In a few short months, COVID-19 devastated the world and, in particular, the United States. It infected millions, killed hundreds of thousands, and effectively made the earth stand still. Yet America was already in poor health before COVID-19 appeared. Racism, marginalization, socioeconomic inequality-our failure to address these forces left us vulnerable to COVID-19 and the ensuing global health crisis it became. Had we tackled these challenges twenty years ago, after the outbreak of SARS, perhaps COVID-19 could have been quickly contained. Instead, we allowed our systems to deteriorate.
Following on the themes of his award-winning publication Well, Sandro Galea's The Contagion Next Time articulates the foundational forces shaping health in our society and how we can strengthen them to prevent the next outbreak from becoming a pandemic. Because while no one could have predicted that a pandemic would strike when it did, we did know that a pandemic would strike, sooner or later. We're still not ready for the next pandemic. But we can be-we must be.
In lyrical prose, The Contagion Next Time challenges all of us to tackle the deep-rooted obstacles preventing us from becoming a truly vibrant and equitable nation, reminding us of what we've seemed to have forgotten: that our health is a public good worth protecting.
In Well, physician Sandro Galea examines what Americans miss when they fixate on healthcare: health.
Americans spend more money on health than people anywhere else in the world. And what do they get for it? Statistically, not much. Americans today live shorter, less healthy lives than citizens of other rich countries, and these trends show no signs of letting up.
The problem, Sandro Galea argues, is that Americans focus on the wrong things when they think about health. Our national understanding of what constitutes 'being well' is centered on medicine-the lifestyles we adopt to stay healthy, and the insurance plans and prescriptions we fall back on when we're not. While all these things are important, they've not proven to be the difference between healthy and unhealthy on the large scale.
Well is a radical examination of the subtle and not-so-subtle factors that determine who gets to be healthy in America. Galea shows how the country's failing health is a product of American history and character-and how refocusing on our national health can usher enlightenment across American life and politics.