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Previous Volume 357:1060-1061 September 6, 2007 Number 10 Next

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(Chicago Studies in Practices of Meaning.) By Steven Epstein. 413 pp. Chicago, University of Chicago Press, 2007. $29. ISBN 978-0-226-21309-5.

The movement to reduce disparities in biomedical research has been driven largely by policies and practices that are designed to include underrepresented groups. Using a historical approach, Epstein provides a thorough account of how this movement created new conceptions of human research and human difference that supplanted hierarchical notions of human social order. He then shows that this movement has had limited positive effects on health and treatment since the 1980s and remains shortsighted in its efforts to redress social inequities in health.

This change in thinking about human difference was set in motion by criticism about the predominant use . . . [Full Text of this Article]

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