Money-Driven Medicine: The Real Reason Health Care Costs So Much


Maggie Mahar - 2006
    But as costs levitate, that argument becomes more difficult to make. Today, we spend twice as much as Japan on health care—yet few would argue that our health care system is twice as good.Instead, startling new evidence suggests that one out of every three of our health care dollars is squandered on unnecessary or redundant tests; unproven, sometimes unwanted procedures; and overpriced drugs and devices that, too often, are no better than the less expensive products they have replaced.How did this happen? In Money-Driven Medicine, Maggie Mahar takes the reader behind the scenes of a $2 trillion industry to witness how billions of dollars are wasted in a Hobbesian marketplace that pits the industry's players against each other. In remarkably candid interviews, doctors, hospital administrators, patients, health care economists, corporate executives, and Wall Street analysts describe a war of "all against all" that can turn physicians, hospitals, insurers, drugmakers, and device makers into blood rivals. Rather than collaborating, doctors and hospitals compete. Rather than sharing knowledge, drugmakers and device makers divide value. Rather than thinking about long-term collective goals, the imperatives of an impatient marketplace force health care providers to focus on short-term fiscal imperatives. And so investments in untested bleeding-edge medical technologies crowd out investments in information technology that might, in the long run, not only reduce errors but contain costs.In theory, free market competition should tame health care inflation. In fact, Mahar demonstrates, when it comes to medicine, the traditional laws of supply and demand do not apply. Normally, when supply expands, prices fall. But in the health care industry, as the number and variety of drugs, devices, and treatments multiplies, demand rises to absorb the excess, and prices climb. Meanwhile, the perverse incentives of a fee-for-service system reward health care providers for doing more, not less.In this superbly written book, Mahar shows why doctors must take responsibility for the future of our health care industry. Today, she observes, "physicians have been stripped of their standing as professionals: Insurers address them as vendors ('Dear Health Care Provider'), drugmakers and device makers see them as customers (someone you might take to lunch or a strip club), while . . . consumers (aka patients) are encouraged to see their doctors as overpaid retailers. . . . Before patients can reclaim their rightful place as the center—and indeed as the raison d'être—of our health care system," Mahar suggests, "we must once again empower doctors . . . to practice patient-centered medicine—based not on corporate imperatives, doctors' druthers, or even patients' demands," but on the best scientific research available.

The Seventeen Solutions: Bold Ideas for Our American Future


Ralph Nader - 2012
    In these troubling times of intractable fiscal and social distress, Nader offers a new program to help rescue America: The Seventeen Solutions. His powerful, paradigm-shifting proposals address some of the most pressing concerns in our country today—from corporate crime to tax reform to health care and housing—and they should find a receptive audience not only among liberals, progressives, disillusioned Democrats, Rachel Maddow fans, and Occupy Wall Street supporters, but all concerned Americans.

Ages of Discord


Peter Turchin - 2016
    The inflation-adjusted wage of a US worker today is less than 40 years ago—but there are four times as many multimillionaires. As inequality grows, the infrastructure frays and the politics become more poisonous. Every year, more and more Americans go on shooting sprees, killing strangers and passers-by—and now, increasingly, the representatives of the state.Troubling trends of this kind are endlessly discussed by politicians, public intellectuals, and social scientists. But mostly, they talk about only a small slice of the overall problem. After all, how on earth can yet another murderous rampage have anything to do with polarization in Congress? And is there really a connection between too many multimillionaires and government gridlock?Historical analysis shows that long spells of equitable prosperity and internal peace are succeeded by protracted periods of inequity, increasing misery, and political instability. These crisis periods—“Ages of Discord”—tend to share characteristic features, identifiable in many societies throughout history. Modern Americans, for example, may be disconcerted to learn that the US right now has much in common with the Antebellum 1850s and, even more surprisingly, with ancien régime France on the eve of the French Revolution. Can it really be true that our troubled age is nothing new, and that it arises periodically for similar underlying reasons? It can. Ages of Discord marshals a cohesive theory and detailed historical data to show that this is, indeed, the case. The book takes the reader on a roller-coaster ride through American history, from the Era of Good Feelings of the 1820s to our first Age of Discord, which culminated in the American Civil War, to post-WW2 prosperity and, finally, to our present, second Age of Discord.Unlike societies in the past, however, we are in a unique position to take steps to escape the worst. Societal breakdown and the ensuing wave of violence can be avoided by taking collective, cooperative action. The structural-demographic theory, explained in this book, helps us understand why demographic, social, and political trends changed direction from favorable to unfavorable in America around the 1970s. Such understanding is the key to developing reforms that would reverse these negative trends and move us to a more equitable, prosperous, and peaceful society.

Treasure Islands: Uncovering the Damage of Offshore Banking and Tax Havens


Nicholas Shaxson - 2011
    Nicholas Shaxson, a former correspondent for the Financial Times and The Economist, argues that tax havens are a central cause of all these disasters.In this hard hitting investigation he uncovers how offshore tax evasion, which has cost the U.S. 100 billion dollars in lost revenue each year, is just one item on a long rap sheet outlining the damage that offshoring wreaks on our societies. In a riveting journey from Moscow to London to Switzerland to Delaware, Shaxson dives deep into a vast and secret playground where bankers and multinational corporations operate side by side with nefarious tax evaders, organized criminals and the world's wealthiest citizens. Tax havens are where all these players get to maximize their own rewards and leave the middle class to pick up the bill.With eye opening revelations, Treasure Islands exposes the culprits and its victims, and shows how:*Over half of world trade is routed through tax havens*The rampant practices that precipitated the latest financial crisis can be traced back to Wall Street's offshoring practices*For every dollar of aid we send to developing countries, ten dollars leave again by the backdoorThe offshore system sits much closer to home than the pristine tropical islands of the popular imagination. In fact, it all starts on a tiny island called Manhattan. In this fast paced narrative, Treasure Islands at last explains how the system works and how it's contributing to our ever deepening economic divide.

Context: Further Selected Essays on Productivity, Creativity, Parenting, and Politics in the 21st Century


Cory Doctorow - 2011
    Discussing complex topics in an accessible manner, Cory Doctorow’s visions of a future where artists have full freedom of expression is tempered with his understanding that creators need to benefit from their own creations. From extolling the Etsy makerverse to excoriating Apple for dumbing down technology while creating an information monopoly, each unique piece is brief, witty, and at the cutting edge of tech. Now a stay-at-home dad as well as an international activist, Doctorow writes as eloquently about creating real-time Internet theater with his daughter as he does while lambasting the corporations that want to profit from inherent intellectual freedoms.

The Partly Cloudy Patriot


Sarah Vowell - 2002
    In this insightful and funny collection of personal stories Vowell—widely hailed for her inimitable stories on public radio's This American Life—ponders a number of curious questions: Why is she happiest when visiting the sites of bloody struggles like Salem or Gettysburg? Why do people always inappropriately compare themselves to Rosa Parks? Why is a bad life in sunny California so much worse than a bad life anywhere else? What is it about the Zen of foul shots? And, in the title piece, why must doubt and internal arguments haunt the sleepless nights of the true patriot? Her essays confront a wide range of subjects, themes, icons, and historical moments: Ike, Teddy Roosevelt, and Bill Clinton; Canadian Mounties and German filmmakers; Tom Cruise and Buffy the Vampire Slayer; twins and nerds; the Gettysburg Address, the State of the Union, and George W. Bush's inauguration.The result is a teeming and engrossing book, capturing Vowell's memorable wit and her keen social commentary.

Things That Matter: Three Decades of Passions, Pastimes and Politics


Charles Krauthammer - 2013
      A brilliant stylist known for an uncompromising honesty that challenges conventional wisdom at every turn, Krauthammer has for decades daz­zled readers with his keen insight into politics and government. His weekly column is a must-read in Washington and across the country. Now, finally, the best of Krauthammer’s intelligence, erudition and wit are collected in one volume.   Readers will find here not only the country’s leading conservative thinker offering a pas­sionate defense of limited government, but also a highly independent mind whose views—on feminism, evolution and the death penalty, for example—defy ideological convention. Things That Matter also features several of Krautham­mer’s major path-breaking essays—on bioeth­ics, on Jewish destiny and on America’s role as the world’s superpower—that have pro­foundly influenced the nation’s thoughts and policies. And finally, the collection presents a trove of always penetrating, often bemused re­flections on everything from border collies to Halley’s Comet, from Woody Allen to Win­ston Churchill, from the punishing pleasures of speed chess to the elegance of the perfectly thrown outfield assist.   With a special, highly autobiographical in­troduction in which Krauthammer reflects on the events that shaped his career and political philosophy, this indispensible chronicle takes the reader on a fascinating journey through the fashions and follies, the tragedies and triumphs, of the last three decades of American life.

The ASEAN Miracle: A Catalyst for Peace


Kishore Mahbubani - 2017
    Why?In an era of growing cultural pessimism, many thoughtful individuals believe that different civilisations – especially Islam and the West – cannot live together in peace. The ten countries of ASEAN provide a thriving counter-example of civilizational co-existence. Here 625m people live together in peace. This miracle was delivered by ASEAN.In an era of growing economic pessimism, where many young people believe that their lives will get worse in coming decades, Southeast Asia bubbles with optimism. In an era where many thinkers predict rising geopolitical competition and tension, ASEAN regularly brings together all the world’s great powers.Stories of peace are told less frequently than stories of conflict and war. ASEAN’s imperfections make better headlines than its achievements. But in the hands of thinker and writer Kishore Mahbubani, the good news story is also a provocation and a challenge to the rest of the world."This excellent book explains, in clear and simple terms, how and why ASEAN has become one of the most successful regional organizations in the world."George Yeo"A powerful and passionate account of how, against all odds, ASEAN transformed the region and why Asia and the world need it even more today."Amitav Acharya“Kishore and I have written that the world is coming together in a Fusion of Civilisations. This book documents beautifully how ASEAN has achieved this fusion. The ASEAN story is hugely instructive and this book tells it very well.”Larry SummersKishore Mahbubani is Dean of the Lee Kuan Yew School of Public Policy, National University of Singapore, and author of The New Asian Hemisphere: The Irresistible Shift of Global Power to the East. Jeffery Sng is a writer and former diplomat based in Bangkok, co-author of A History of the Thai-Chinese.

Where Do We Go from Here: Chaos or Community?


Martin Luther King Jr. - 1966
    Martin Luther King, Jr., isolated himself from the demands of the civil rights movement, rented a house in Jamaica with no telephone, and labored over his final manuscript. In this prophetic work, which has been unavailable for more than ten years, he lays out his thoughts, plans, and dreams for America's future, including the need for better jobs, higher wages, decent housing, and quality education. With a universal message of hope that continues to resonate, King demanded an end to global suffering, asserting that humankind-for the first time-has the resources and technology to eradicate poverty.

The Unwinding: An Inner History of the New America


George Packer - 2013
    Seismic shifts during a single generation have created a country of winners and losers, allowing unprecedented freedom while rending the social contract, driving the political system to the verge of breakdown, and setting citizens adrift to find new paths forward. In The Unwinding, George Packer, author of The Assassins' Gate: America in Iraq, tells the story of the United States over the past three decades in an utterly original way, with his characteristically sharp eye for detail and gift for weaving together complex narratives.The Unwinding journeys through the lives of several Americans, including Dean Price, the son of tobacco farmers, who becomes an evangelist for a new economy in the rural South; Tammy Thomas, a factory worker in the Rust Belt trying to survive the collapse of her city; Jeff Connaughton, a Washington insider oscillating between political idealism and the lure of organized money; and Peter Thiel, a Silicon Valley billionaire who questions the Internet's significance and arrives at a radical vision of the future. Packer interweaves these intimate stories with biographical sketches of the era's leading public figures, from Newt Gingrich to Jay-Z, and collages made from newspaper headlines, advertising slogans, and song lyrics that capture the flow of events and their undercurrents.The Unwinding portrays a superpower in danger of coming apart at the seams, its elites no longer elite, its institutions no longer working, its ordinary people left to improvise their own schemes for success and salvation. Packer's novelistic and kaleidoscopic history of the new America is his most ambitious work to date.One of the iTunes Bookstore's "Ten Books You Must Read This Summer"

Collusion: Secret Meetings, Dirty Money, and How Russia Helped Donald Trump Win


Luke Harding - 2017
    Beginning with a meeting with Christopher Steele, the man behind the shattering dossier that first brought the allegations to light, Harding probes the histories of key Russian and American players with striking clarity and insight. In a thrilling, fast-paced narrative, Harding exposes the disquieting details of the “Trump-Russia” story—a saga so huge it involves international espionage, off-shore banks, sketchy real estate deals, mobsters, money laundering, disappeared dissidents, computer hacking, and the most shocking election in American history.

¡Adios, America!: The Left's Plan to Turn Our Country into a Third World Hellhole


Ann Coulter - 2015
    In Adios, America she touches the third rail in American politics, attacking the immigration issue head-on and flying in the face of La Raza, the Democrats, a media determined to cover up immigrants' crimes, churches that get paid by the government for their "charity," and greedy Republican businessmen and campaign consultants—all of whom are profiting handsomely from mass immigration that’s tearing the country apart. Applying her trademark biting humor to the disaster that is U.S. immigration policy, Coulter proves that immigration is the most important issue facing America today.

The New Right: A Journey to the Fringe of American Politics


Michael Malice - 2019
    As united by their opposition as they are divided by their goals, the members of the New Right are willfully suspicious of those in the mainstream who would seek to tell their story. Fortunately, author Michael Malice was there from the very inception, and in The New Right recounts their tale from the beginning.Malice provides an authoritative and unbiased portrait of the New Right as a movement of ideas--ideas that he traces to surprisingly diverse ideological roots. From the heterodox right wing of the 1940s to the Buchanan/Rothbard alliance of 1992 and all the way through to what he witnessed personally in Charlottesville, The New Right is a thorough firsthand accounting of the concepts, characters and chronology of this widely misunderstood sociopolitical phenomenon.Today's fringe is tomorrow's orthodoxy. As entertaining as it is informative, The New Right is required reading for every American across the spectrum who would like to learn more about the past, present and future of our divided political culture.

Dark Age Ahead


Jane Jacobs - 2004
    Jacobs pinpoints five pillars of our culture that are in serious decay: community and family; higher education; the effective practice of science; taxation, and government; and the self-regulation of the learned professions. The corrosion of these pillars, Jacobs argues, is linked to societal ills such as environmental crisis, racism, and the growing gulf between rich and poor. But this is a hopeful book as well as a warning. Drawing on her vast frame of reference–from fifteenth-century Chinese shipbuilding to Ireland’s cultural rebirth–Jacobs suggests how the cycles of decay can be arrested and our way of life renewed. Invigorating and accessible, Dark Age Ahead is not only the crowning achievement of Jane Jacobs’ career, but one of the most important works of our time.

The Painted Word


Tom Wolfe - 1975
    He addresses the scope of Modern Art, from its founding days as Abstract Expressionism through its transformations to Pop, Op, Minimal, and Conceptual. This is Tom Wolfe "at his most clever, amusing, and irreverent" (San Francisco Chronicle).