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

Grandis, Jennifer Rubin

Johns Hopkins University Press（2026/07発売）

• 製本 Paperback:紙装版/ペーパーバック版／ページ数 344 p.
• 言語 ENG
• 商品コード 9781421454788

Full Description

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.

Contents

Table of Contents
Copyright
Dedication
Introduction
Section 1: Respect
1. Women Can't Be Experts: The Hostile Environment
2. Motherhood: The Catch-22 for Women
Section 2: Money
3. Money: What Are Women Worth?
4. More than Money: Resources Make Careers
Section 3: Relationships
5. Mentoring: Why It Matters
6. Unequal Relationships: Changing the Mentoring Culture
7. Lack of Mentoring: What You Don't Know Will Hurt You
8. Networks: Keeping Women Out of the Loop
Section 4: The Double Standard
9. The Double Standard: Are You Nice?
10. Women and Power: Leadership and Influence
Section 5: Conclusion
11. Conclusion: Blindness Is a Choice
Appendix A: Academic Medicine: A Cheat Sheet for Translating the Jargon
Appendix B: Solutions: A Practical Guide to Changing the Culture
Bibliography
Author Bio