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When to Care

The Economic Rationale of Slavery Health Care Provision

Published online by Cambridge University Press:  04 January 2016

Abstract

Prior to the Civil War, many hospitals in the southern United States treated both free and slave patients. In this article we develop a model for the selective medical treatment of slaves. We argue that the pecuniary benefits of hospital care increased with the price of the slave if healthy. Using a rich sample of admission records from New Orleans Touro Hospital, we find a positive correlation between the predicted price of the slave and the probability of hospital admission. We test the robustness of the model by controlling for the length of residence in the city, ownership by traders and doctors, and the type of illness.

Type
Articles
Copyright
Copyright © Social Science History Association 2009 

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References

Aptheker, Herbert (1943) American Negro Slave Revolts. New York: Columbia University Press.Google Scholar
Bankole, Katherine O. (1998) Slavery and Medicine: Enslavement and Medicinal Practices in Antebellum Louisiana. New York: Garland.Google Scholar
Bankole, Katherine O. (2001) “African females and the antebellum hospital experience.Journal of Black Studies 31: 517–38.Google Scholar
Burnett, Walter M. (1979) Touro Infirmary. Baton Rouge, LA: Moran.Google Scholar
Cohen's New Orleans Directory for 1855 (1855) New Orleans: Office of the Picayune.Google Scholar
Coleman, J. Winston (1940) Slavery Times in Kentucky. Chapel Hill: University of North Carolina Press.Google Scholar
Deyle, Steven (2005) Carry Me Back: The Domestic Slave Trade in American Life. New York: Oxford University Press.Google Scholar
Duffy, John (1959) “Medical practice in the antebellum South.Journal of Southern History 25: 53–72.Google Scholar
Fett, Sharla M. (2002) Working Cures: Healing, Health, and Power on Southern Slave Plantations. Chapel Hill: University of North Carolina Press.Google Scholar
Fogel, Robert W. (1989) Without Consent or Contract: The Rise and Fall of American Slavery. New York: Norton.Google Scholar
Fogel, Robert W. (1992) “The life expectation of U.S. slaves c. 1830,” in Fogel, R. W., Galantine, R. A., and Manning, R. L. (eds.) Without Consent or Contract: Evidence and Methods. New York: Norton: 285–86.Google Scholar
Fogel, Robert W., and Engerman, Stanley L. (1974) Time on the Cross. Boston: Little, Brown.Google Scholar
Genovese, Eugene D. (1976) Roll, Jordan, Roll: The World the Slaves Made. New York: Vintage.Google Scholar
Goldin, Claudia (1976) Urban Slavery in the American South, 1820–1860. Chicago: University of Chicago Press.Google Scholar
Goodson, Martia G. (2003) “Enslaved Africans and doctors in South Carolina.Journal of the National Medical Association 95: 225–33.Google Scholar
Johnson, Walter (1999) Soul by Soul: Life inside the Antebellum Slave Market. Cambridge, MA: Harvard University Press.Google Scholar
Jordan, Weymouth T. (1950) “Plantation medicine in the Old South.Alabama Review 3: 83–107.Google Scholar
Kiple, Kenneth F., and King, Virginia H. (1981) Another Dimension to the Black Diaspora: Diet, Disease, and Racism. Cambridge: Cambridge University Press.Google Scholar
Kotlikoff, Laurence J. (1992) “Quantitative description of the New Orleans slave market, 1804 to 1862,” in Fogel, R. W. and Engerman, S. L. (eds.) Without Consent or Contract: Technical Papers on Slavery. New York: Norton: 31–53.Google Scholar
Marshall, Mary L. (1938) “Plantation medicine.Bulletin of the Medical Library Association 26: 115–28.Google Scholar
Matas, Rudolph (1962) The Rudolph Matas History of Medicine in Louisiana, ed. Duffy, John. Baton Rouge: Rudolph Matas Trust Fund by Louisiana State University Press.Google Scholar
Phillips, Ulrich B. (1918) American Negro Slavery. New York: Appleton.Google Scholar
Phillips, Ulrich B. (1929) Life and Labor in the Old South. Boston: Little, Brown.Google Scholar
Postell, William D. (1951) The Health of Slaves on Southern Plantations. Baton Rouge: Louisiana State University Press.Google Scholar
Pritchett, Jonathan B. (1997) “The interregional slave trade and the selection of slaves for the New Orleans market.Journal of Interdisciplinary History 28: 57–85.Google Scholar
Pritchett, Jonathan B., and Chamberlain, Richard M. (1993) “Selection in the market for slaves: New Orleans, 1830–1860.Quarterly Journal of Economics 108: 461–73.Google Scholar
Pritchett, Jonathan B., and Freudenberger, Herman (1992) “A peculiar sample: The selection of slaves for the New Orleans market.Journal of Economic History 52: 109–27.Google Scholar
Ransom, Roger, and Sutch, Richard (1988) “Capitalists without capital: The burden of slavery and the impact of emancipation.Agricultural History 62: 133–60.Google Scholar
Robin, C. C. (1966) Voyage to Louisiana, 1803–1805, trans. Landry, Stuart O. Jr. New Orleans: Pelican.Google Scholar
Savitt, Todd L. (1978) Medicine and Slavery: The Diseases and Health Care of Blacks in Antebellum Virginia. Urbana: University of Illinois Press.Google Scholar
Schafer, Judith (1987) “‘Guaranteed against the vices and maladies prescribed by law’: Consumer protection, the law of slave sales, and the Supreme Court in antebellum Louisiana.American Journal of Legal History 31:306–21.Google Scholar
Shryock, Richard H. (1930) “Medical practice in the Old South.South Atlantic Quarterly 29: 160–78.Google Scholar
Stampp, Kenneth M. (1956) The Peculiar Institution. New York: Vintage.Google Scholar
Steckel, Richard H. (1986) “A dreadful childhood: The excess mortality of American slaves.Social Science History 10: 427–65.Google Scholar
Tansey, Richard (1982) “Bernard Kendig and the New Orleans slave trade.Louisiana History 23: 159–78.Google Scholar
Touro Hospital Admission Book (1855–60). New Orleans: Touro Hospital Archives.Google Scholar
U.S. Bureau of the Census (1850) Slave Schedules of the Seventh Census of the United States, 1850, Orleans Parish, Louisiana. Washington, DC.Google Scholar
U.S. Bureau of the Census (1864) Population of the United States in 1860. Washington, DC: U.S. Government Printing Office.Google Scholar
Wade, Richard C. (1964) Slavery in the Cities: The South, 1820–1860. New York: Oxford University Press.Google Scholar
Warner, Margaret H. (1989) “Public health in the Old South,” in Numbers, Ronald L. and Savitt, Todd L. (eds.) Science and Medicine in the Old South. Baton Rouge: Louisiana State University Press: 226–55.Google Scholar
Washington, Harriet A. (2006) Medical Apartheid: The Dark History of Medical Experimentation on Black Americans from Colonial Times to the Present. New York: Doubleday.Google Scholar
Woodson, Carter G. (1922) The Negro in Our History. Washington, DC: Associated.Google Scholar