medical spending per capita as a percentage of
                median income
Hist 4240/6240: History of Health Care Systems

Prof. Pamela Mack,, Hardin 006, office hours MW 10-11, Wed. 1:30-2:30
class meetings: Wed. 2:30-5:00 in Hardin 024
this syllabus on the web:

Course Description: 
This course will examine the organization of American medicine from the Civil War to the Affordable Care Act, with particular attention to the impact of technology and the question of how medical care is funded.

Student Learning Outcomes: By the end of the course students should be able to:


This course meets the STS general education requirement:

Science and Technology in Society:
Demonstrate an understanding of issues created by the complex interactions among science, technology, and society.

You can use the paper you write for this course (or one of your exams) as your STS ePortfolio artifact.  You might want to write in your rationale statement that your paper shows the interactions among science, technology and society because medicine is both a science and a technology.

Course Requirements:

Blog: You may set up your blog using the system of your choice.  We recommend Blogger ( or Wordpress (  By the second class meeting, you should send the address of your blog to Prof. Mack at  You should use your blog to:

graded on how many done out of 15 averaged with an overall quality grade (B for interesting, A for very thoughtful)


Alford Lauren
Aytes Zoe 
Cassada Ronald
Dantzler Jada
Gerrald Stephanie

Henderson Savannah
Mckenrick Sarah
Ponds Chelsea

Robertson Allen

Van Strien Claire
Wallace Joshua
Accomodations: The instructor is happy to honor disability letters.  Students with disabilities who need accommodations should make an appointment with Dr. Arlene Stewart, Director of Disability Services, to discuss specific needs within the first month of classes. Students should present a Faculty Accommodation Letter from Student Disability Services when they meet with instructors. Student Disability Services is located in Suite 239 Academic Success Building (656-6848; ). Please be aware that accommodations are not retroactive and new Faculty Accommodation Letters must be presented each semester.

Academic Integrity: As members of the Clemson University community, we have inherited Thomas Green Clemson's vision of this institution as a "high seminary of learning."  Fundamental to this vision is a mutual commitment to truthfulness, honor, and responsibility, without which we cannot earn the trust and respect of others.  Furthermore, we recognize that academic dishonesty detracts from the value of a Clemson degree.  Therefore, we shall not tolerate lying, cheating, or stealing in any form.

This includes representing someone else's work as your own or handing in the same paper to two different courses without permission of the instructors.  Be careful to avoid plagiarism--text you take from a web site, from a book, or from the online class notes must be either quoted with the source given or restated almost entirely in your own words, with the source given.  Note that the catalog defines as one form of academic dishonesty: "Plagiarism, which includes the intentional or unintentional copying of language, structure, or ideas of another and attributing the work to one’s own efforts."  Note the word unintentional--if you forget to put quote marks or a reference you can be found guilty of academic dishonesty even if it was not your intention to cheat.

It is cheating to cut and paste or otherwise copy portions of a argument paper, exam, or discussion board posting from a book, web site, or from the online class notes, even if you change a few words, unless you quote and give the source.  It is poor writing for more than about 20% of your paper to consist of quotes.   In most cases when you use specific material from any source you should paraphrase: cite the source and put the ideas into you own words (generally no more than 5 consecutive words should match the source but if the words are mostly the same it could still be plagiarism even if there aren't 5 consecutive words).

Laptops and Cell Phones:  Use of laptops, tablets and cell phones during class for purposes not related to this course is disrespectful to the instructor and distracting to other students.  You may use your devices to take notes during class or to look up further information on a topic being discussed.  Students using their devices during class may be called on to share what they are learning with the rest of the class.

Required reading:

Watch the syllabus for additional online readings.  Some of these may require you to be logged into the Clemson network to access journal articles.  If you are away from campus, you can start from the library page and find the article or log into Novell using a Virtual Personal Network (VPN), which creates the appearance your computer is on the campus network.  Clemson now has a page that will automatically set up your VPN: 


Jan. 8    Introduction and blogs

Jan. 15    Nineteenth Century Medicine and the Civil War. Read before class: Humphreys intro-ch. 3.  In class:

Jan. 22    Organizing Medicine. Read before class: Humphreys chs. 4-6.  In class:

Jan. 29    Impact of the War. Read before class Humphreys ch. 7-afterword

Feb. 5    Technology Transforming Medicine. Read before class: Howell chs. 1-2.  In-class speaker: Roger Grant (2:30)

Feb. 12    The Rise of the Hospital.  Read before class: Howell chs. 3-5.  In-class speaker: Shan Jiang (3:30)

Feb. 19    Technology Ascendant.  Read before class: Howell chs. 6-8

Feb. 26    The New Deal and WWII, Hoffman chs. 1-5.  In-class speaker: Kirsten Staloch (2:30), one hour in class test

Mar. 5    Rights and Rationing, Hoffman chs. 6-epilogue, paper topic due

Mar. 12   Unsuccessful health care proposals, Altman part 1

Mar. 26    Slow expansion of coverage, Altman part 2-3.  In class speaker: Byron Harder?

Apr. 2    The path to the Affordable Care Act, Altman part 4 and epilogue, paper partial draft due

Apr. 9    Political Economy, Brasfield 1-2

Apr. 16    Entitlements, Brasfield 3-5, paper due

Apr. 23    Unresolved issues, Brasfield 6-10

Apr. 25    last day to post to blog

Apr. 30    takehome final due

Creative Commons License
Introduction to Digital History Syllabus by Pamela E. Mack is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License.