How involved should the government be in American healthcare? Ronald Hamowy argues that to answer this pressing question, we must understand the genesis of the five main federal agencies charged with responsibility for our health: the Public Health Service, the Food and Drug Administration, the Veterans Administration, the National Institutes of Health, and Medicare. In examining these, he traces the growth of federal influence from its tentative beginnings in 1798 through the ambitious infrastructures of today - and offers startling insights on the current debate. The author contends that until the twentieth century, governmental involvement in health care policy was nominal. With the sweeping food and drug reforms of 1906 and the Medicare amendments to Social Security in 1965, a whole new system of health care was brought to the American public. A careful analysis of the various programs generated by this legislation, however, shows a different picture of pet projects, budgetary lobbying, competitive bureaucracy and discord between the agencies and their opposition. Government and Public Health in America provides an illuminating look at the complicated forces that created these institutions and provokes discussion about their usefulness in the future. Hamowy's thoroughly researched analysis fills a substantial gap in the history of health policy. Economists, political scientists, historians, sociologists and health professionals concerned with the interface between government and health care will find much to recommend in this highly readable account of a fascinating topic.

Adam Ferguson and Friedrich Hayek, separated by a period of almost two hundred years, made original but similar contributions to the field of theoretical sociology. In this collection of essays, Ronald Hamowy explores the life and work of these two thinkers, giving special emphasis to their insights into the diffusion of knowledge. Ferguson, a giant of the Scottish Enlightenment, can be credited with laying the foundations of theoretical history by first proposing the idea that social institutions undergo evolutionary change. He theorized that while these institutions are formed by the actions of human beings, they are not the product of human design. Less than two centuries later, Hayek extended this insight to dealing with economic and social interaction, arguing that the knowledge requisite for structuring the social institutions under which we live is far too complex to be comprehended by any one mind or group of thinkers, and that these institutions had in fact evolved over long periods of time without deliberate design. Hayek was also the first to introduce the notion that market processes are a function of all participants contributing the limited knowledge that each possesses, out of which an orderly arrangement of enormous complexity emerges. Scholars and students of sociology, economics, history and political theory will find The Political Sociology of Freedom a unique and provocative read.