Within a few years, however, what had been perceived as a national crisis came to be seen as a nuisance, with early sympathies for the plight of the homeless giving way to compassion fatigue and then condemnation. Debates around the problem of homelessness—often set in terms of sin, sickness, and the failure of the social system—have come to profoundly shape how homeless people survive and make sense of their plights. In Hobos, Hustlers, and Backsliders, Teresa Gowan vividly depicts the lives of homeless men in San Francisco and analyzes the influence of the homelessness industry on the streets, in the shelters, and on public policy. Gowan shows some of the diverse ways that men on the street in San Francisco struggle for survival, autonomy, and self-respect. Living for weeks at a time among homeless men—working side-by-side with them as they collected cans, bottles, and scrap metal; helping them set up camp; watching and listening as they panhandled and hawked newspapers; and accompanying them into soup kitchens, jails, welfare offices, and shelters—Gowan immersed herself in their routines, their personal stories, and their perspectives on life on the streets. She observes a wide range of survival techniques, from the illicit to the industrious, from drug dealing to dumpster diving. She also discovered that prevailing discussions about homelessness and its causes—homelessness as pathology, homelessness as moral failure, and homelessness as systemic failure—powerfully affect how homeless people see themselves and their ability to change their situation. Drawing on five years of fieldwork, this powerful ethnography of men living on the streets of the most liberal city in America, Hobos, Hustlers, and Backsliders, makes clear that the way we talk about issues of extreme poverty has real consequences for how we address this problem—and for the homeless themselves.

    America faced a troubling question: What happened? How was this epidemic allowed to spread so far before it was taken seriously? In answering these questions, Shilts weaves the disparate threads into a coherent story, pinning down every evasion and contradiction at the highest levels of the medical, political, and media establishments. Shilts shows that the epidemic spread wildly because the federal government put budget ahead of the nation's welfare; health authorities placed political expediency before the public health; and scientists were often more concerned with international prestige than saving lives. Against this backdrop, Shilts tells the heroic stories of individuals in science and politics, public health and the gay community, who struggled to alert the nation to the enormity of the danger it faced. And the Band Played On is both a tribute to these heroic people and a stinging indictment of the institutions that failed the nation so badly.

    Barbara Ravage has fashioned an enlightening, invaluable book.” —Stewart O’Nan, author of The Circus Fire: A True Story of an American TragedyThough each of us is just a spark away from being a burn victim, the public knows little and understands less about the world that patients inhabit. Pulling the curtains back on this private and sterile environment, Burn Unit is a riveting account of the frontline efforts—both modern-day and historical—to save lives devastated by fire. With unflinching urgency, Barbara Ravage follows an extraordinary team of healers at Massachusetts General Hospital, the cradle of modern burn treatment and the site of one of the best burn units in the world. From Boston’s Cocoanut Grove fire of 1942 to the treatment of the victims of the Rhode Island nightclub fire in early 2003, we watch everyday heroes do their incredible but punishing work against the backdrop of history. Both a moving human drama and an engrossing scientific exploration of this little-known field of medicine, Burn Unit is an unforgettably powerful read.

    Anne Spoerry treated hundreds of thousands of people across rural Kenya over the span of fifty years. A member of the renowned Flying Doctors Service, the French-born Spoerry learned how to fly a plane at the age of forty-five and earned herself the cherished nickname, "Mama Daktari"--"Mother Doctor"--from the people of Kenya. Yet few knew what drove her from post-World War II Europe to Africa. Now, in the first comprehensive account of her life, Dr. Spoerry's revered selflessness gives way to a past marked by rebellion, submission, and personal decisions that earned her another nickname--this one sinister--working as a "doctor" in a Nazi concentration camp.In Full Flight explores the question of whether it is possible to rewrite one's troubled past simply by doing good in the present. Informed by Spoerry's own journals, a trove of previously untapped files, and numerous interviews with those who knew her in Europe or Africa, John Heminway takes readers on a remarkable journey across a haunting African landscape and into a dramatic life punctuated by both courage and weakness and driven by a powerful need to atone.

    Dilan Ellegala's quest to teach brain surgery in one of the poorest and most remote places on earth. In vivid detail, the book also exposes one of the world's most neglected but serious public health problems - one that kills more people than malaria, tuberculosis and AIDS combined.

    "I was born in a harem in 1940 in Fez, Morocco . . . " So begins Fatima Mernissi in this illuminating narrative of a childhood behind the iron gates of a domestic harem. In Dreams of Trespass, Mernissi weaves her own memories with the dreams and memories of the women who surrounded her in the courtyard of her youth -- women who, without access to the world outside, recreated it from sheer imagination. A beautifully written account of a girl confronting the mysteries of time and place, gender and sex, Dreams of Trespass illuminates what it was like to be a modern Muslim woman in a place steeped in tradition.

    Shipler makes clear in this powerful, humane study, the invisible poor are engaged in the activity most respected in American ideology—hard, honest work. But their version of the American Dream is a nightmare: low-paying, dead-end jobs; the profound failure of government to improve upon decaying housing, health care, and education; the failure of families to break the patterns of child abuse and substance abuse. Shipler exposes the interlocking problems by taking us into the sorrowful, infuriating, courageous lives of the poor—white and black, Asian and Latino, citizens and immigrants. We encounter them every day, for they do jobs essential to the American economy.We meet drifting farmworkers in North Carolina, exploited garment workers in New Hampshire, illegal immigrants trapped in the steaming kitchens of Los Angeles restaurants, addicts who struggle into productive work from the cruel streets of the nation's capital—each life another aspect of a confounding, far-reaching urgent national crisis. And unlike mostworks on poverty, this one delves into the calculations of some employers as well—their razor-thin profits, their anxieties about competition from abroad, their frustrations in finding qualified workers.This impassioned book not only dissects the problems, but makes pointed, informed recommendations for change. It is a book that stands to make a difference.

    Health System, This Condensed Distillation Of The Important Topics Covered In Delivering Health Care In America Is The Perfect Resource For Courses In Health Policy, Allied Health, Health Administration And More. It Clarifies The Complexities Of Health Care Organization And Finance And Presents A Solid Overview Of How The Various Components Fit Together. The Second Edition Of Essentials Of The US Health Care System Has Been Updated To Include New Data, Charts, Tables And Accompanying Information Throughout The Book. Use As A Stand-Alone Text, Or A Supplement In Various Courses. New Content Includes: Medicare, Medicaid And SCHIP. Ongoing Evolution In U.S. Health Care As A Result Of Corporatization And Globalization. The Role Of Hospitalists. Updated Content On Parts C And D Of Medicare. Including Information On High-Deductible Health Plans/Health Savings Accounts As An Insurance Option. Updated Content On Primary Care And Community Oriented Health Care Development Current Development On Hospital Extensions To The Community. Current Development On Nano Technology. Current Health Policy Issues. Current Discussion On Healthcare Reforms, Including Future Challenges Posed By The Increased Need For Long-Term Care. New Third Edition Now Available!

    People are healthier, wealthier, and live longer. Yet the escapes from destitution by so many has left gaping inequalities between people and nations. In "The Great Escape," Angus Deaton--one of the foremost experts on economic development and on poverty--tells the remarkable story of how, beginning 250 years ago, some parts of the world experienced sustained progress, opening up gaps and setting the stage for today's disproportionately unequal world. Deaton takes an in-depth look at the historical and ongoing patterns behind the health and wealth of nations, and addresses what needs to be done to help those left behind.Deaton describes vast innovations and wrenching setbacks: the successes of antibiotics, pest control, vaccinations, and clean water on the one hand, and disastrous famines and the HIV/AIDS epidemic on the other. He examines the United States, a nation that has prospered but is today experiencing slower growth and increasing inequality. He also considers how economic growth in India and China has improved the lives of more than a billion people. Deaton argues that international aid has been ineffective and even harmful. He suggests alternative efforts--including reforming incentives to drug companies and lifting trade restrictions--that will allow the developing world to bring about its own Great Escape.Demonstrating how changes in health and living standards have transformed our lives, "The Great Escape" is a powerful guide to addressing the well-being of all nations.

    With more than 1,700 titles, Penguin Classics represents a global bookshelf of the best works throughout history and across genres and disciplines. Readers trust the series to provide authoritative texts enhanced by introductions and notes by distinguished scholars and contemporary authors, as well as up-to-date translations by award-winning translators.

    Why We Get Sick compels readers to reexamine the age-old attitudes toward sickness. Line drawings.

    The same twenty-year avoidable disparity exists in the Calton and Lenzie neighborhoods of Glasgow, and in other cities around the world.In Sierra Leone, one in 21 fifteen-year-old women will die in her fertile years of a maternal-related cause; in Italy, the figure is one in 17,100; but in the United States, which spends more on healthcare than any other country in the world, it is one in 1,800. Why?Dramatic differences in health are not a simple matter of rich and poor; poverty alone doesn't drive ill health, but inequality does. Indeed, suicide, heart disease, lung disease, obesity, and diabetes, for example, are all linked to social disadvantage. In every country, people at relative social disadvantage suffer health disadvantage and shorter lives. Within countries, the higher the social status of individuals, the better their health. These health inequalities defy the usual explanations. Conventional approaches to improving health have emphasized access to technical solutions and changes in the behavior of individuals, but these methods only go so far. What really makes a difference is creating the conditions for people to have control over their lives, to have the power to live as they want. Empowerment is the key to reducing health inequality and thereby improving the health of everyone. Marmot emphasizes that the rate of illness of a society as a whole determines how well it functions; the greater the health inequity, the greater the dysfunction.Marmot underscores that we have the tools and resources materially to improve levels of health for individuals and societies around the world, and that to not do so would be a form of injustice. Citing powerful examples and startling statistics ("young men in the U.S. have less chance of surviving to sixty than young men in forty-nine other countries"), The Health Gap presents compelling evidence for a radical change in the way we think about health and indeed society, and inspires us to address the societal imbalances in power, money, and resources that work against health equity.

    The book shines much-needed light on this group of small nations, largely unnoticed by the industrialized West, that are dropping further and further behind the majority of the world's people, often falling into an absolute decline in living standards. A struggle rages within each of these nations between reformers and corrupt leaders--and the corrupt are winning. Collier analyzes the causes of failure, pointing to a set of traps that ensnare these countries, including civil war, a dependence on the extraction and export of natural resources, and bad governance. Standard solutions do not work, he writes; aid is often ineffective, and globalization can actually make matters worse, driving development to more stable nations. What the bottom billion need, Collier argues, is a bold new plan supported by the Group of Eight industrialized nations. If failed states are ever to be helped, the G8 will have to adopt preferential trade policies, new laws against corruption, new international charters, and even conduct carefully calibrated military interventions. Collier has spent a lifetime working to end global poverty. In The Bottom Billion, he offers real hope for solving one of the great humanitarian crises facing the world today.

    AbrahamsMules and Men is the first great collection of black America's folk world. In the 1930's, Zora Neale Hurston returned to her "native village" of Eatonville, Florida to record the oral histories, sermons and songs, dating back to the time of slavery, which she remembered hearing as a child. In her quest, she found herself and her history throughout these highly metaphorical folk-tales, "big old lies," and the lyrical language of song. With this collection, Zora Neale Hurston has come to reveal'and preserve'a beautiful and important part of American culture.Zora Neale Hurston (1901-1960) was a novelist, folklorist, anthropologist and playwright whose fictional and factual accounts of black heritage are unparalleled. She is also the author of Tell My Horse, Their Eyes Were Watching God, Dust Tracks on a Road, and Mule Bone.Ruby Dee, a member of the Theatre Hall of Fame, starred on Broadway in the original productions of A Raisin in the Sun and Purlie Victorious, and was featured in Spike Lee's Do the Right Thing. She is also an award-winning author and the producer of numerous television dramas.

    Tender, generous and often religiously devout, they speak with eloquence and honesty about the poverty and racial isolation that have wounded but not hardened them. The book does not romanticize or soften the effects of violence and sickness. One fourth of the child-bearing women in the neighborhoods where these children live test positive for HIV. Pediatric AIDs, life-consuming fires and gang rivalries take a high toll. Several children die during the year in which this narrative takes place.A gently written work, Amazing Grace asks questions that are at once political and theological. What is the value of a child's life? What exactly do we plan to do with those whom we appear to have defined as economically and humanly superfluous? How cold -- how cruel, how tough -- do we dare be?