the most promising cancer research and to reduce the impact of the disease on the American public are in a tension that reflects the wider problems of the American health care system. Scientists at the NCI have learned to balance the demand for health-relevant scientific innovation over long periods of trial and error through the development of vaccines. The book focuses on three distinct periods: investigations into cancer retroviruses in the 60s and 70s, the discovery of HIV and the development of AIDS drugs in the 80s and 90s, and the invention of the HPV vaccine in 90s and 00s. Under the guise of curing cancer, the NCI has proven to be a contributor to addressing public health problems through the development of novel vaccines"--
Subject
  • National Cancer Institute (U.S.)
  • Cancer > Prevention
  • Administrative agencies > United States > History
  • Medical policy > United States > History
  • Neoplasms > prevention & control
  • Biomedical Research > history
  • United States Government Agencies > history
  • Health Policy > history
  • United States
Bibliography (note)
  • Includes bibliographical references and index.
Contents
Medicine, Meliorism, and the Making of a Modern NCI -- Cancer Viruses and the Promise of a Vaccine, 1958-1968 -- Moving Targets in the War on Cancer, 1969-1979 -- Back to Basics : Human Cancer Retrovirus Research, 1980-1984 -- HIV Research and Drug Development, 1985-1989 -- Lost in Translation, 1990-2001 -- From Roadmap to Moonshot, 2002-2016.
ISBN
  • 9780231196680
  • 0231196687
  • 9780231196697
  • 0231196695
  • 9780231551779 (canceled/invalid)
LCCN
2023040158
OCLC
  • on1381293712
  • 1381293712
  • SCSB-14681992
Owning Institutions
Columbia University Libraries