Fellow public health activists kept urging me to read this, which I finally did in preparation for a conference. First-hand accounts are always interesting, and this one, by an English surgeon with leftist leanings who moved to China in the 1950s, is particularly fascinating. It's also quite entertaining and moving at times.
Horn describes what it's like to work in a hospital in a newly re-organized society, moving to a communist ideal. Horn is unabashedly positive about the new developments, which I'm sure may put less sympathetic readers off, but it's worth considering the details he relates. Chapters tend to alternate between anecdotes and stories of particular patients and experiences, and generalized descriptions of a health campaign carried out by the government and the people. The latter chapters, from a quantitative analyst's POV, are invaluable: there's the eradication of syphilis within 10 years; and similar defeat of schistosomiasis. The former include stories like that of an agricultural worker's wife who was thrown from a mule and broke her neck, and how Horn and fellow volunteer doctors in the countryside were able to treat her in the absence of a full traction equipment. I was also pleased to learn of advances made in skin grafts; re-attaching severed limbs; and synthesizing insulin (for the first time in human history) made in China during this period. Horn also describes the forerunner to the Barefoot Doctor Movement, a standard model for creating a primary care system in developing countries.
Highly recommended for activists, leftists, health workers--well, for everybody who has a body who'd like that body to live in a healthy society.
Such an unusual story this is. My family was friends with the author and his family in China in the 1950s. I had been thinking back to my childhood and specifically the campaign to rid China of sparrows. Unfortunately for me, Dr. Horn did not cover this in his discussion of "Pests". I was surprised that, even though it appears very dense, I found it very readable. The kuddo's to Mao Tse Dung, including his leading of the Cultural Revolution, are very heartfelt and it affected me deeply.
This book is an almost unparalleled insight into life in pre-revolution and post-revolution China. The prose is informative and it does include some pictures. It also has accounts of acupuncture being used in the Hospitals successfully, which is interesting from a Western point of view. Anyone interested in Mao, Communism,China or Western Medicine should read this.