Combining historical perspective with analysis of modern trends, this expanded edition charts the evolution of modern American health care, providing a complete examination of its organization and delivery while offering critical insight into the issues that the U.S. health system faces today. From a physician-dominated system to one defined by managed care and increasingly sophisticated technology, this essential text explains the transformation underway and the professional, political, social, and economic forces that guide it today and will in the future. Exhaustive in breadth and balanced in perspective, Health Care USA, Seventh Edition, provides students with a clearly organized, straightforward illustration of the complex structures, relationships and processes of this rapidly growing, $2.5 trillion industry. The seventh edition has been thoroughly revised to reflect recent developments in this dynamic industry. The latest edition features: - A comprehensive overview of the complex and evolving U.S. health care system, plus revised data, material and analysis throughout. - The latest benchmark developments in health care, including the response of public health to swine flu and the Obama administration's health care reform. - A look at the recent recession's effects on hospital finances. - New projections and data trends on the country's health care spending. - A forward-looking perspective on the future of the U.S. health care system.

    

    With his single mother in jail, Sequoyah, a fifteen-year-old Cherokee boy, is placed in foster care. Literally and figuratively scarred by his mother’s years of substance abuse, Sequoyah keeps mostly to himself, living with his emotions pressed deep below the surface. At least until he meets seventeen-year-old Rosemary, a troubled artist who also lives with the family.Sequoyah and Rosemary bond over their shared Native American background and tumultuous paths through the foster care system, but as Sequoyah’s feelings toward Rosemary deepen, the precariousness of their lives and the scars of their pasts threaten to undo them both.

    He chronicles some of the most formative calls of his career in this autobiography that reads like crime fiction. McCarthy demonstrates with detail and clarity that the difficult choice is often the right choice. While not for the faint of heart, each entry in this collection provides poignant insight into the bonds between medics and the people and city they serve.

    Medical science has made enormous strides in decreasing mortality and suffering, but there's no doubt that treatment can also cause harm, a significant portion of which is preventable. In When We Do Harm, practicing physician and acclaimed author Danielle Ofri places the issues of medical error and patient safety front and center in our national healthcare conversation.Drawing on current research, professional experience, and extensive interviews with nurses, physicians, administrators, researchers, patients, and families, Dr. Ofri explores the diagnostic, systemic, and cognitive causes of medical error. She advocates for strategic use of concrete safety interventions such as checklists and improvements to the electronic medical record, but focuses on the full-scale cultural and cognitive shifts required to make a meaningful dent in medical error. Woven throughout the book are the powerfully human stories that Dr. Ofri is renowned for. The errors she dissects range from the hardly noticeable missteps to the harrowing medical cataclysms.

    C. Gwynne’s Empire of the Summer Moon spans two astonishing stories. The first traces the rise and fall of the Comanches, the most powerful Indian tribe in American history. The second entails one of the most remarkable narratives ever to come out of the Old West: the epic saga of the pioneer woman Cynthia Ann Parker and her mixed-blood son Quanah, who became the last and greatest chief of the Comanches. Although readers may be more familiar with the tribal names Apache and Sioux, it was in fact the legendary fighting ability of the Comanches that determined just how and when the American West opened up. Comanche boys became adept bareback riders by age six; full Comanche braves were considered the best horsemen who ever rode. They were so masterful at war and so skillful with their arrows and lances that they stopped the northern drive of colonial Spain from Mexico and halted the French expansion westward from Louisiana. White settlers arriving in Texas from the eastern United States were surprised to find the frontier being rolled backward by Comanches incensed by the invasion of their tribal lands. So effective were the Comanches that they forced the creation of the Texas Rangers and account for the advent of the new weapon specifically designed to fight them: the six-gun. The war with the Comanches lasted four decades, in effect holding up the development of the new American nation. Gwynne’s exhilarating account delivers a sweeping narrative that encompasses Spanish colonialism, the Civil War, the destruction of the buffalo herds, and the arrival of the railroads—a historical feast for anyone interested in how the United States came into being. Against this backdrop Gwynne presents the compelling drama of Cynthia Ann Parker, a lovely nine-year-old girl with cornflower-blue eyes who was kidnapped by Comanches from the far Texas frontier in 1836. She grew to love her captors and became infamous as the "White Squaw" who refused to return until her tragic capture by Texas Rangers in 1860. More famous still was her son Quanah, a warrior who was never defeated and whose guerrilla wars in the Texas Panhandle made him a legend. S. C. Gwynne’s account of these events is meticulously researched, intellectually provocative, and, above all, thrillingly told.

    You'll experience the rush of adrenaline and the pain of loss. You'll go beyond the lights and sirens to witness the instinct of intelligence, the courage and commitment that makes the EMT an unsung hero in one of the most vital and compelling medical dramas of our time.

    Mann radically alters our understanding of the Americas before the arrival of Columbus in 1492.Contrary to what so many Americans learn in school, the pre-Columbian Indians were not sparsely settled in a pristine wilderness; rather, there were huge numbers of Indians who actively molded and influenced the land around them. The astonishing Aztec capital of Tenochtitlan had running water and immaculately clean streets, and was larger than any contemporary European city. Mexican cultures created corn in a specialized breeding process that it has been called man’s first feat of genetic engineering. Indeed, Indians were not living lightly on the land but were landscaping and manipulating their world in ways that we are only now beginning to understand. Challenging and surprising, this a transformative new look at a rich and fascinating world we only thought we knew.

    Being Mortal by Atul Gawande - A 20-minute Summary Inside this Instaread Summary: • Overview of the entire book• Introduction to the important people in the book• Summary and analysis of all the chapters in the book• Key Takeaways of the book• A Reader's Perspective Preview of this summary: Chapter 1 Gawande grew up in Ohio. His parents were immigrants from India and both were doctors. His grandparents stayed in India, and there were few older people in his neighborhood, so he had little experience with aging or death until he met his wife’s grandmother, Alice Hobson. Hobson was seventy-seven and living on her own in Virginia. She was a spirited widow who fixed her own plumbing and volunteered with Meals On Wheels. However, Hobson was losing strength and height steadily each year as her arthritis worsened.Gawande’s father enthusiastically adopted the customs of his new country, but he could not understand the way in which seniors were treated in the US. In India, the elderly were treated with great respect and lived out their lives with family.In the United States, Sitaram Gawande, Gawande’s grandfather, likely would have been sent to a nursing home like most of the elderly who cannot handle the basics of daily living by themselves. However, in India, Sitaram Gawande was able to live in his own home and manage his own affairs, with family constantly around him. He died at the age of one hundred and ten when he fell off a bus during a business trip.Until recently, most elderly people stayed with their families. Even as the nuclear family unit became predominant, replacing the multi-generational family unit, people cared for their elderly relatives. Families were large and one child, usually a daughter, would not marry in order to take care of the parents.This has changed in much of the world, where elderly people end up struggling to live alone, like Hobson, rather than living with dignity amid family, like Sitaram Gawande.One cause of this change can be found in the nature of knowledge. When few people lived to be very old, elders were honored. Their store of knowledge was greatly useful. People often portrayed themselves as older to command respect. Modern society’s emphasis on youth is a complete reversal of this attitude. Technological advances are perceived as the territory of the young, and everyone wants to be younger. High-tech job opportunities are all over the world, and young people do not hesitate to leave their parents behind to pursue them.In developed countries, parents embrace the concept of a retirement filled with leisure activities. Parents are happy to begin living for themselves once children are grown. However, this system only works for young, healthy retirees, but not for those who cannot continue to be independent. Hobson, for example, was falling frequently and suffering memory lapses. Her doctor did tests and wrote prescriptions, but did not know what to do about her deteriorating condition. Neither did her family… About the Author With Instaread Summaries, you can get the summary of a book in 30 minutes or less. We read every chapter, summarize and analyze it for your convenience.

    It made him laugh." Cindy McCain "This book is funny, moving and inspirational. I read some of it and had to get him on my radio show." Christian O'Connell, Absolute Radio Breakfast Show DJ "So honest, uninhibited, down-to-earth and readable despite the difficult subject. The best non-fiction book I have read in a very long time.....and I strongly recommend it." Peter J "Hilarious and moving in equal measures. What a brave man!" David Reuben "Adam Blain manages to be funny, poignant and inspiring describing with heart breaking honesty his journey so far, beginning with a diagnosis no one ever wants to face." RG A must-read memoir about coping with cancer Description Adam is a middle aged father of three. Completely out of the blue, and for no reason other than sheer dumb chance, he was diagnosed with a rare and aggressive brain tumour. Adam has endured radiotherapy and chemotherapy which were preceded by major brain surgery to remove the tumour - helpfully described by his surgeon as being the size and shape of a pear. Using the blackest of humour, this book charts Adam's journey from normality to having a disease regularly described as a “death sentence”. How will he cope with the treatment? How will his relationship with family and friends be affected? Most important of all, how will his hair come through this? Quite simply, it is the funniest book so far this year about brain cancer. Warning - this book is intended for mature audiences due to the subject matter and use of strong language.

    She was born and raised on the Yankton Sioux Reservation in South Dakota by her mother. Zitkala-Sa lived a traditional lifestyle until the age of eight when she left her reservation to attend Whites Manual Labor Institute, a Quaker mission school in Indiana. She went on to study for a time at Earlham College in Indiana and the New England Conservatory of Music in Boston. A considerable talent, Bonnin co-composed the first American Indian grand opera, The Sun Dance in 1913. After working as a teacher at Carlisle Indian Industrial School, she began publishing short stories and autobiographical vignettes. Her autobiographical writings were serialized in Atlantic Monthly and, later, published in a collection called American Indian Stories in 1921. Her first book, Old Indian Legends (1901), is a collection of folktales that she gathered during her visits home to the Yankton Reservation. Her other works include Stories of Iktomi and Other Legends of the Dakotas (1901) and Oklahoma's Poor Rich Indians (1924).

    As recently as 1918, a pandemic of influenza claimed over 50 million lives worldwide. The advent of drugs and vaccines led to an era of hope when we thought our battles with infectious disease were won, but our optimism has been eroded by the recognition that many pathogens have the capacity to transform themselves and escape our efforts to eradicate them. Are we now facing an inevitable repeat of a calamity such as the 1918 influenza pandemic or the Black Death? Can we anticipate and thwart such an event, or are we wilfully creating the conditions that would promote the emergence of new and highly virulent human infectious disease?Sunetra Gupta is Professor of Theoretical Epidemiology at the University of Oxford specialising in infectious diseases. She holds a bachelor's degree from Princeton University and a Ph.D. from the University of London. She has been awarded the Scientific Medal by the Zoological Society of London and the Royal Society Rosalind Franklin Award for her scientific research. She is also a novelist whose books have been awarded the Sahitya Akademi Award, the Southern Arts Literature Prize, shortlisted for the Crossword Award, and longlisted for the DSC and Orange Prizes.

     Frequently the two groups resorted to violence assert their rights to the lands. J. W. Wilbarger’s remarkable book Indian Depredations in Texas contains more than 250 separate narratives of attacks and counterattacks that occurred from the 1820s to the 1870s. Wilbarger, a pioneer who had emigrated to Texas in 1837, was fully aware of the dangers that he faced by living on the frontier of the American West as his own brother had miraculously survived being scalped and left for dead in 1833. Over the course of the next fifty years Wilbarger compiled accounts of Native American attacks that formed the basis of his book. Yet, rather than simply relying on hearsay and rumors of attacks, he sought out the victims and as he states in his Preface, many of the articles had been “written by others, who were either cognizant of the facts themselves or had obtained them from reliable sources." This book is fascinating work that remains an importance source covering the early settlement of the region by Americans, based on stories told by surviving pioneers. "unique among pioneer chronicles." — J. Frank Dobie J. B. Wilbarger was a Methodist minister, author and pioneer. He first moved West to Texas in 1837 at the urging of his brother Josiah Pugh Wilbarger. His book Indian Depredations in Texas was first published in 1889 and he passed away in 1892.

    Too good. Clearly, the title struck a chord, because children often seem to dislike family therapy. And who could fault them for it? The fact is that many family therapists either exclude young children or do not know how to involve them actively in family sessions.... "This is where Dr. Gil's new book succeeds so wonderfully. By drawing on her extensive training and experience as both a child therapist and a family therapist, she shows us how to use all family members' capacities for expressive play simultaneously. Never before have we been treated to such a variety of family play techniques that are presented in such vivid clinical detail....Her methods are captivating to read about and described with sufficient depth so that the reader can visualize their application in everyday clinical situations." --From the Foreword by Robert-Jay Green, Ph.D.In Play in Family Therapy, Dr. Eliana Gil provides a hands-on guide to a wealth of play therapy techniques for working with children ages 3 to 12, and shows how to adapt these techniques to conjoint family therapy. Illustrating the inexhaustible potential that play techniques hold for enhancing relatedness, communication, and understanding among families, this essential new volume represents a major step toward merging child and family therapy.Chapters in Part One cover the history of play therapy and the integration of play into family therapy. In Part Two, clinical vignettes illustrate in user-friendly detail the application of such techniques as puppet interviews, art therapy, and story-telling. Dr. Gil covers the presenting problems and family configurations clinicians are likely to encounter when working with children. Throughout, the text describes the problems that may arise--such as family members' reluctance to use play--and shows how to overcome them by setting a positive tone and conveying the expectation that families will find play enjoyable and rewarding.Providing clinicians with useful play techniques with which to expand their repertoire of family interventions, this work will be invaluable to all therapists and students who work with children and their families.

    Through these celebrations of birth, partings, and reunions, this gifted writer displays both her love of the Navajo world and her resonant use of language. Blending memoir and fiction in the storytelling style common to many Indian traditions, Tapahonso's writing shows that life and death are intertwined, and that the Navajo people live with the knowledge that identity is formed by knowing about the people to whom one belongs. The use of both English and Navajo in her work creates an interplay that may also give readers a new way of understanding their connectedness to their own inner lives and to other people. Luci Tapahonso shows how the details of everyday life—whether the tragedy of losing a loved one or the joy of raising children, or simply drinking coffee with her uncle—bear evidence of cultural endurance and continuity. Through her work, readers may come to better appreciate the different perceptions that come from women's lives.