Streams of idealism and health care innovation

Richard A. Couto

The streams of idealism of the title of this work refer to a set of activities of community people and college students over the past decade directed toward achieving social change at the community level. Most of these efforts were attempts to improve health conditions in parts of Appalachia, Nashville, and West Tennessee, and were associated with projects of the Vanderbilt University Center for Health Services. Because health has been defined within the center as the promotion of wellbeing, not merely the absence of disease, some projects have addressed other social issues such as the need for legal counsel, better markets for small farmers, and landownership and land use. In addition to dealing with an array of issues, there has been a determined effort to address the interrelationship of these issues with health and health care. The primary concern of this book is not with the...

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