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.

    Only ours will: our livelihoods, our homes, our cultures. And we're squarely at the tipping point.Longer droughts in the Middle East. Growing desertification in China and Africa. The monsoon season shrinking in India. Amped-up heat waves in Australia. More intense hurricanes reaching America. Water wars in the Horn of Africa. Rebellions, refugees and starving children across the globe. These are not disconnected events. These are the pieces of a larger puzzle that environmental expert Jeff Nesbit puts togetherUnless we start addressing the causes of climate change and stop simply navigating its effects, we will be facing a series of unstoppable catastrophes by the time our preschoolers graduate from college. Our world is in trouble - right now. This Is the Way the World Ends tells the real stories of the substantial impacts to Earth's systems unfolding across each continent. The bad news? Within two decades or so, our carbon budget will reach a point of no return.But there's good news. Like every significant challenge we've faced--from creating civilization in the shadow of the last ice age to the Industrial Revolution--we can get out of this box canyon by understanding the realities, changing the worn-out climate conversation to one that's relevant to every person. Nesbit provides a clear blueprint for real-time, workable solutions we can tackle together.

    John Cronin and Robert F. Kennedy, Jr., tell us how we too can fight for our fundamental right to enjoy our invaluable natural resources. Revealing shocking stories of commonplace environmental crime -- from drinking water tainted with hospital waste to fish populations contaminated by freely dumped PCBs -- Cronin and Kennedy describe their dramatic confrontations with more than ninety environmental lawbreakers. The Riverkeepers is a timely call to action that will resonate across America as the backlash spearheaded by congressional leaders and their major corporate allies threatens to reverse the hard-won victories in environmental law and policy.

    And it's not just the Arctic. The whole world is changing in dangerous, unpredictable ways. Sheila Watt-Cloutier has devoted her life to protecting what is threatened and nurturing what has been wounded. In this culmination of Watt-Cloutier's regional, national, and international work over the last twenty-five years, The Right to Be Cold explores the parallels between safeguarding the Arctic and the survival of Inuit culture, of which her own background is such an extraordinary example. This is a human story of resilience, commitment, and survival told from the unique vantage point of an Inuk woman who, in spite of many obstacles, rose from humble beginnings in the Arctic to become one of the most influential and decorated environmental, cultural, and human rights advocates in the world.

    He shows how garbage affects residents in vulnerable communities and poses health risks to those who dispose of it. He follows the trash, the pollution, the hazards, and the people who encountered them in the period 1880-2000. What unfolds is a tug of war among social movements, government, and industry over how we manage our waste, who benefits, and who pays the costs.Studies demonstrate that minority and low-income communities bear a disproportionate burden of environmental hazards. Pellow analyzes how and why environmental inequalities are created. He also explains how class and racial politics have influenced the waste industry throughout the history of Chicago and the United States. After examining the roles of social movements and workers in defining, resisting, and shaping garbage disposal in the United States, he concludes that some environmental groups and people of color have actually contributed to environmental inequality.By highlighting conflicts over waste dumping, incineration, landfills, and recycling, Pellow provides a historical view of the garbage industry throughout the life cycle of waste. Although his focus is on Chicago, he places the trends and conflicts in a broader context, describing how communities throughout the United States have resisted the waste industry's efforts to locate hazardous facilities in their backyards. The book closes with suggestions for how communities can work more effectively for environmental justice and safe, sustainable waste management.

    "Douglas Brinkley brings to this magnificent story of Theodore Roosevelt's crusade on behalf of America's national parks the same qualities that made TR so fascinating a figure—an astonishing range of knowledge, a superb narrative skill, a wonderfully vivid writing style and an inexhaustible energy." —Doris Kearns Goodwin, author of Team of RivalsA vast, inspiring, and enormously entertaining book.” — New York Times Book ReviewFrom New York Times bestselling historian Douglas Brinkley comes a sweeping historical narrative and eye-opening look at the pioneering environmental policies of President Theodore Roosevelt, avid bird-watcher, naturalist, and the founding father of America’s conservation movement—now approaching its 100th anniversary.

    At the same time as climate change has assumed this status, it has become a topic more likely to be included in a church sermon. Indeed, while once considered the concern of scientific institutions, climate change is now increasingly incorporated into faith-based initiatives with even Pope Francis weighing in, issuing an encyclical on the subject as explained in chapter 16 by Paul Driessen. There are those who believe Pope Francis, and admire another climate change exponent, Al Gore – who marketed An Inconvenient Truth with comment, ‘the fact of global warming is not in question’ and that ‘its consequences for the world we live in will be disastrous if left unchecked’. And then there are the die-hard sceptics who dare to doubt. Many claim that these climate sceptics and their support base have an undue political influence, successfully thwarting attempts to implement necessary public policy change. This book is a collection of chapters by so-called climate sceptics. Each writer was asked to write on an aspect of the topic in which they are considered to have some expertise. None of them deny that climate change is real, but instead, they point out how extremely complex the topic of Earth’s climate is, with some of the contributors also querying the, often generally accepted, solutions. As you will see, this is not a book with just one message, except perhaps that there is a need for more scrutiny of the data, and of our own prejudices. This book’s reason for being is to give pause for thought, and to throw some alternative ideas and considerations into the mix.

    Dickson Despommier's visionary book provides a blueprint for securing the world's food supply and at the same time solving one of the gravest environmental crises facing us today."--StingImagine a world where every town has their own local food source, grown in the safest way possible, where no drop of water or particle of light is wasted, and where a simple elevator ride can transport you to nature's grocery store - imagine the world of the vertical farm.When Columbia professor Dickson Despommier set out to solve America's food, water, and energy crises, he didn't just think big - he thought up. Despommier's stroke of genius, the vertical farm, has excited scientists, architects, and politicians around the globe. Now, in this groundbreaking book, Despommier explains how the vertical farm will have an incredible impact on changing the face of this planet for future generations.Despommier takes readers on an incredible journey inside the vertical farm, buildings filled with fruits and vegetables that will provide local food sources for entire cities.Vertical farms will allow us to:- Grow food 24 hours a day, 365 days a year- Protect crops from unpredictable and harmful weather- Re-use water collected from the indoor environment- Provide jobs for residents- Eliminate use of pesticides, fertilizers, or herbicides- Drastically reduce dependence on fossil fuels- Prevent crop loss due to shipping or storage- Stop agricultural runoffVertical farms can be built in abandoned buildings and on deserted lots, transforming our cities into urban landscapes which will provide fresh food grown and harvested just around the corner. Possibly the most important aspect of vertical farms is that they can built by nations with little or no arable land, transforming nations which are currently unable to farm into top food producers. In the tradition of the bestselling The World Without Us, The Vertical Farm is a completely original landmark work destined to become an instant classic

    The author provides an eloquent and engaging account of the use of herbal medicine from prehistoric times to the present, reaffirming the incalculable value of medicinal plants in the healing arts. She presents a strong case for the cyclical emergence of alternative medicine at times (such as our own) when allopathic methods of treatment have lost their safety and efficacy.

    Pulitzer Prize–winning author Siddhartha Mukherjee, a leading cancer physician and researcher, selects the year’s top science and nature writing from journalists who dive into their fields with curiosity and passion, delivering must-read articles from a wide array of fields.

    Judy Mikovits is a modern-day Rosalind Franklin, a brilliant researcher shaking up the old boys’ club of science with her groundbreaking discoveries. And like many women who have trespassed into the world of men, she uncovered decades-old secrets that many would prefer to stay buried. From her doctoral thesis, which changed the treatment of HIV-AIDS, saving the lives of millions, including basketball great Magic Johnson, to her spectacular discovery of a new family of human retroviruses, and her latest research which points to a new golden age of health, Dr. Mikovits has always been on the leading edge of science. With the brilliant wit one might expect if Erin Brockovich had a doctorate in molecular biology, Dr. Mikovits has seen the best and worst of science. When she was part of the research community that turned HIV-AIDS from a fatal disease into a manageable one, she saw science at its best. But when her investigations questioned whether the use of animal tissue in medical research were unleashing devastating plagues of chronic diseases, such as autism and chronic fatigue syndrome, she saw science at its worst. If her suspicions are correct, we are looking at a complete realignment of scientific practices, including how we study and treat human disease. Recounting her nearly four decades in science, including her collaboration of more than thirty-five years with Dr. Frank Ruscetti, one of the founders of the field of human retrovirology, this is a behind the scenes look at the issues and egos which will determine the future health of humanity.

    Prince Charles shows how the solutions to problems like climate change lie not only in technology but in our ability to change the way we view the modern world.For decades, the Prince of Wales has been studying a wide array of disciplines to understand every aspect of man's impact on the natural world, and in that time he has examined everything from architecture to organic farming to sustainable economics. Now, for the first time, he speaks out about his years of research, presenting a fascinating look at how modern industrialization has led us to a state of disharmony with nature, created climate change, and pushed us to the brink of disaster.From the rice farms of India to the prairies of America's corn belt, from the temples of Ancient Egypt to the laboratories of industrial designers, Harmony spans the globe to identify the different ways that contemporary life has abandoned the hard-earned practices of our history, a shift that has spurred a host of social problems and accelerated climate change.Drawing on cases from farming, healthcare, transportation, and design, the Prince of Wales also offers solutions for change, creating a new vision for our world, one that incorporates the traditional wisdom of our past with the modern science of our present to avert catastrophe. In the end, Harmony paints a holistic portrait of what we as a species have lost in the modern age, while outlining the steps we can take to regain the harmony of our ancestors.Illustrated with lush, four-color photographs and charts, this intelligent, practical, and well-reasoned guide is an indispensable weapon in the battle to save our planet.

    Did you know...; Almost 50% of supermarket fruit and vegetables contain pesticide residues?* UK supermarkets make 40p on every GBP1 spent on bananas while plantations workers are paid just 1p?* Supermarkets operate a climate of fear amongst their suppliers?* Every time a supermarket opens the local community loses on average 276 jobs?In the 1970s, British supermarkets had only 10% of the UK's grocery spend. Now they swallow up 80%, influencing how we shop, what we eat, how we spend our leisure time, how much rubbish we generate, even the very look of our physical environment. Award-winning food writer Joanna Blythman investigates the enormous impact that these big box retailers are having on our lives. She meets the farmers who are selling food to supermarkets for less than they need to survive, the wholesalers who have been eliminated from the supply chain, travels to suburban retail parks to meet the teenagers and part-timers who stack our shelves and reveals the hoops third world suppliers must jump through to earn supermarket contracts. This thought-provoking, witty and sometimes chilling voyage of discovery is sure to make you think twice before you reach for that supermarket trolley quite so enthusiastically ever again.

    Now you can become part of the movement - and together, we can make history.It's time. This is our last chance to do anything about the global climate and ecological emergency. Our last chance to save the world as we know it.Now or never, we need to be radical. We need to rise up. And we need to rebel.Extinction Rebellion is a global activist movement of ordinary people, demanding action from Governments. This is a book of truth and action. It has facts to arm you, stories to empower you, pages to fill in and pages to rip out, alongside instructions on how to rebel - from organising a roadblock to facing arrest.By the time you finish this book you will have become an Extinction Rebellion activist. Act now before it's too late.

    With each crack in the great ice sheets of the Arctic and Antarctica, and each tick upwards of Earth's thermometer, we are moving closer to the brink of broad disaster.By century's end, hundreds of millions of people will be retreating from the world's shores as our coasts become inundated and our landscapes transformed. From island nations to the world's major cities, coastal regions will disappear. Engineering projects to hold back the water are bold and may buy some time. Yet despite international efforts and tireless research, there is no permanent solution--no barriers to erect or walls to build--that will protect us in the end from the drowning of the world as we know it.The Water Will Come is the definitive account of the coming water, why and how this will happen, and what it will all mean. As he travels across twelve countries and reports from the front lines, acclaimed journalist Jeff Goodell employs fact, science, and first-person, on-the-ground journalism to show vivid scenes from what already is becoming a water world.