The Pox of Liberty: How the Constitution Left Americans Rich, Free, and Prone to Infection [Hardcover]

The United States is among the wealthiest nations in the world. But that wealth hasn't translated to a higher life expectancy, an area where the United States still ranks thirty-eighthbehind Cuba, Chile, Costa Rica, and Greece, among many others. Some fault the absence of universal health care or the persistence of social inequalities. Others blame unhealthy lifestyles. But these emphases on present-day behaviors and policies miss a much more fundamental determinant of societal health: the state.

Werner Troesken looks at the history of the United States with a focus on three diseasessmallpox, typhoid fever, and yellow feverto show how constitutional rules and provisions that promoted individual liberty and economic prosperity also influenced, for good and for bad, the countrys ability to eradicate infectious disease. Ranging from federalism under the Commerce Clause to the Contract Clause and the Fourteenth Amendment, Troesken argues persuasively that many institutions intended to promote desirable political or economic outcomes also hindered the provision of public health. We are unhealthy, in other words, at least in part because our political and legal institutions function well. Offering a compelling new perspective,The Pox of Libertychallenges many traditional claims that infectious diseases are inexorable forces in human history, beyond the control of individual actors or the state, revealing them instead to be the result of public and private choices.

Werner Troeskenis professor of economics at the University of Pittsburgh. He is the author of three books:Water, Race, and Disease;Why Regulate Utilities?;andThe Great Lead Water Pipe Disaster.

Preface
Chapter 1. An Introduction
Chapter 2. From the Ideology of the Township to the Gospel of Germs
Chapter 3. The Constitutional Foundations of Health and Prosperity
Chapter 4. The Pox of Liberty
Chapter 5. The Palliative EffectslÓV