Harsh Medicine: Why Women Can't Get Ahead in Science and Health Care

Name: Harsh Medicine: Why Women Can't Get Ahead in Science and Health Care
Brand: Johns Hopkins University Press
SKU: 9781421454788
Price: 4175.0 INR
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by Jennifer Rubin Grandis

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ISBN13: 9781421454788
Binding: Paperback
Subject: N/A
Publisher: Johns Hopkins University Press
Publisher Imprint: Johns Hopkins University Press
Publication Date: May 1, 2026
Pages: 344
Original Price: USD 39.95
Language: English
Edition: N/A
Item Weight: 459 grams
BISAC Subject(s): Health Care Issues

About The Book

Examines the systemic obstacles limiting women's advancement in science and health care careers.

Sexism in science and health care rarely announces itself as a single, dramatic event. More often, it appears as a steady accumulation of slights, exclusions, and unequal expectations that shape careers over time. In Harsh Medicine, Jennifer Rubin Grandis, MD, describes this reality and examines its consequences for women working in academic medicine and biomedical research.

Grandis brings the perspective of an insider to a profession that prides itself on objectivity while tolerating persistent inequities. Through firsthand accounts from women and men in her field, she documents how bias operates in hiring, evaluation, authorship, and leadership--and how the decision to speak openly about discrimination can carry lasting professional and personal risks. The book also addresses how race intensifies these dynamics, revealing layered barriers that remain largely unacknowledged in the field. Productivity metrics, prestige economies, and informal networks often reward silence while penalizing those who challenge the status quo. The result is a system that appears meritocratic while quietly reproducing inequality.

Harsh Medicine insists that visibility and transparency are prerequisites for accountability. It speaks to scientists, physicians, administrators, and trainees, as well as readers concerned with equity in professional life. By refusing euphemism and abstraction, the book shows why progress has been slower than promised--and why confronting discrimination remains both necessary and costly to everyone in these fields.

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