David Barton Smith, Professor Emeritus in Health Administration at Temple University, is the author of Reinventing Care: Assisted Living in New York City (also published by Vanderbilt University Press) and Health Care Divided: Race and Healing a Nation. He is assisting in the production of a companion documentary supported by the National Endowment for the Humanities.

Malicious Intent investigates two mysteries: what caused the 1967 death of Jean Cowsert, a courageous physician in Mobile, and why extreme health disparities persist in the United States. David Barton Smith finds the solution of both in the history of racism in America, of which he is a foremost chronicler."—Timothy Stoltzfus Jost, author of Health Affairs' Following the Affordable Care Act blog (2010-2017)​"David Barton Smith sees health care reform as having been stifled by racism, and in that sense Dr. Cowsert's death serves as a metaphor—a way to humanize and personalize the struggles and costs of health reform."—Keith Wailoo, author of How Cancer Crossed the Color Line“Dr. Smith’s work represents a significant contribution to the literature on structural racism and the history of healthcare, providing important context to much-needed contemporary discussions of the subject.”—Stuart Wexler, author of America's Secret Jihad: The Hidden History of Religious Terrorism in the United States

• PrefacePart I. Race and Recovery of Memory1. A Forgotten Death2. Jim Crow Medicine3. Death of Universal HealthcarePart II. Mobile4. Old Wounds5. Civil Rights Struggles6. Local MedicinePart III. Jean Cowsert, M.D.7. Preparation8. An Irresistible Force Meets an Immovable Object9. Eliminating the Jim Crow CagesAcknowledgmentsNotesBibliographyIndex

David Barton Smith, Professor Emeritus in Health Administration at Temple University, is the author of Reinventing Care: Assisted Living in New York City (also published by Vanderbilt University Press) and Health Care Divided: Race and Healing a Nation. He is assisting in the production of a companion documentary supported by the National Endowment for the Humanities.

Malicious Intent investigates two mysteries: what caused the 1967 death of Jean Cowsert, a courageous physician in Mobile, and why extreme health disparities persist in the United States. David Barton Smith finds the solution of both in the history of racism in America, of which he is a foremost chronicler."—Timothy Stoltzfus Jost, author of Health Affairs' Following the Affordable Care Act blog (2010-2017)​"David Barton Smith sees health care reform as having been stifled by racism, and in that sense Dr. Cowsert's death serves as a metaphor—a way to humanize and personalize the struggles and costs of health reform."—Keith Wailoo, author of How Cancer Crossed the Color Line“Dr. Smith’s work represents a significant contribution to the literature on structural racism and the history of healthcare, providing important context to much-needed contemporary discussions of the subject.”—Stuart Wexler, author of America's Secret Jihad: The Hidden History of Religious Terrorism in the United States

• PrefacePart I. Race and Recovery of Memory1. A Forgotten Death2. Jim Crow Medicine3. Death of Universal HealthcarePart II. Mobile4. Old Wounds5. Civil Rights Struggles6. Local MedicinePart III. Jean Cowsert, M.D.7. Preparation8. An Irresistible Force Meets an Immovable Object9. Eliminating the Jim Crow CagesAcknowledgmentsNotesBibliographyIndex

David Barton Smith, Professor Emeritus in Health Administration at Temple University, is the author of Reinventing Care: Assisted Living in New York City (also published by Vanderbilt University Press) and Health Care Divided: Race and Healing a Nation. He is assisting in the production of a companion documentary supported by the National Endowment for the Humanities.

Malicious Intent investigates two mysteries: what caused the 1967 death of Jean Cowsert, a courageous physician in Mobile, and why extreme health disparities persist in the United States. David Barton Smith finds the solution of both in the history of racism in America, of which he is a foremost chronicler."—Timothy Stoltzfus Jost, author of Health Affairs' Following the Affordable Care Act blog (2010-2017)​"David Barton Smith sees health care reform as having been stifled by racism, and in that sense Dr. Cowsert's death serves as a metaphor—a way to humanize and personalize the struggles and costs of health reform."—Keith Wailoo, author of How Cancer Crossed the Color Line“Dr. Smith’s work represents a significant contribution to the literature on structural racism and the history of healthcare, providing important context to much-needed contemporary discussions of the subject.”—Stuart Wexler, author of America's Secret Jihad: The Hidden History of Religious Terrorism in the United States

• PrefacePart I. Race and Recovery of Memory1. A Forgotten Death2. Jim Crow Medicine3. Death of Universal HealthcarePart II. Mobile4. Old Wounds5. Civil Rights Struggles6. Local MedicinePart III. Jean Cowsert, M.D.7. Preparation8. An Irresistible Force Meets an Immovable Object9. Eliminating the Jim Crow CagesAcknowledgmentsNotesBibliographyIndex