From distressed small communities in Central Appalachia to wealthy suburbs; from disparate cities to once-idyllic farm towns; it's a heartbreaking trajectory that illustrates how this national crisis has persisted for so long and become so firmly entrenched. Beginning with a single dealer who lands in a small Virginia town and sets about turning high school football stars into heroin overdose statistics, Macy endeavors to answer a grieving mother's question-why her only son died-and comes away with a harrowing story of greed and need. From the introduction of OxyContin in 1996, Macy parses how America embraced a medical culture where overtreatment with painkillers became the norm. In some of the same distressed communities featured in her bestselling book Factory Man, the unemployed use painkillers both to numb the pain of joblessness and pay their bills, while privileged teens trade pills in cul-de-sacs, and even high school standouts fall prey to prostitution, jail, and death.Through unsparing, yet deeply human portraits of the families and first responders struggling to ameliorate this epidemic, each facet of the crisis comes into focus. In these politically fragmented times, Beth Macy shows, astonishingly, that the only thing that unites Americans across geographic and class lines is opioid drug abuse. But in a country unable to provide basic healthcare for all, Macy still finds reason to hope-and signs of the spirit and tenacity necessary in those facing addiction to build a better future for themselves and their families.

     Undoubtedly, the biggest domestic policy issue in the coming years will be America’s health-care system. Millions of Americans go without medical care because they can’t afford it, and many others are mired in debt because they can’t pay their medical bills. It’s hard to think of another public policy problem that has lingered unaddressed for so long. Why have we failed to solve a problem that is such a high priority for so many citizens? Former Senate Majority Leader Tom Daschle believes the problem is rooted in the complexity of the health-care issue and the power of the interest groups—doctors, hospitals, insurers, drug companies, researchers, patient advocates—that have a direct stake in it. Rather than simply pointing out the major flaws and placing blame, Daschle offers key solutions and creates a blueprint for solving the crisis. Daschle’s solution lies in the Federal Reserve Board, which has overseen the equally complicated financial system with great success. A Fed-like health board would offer a public framework within which a private health-care system can operate more effectively and efficiently—insulated from political pressure yet accountable to elected officials and the American people. Daschle argues that this independent board would create a single standard of care and exert tremendous influence on every other provider and payer, even those in the private sector. After decades of failed incremental measures, the American health-care system remains fundamentally broken and requires a comprehensive fix. With his bold and forward-looking plan, Daschle points us to the solution.

    As of 2004 an estimated 40 million people were living with the disease, and about 20 million had died. Despite rapid scientific advances there is still no cure and the drugs are expensive and toxic. In the developing world, especially in parts of Africa, life expectancy has plummeted to below 35 years, causing a serious decline in economic growth, a sharp increase in orphans, and the imminent collapse of health care systems. The news is not all bleak though. There have been unprecedented breakthroughs in understanding diseases and developing drugs. Because the disease is so closely linked to sexual activity and drug use, the need to understand and change behavior has caused us to reassess what it means to be human and how we should operate in the globalizing world. This Very Short Introduction tackles the science, the international and local politics, the fascinating demographics, and the devastating consequences of the disease, and suggests how we must respond.About the Series: Oxford's Very Short Introductions offers concise and original introductions to a wide range of subjects--from Islam to Sociology, Politics to Classics, and Literary Theory to History. Not simply a textbook of definitions, each volume provides trenchant and provocative--yet always balanced and complete--discussions of the central issues in a given topic. Every Very Short Introduction gives a readable evolution of the subject in question, demonstrating how it has developed and influenced society. Whatever the area of study, whatever the topic that fascinates the reader, the series has a handy and affordable guide that will likely prove indispensable.

    Linda Tirado, in her signature brutally honest yet personable voice, takes all of these preconceived notions and smashes them to bits. She articulates not only what it is to be working poor in America (yes, you can be poor and live in a house and have a job, even two), but what poverty is truly like—on all levels. Frankly and boldly, Tirado discusses openly how she went from lower-middle class, to sometimes middle class, to poor and everything in between, and in doing so reveals why “poor people don’t always behave the way middle-class America thinks they should.”

     Over a period of more than ten years, following the overthrow of the government in 1910, Mexico experienced a period of intense and bloody warfare as a bewildering array of factions in ever-changing alliances took power and then lost it. Presidents were elected (or elected themselves) and were then deposed or assassinated. New factions appeared with impressive sounding slogans, took to the field, and were either wiped out and never heard of again or became the next government. Inside you will read about... ✓ The Porfiriato ✓ The Unlikely Revolutionary ✓ Reign and Assassination of Madero ✓ The Iron Hand of Huerta ✓ Carranza Takes on Zapata and Villa ✓ Last Man Standing And much more! The Mexican Revolution is confusing and difficult to understand—there is, for example, still no agreement between scholars and historians on when it ended—but it is essential in understanding the national identity of modern Mexico. The civil war produced heroes whose names live on in legend and villains whose bloody exploits are still horrifying. It also caused anything up to two million casualties both as a direct result of the fighting and in the famine, economic hardship, and disease which followed in its wake. Modern Mexico was created out of the turmoil of the Mexican Revolution; this is the story of la revolución mexicana.

    . . Health care executives pulling in millions in bonuses for denying treatment to the sick . . . More than 100 million people with inadequate or no medical coverage . . . This may sound like the predicament of a third-world nation, but this is America’s health care reality today. The U.S. spends more on health care than any other nation, yet our benefits are shrinking and life expectancy is shorter here than in countries that spend significantly less per capita. Meanwhile, HMOs, pharmaceutical companies, and hospital chains reap tremendous profits, while politicians—beholden to insurers and drug companies—enact legislation for the benefit of the few rather than the many, while the entire system is on the verge of collapse. In Critical Condition, award-winning investigative journalists Donald L. Barlett and James B. Steele expose the horror of what health care in America has become. They profile patients and doctors trapped by the system and offer startling personal stories that illuminate what’s gone wrong. Doctors tell of being second-guessed and undermined by health care insurers; nurses recount chilling tales of hospital meltdowns; patients explain how they’ve been victimized by a system that is meant to care for them. Drug companies profit by selling pills in the same manner that Madison Avenue sells soap, while Wall Street rakes in billions by building up and then tearing down health care businesses. And politicians pass legislation perpetuating the injustices and out-right fraud the system encourages. By analyzing the industry and offering an insightful prescription for getting it back on the right track, Critical Condition is an enormously compelling investigative work that addresses the concerns of every American.

    Let s say you re listening to a loony liberal, debating some dopey Democrat, or arguing with a gaggle of goofy lefties. Wouldn t it be great to have the facts to combat all those liberals lies? Well, here it is: finally, the book that sets the record straight! Radio host and author Gregg Jackson has written THE authoritative answer book for conservatives concerning our nations key concerns: Abortions, terrorism, the Patriot Act, separation of church and state, immigration, the environment, homosexual marriage, taxes, deficits, school vouchers, gun control, health care, social security, education, media bias, and President Bush s real record of achievements. What makes Conservative Comebacks to Liberal Lies so important is that it gives conservatives, right-leaning independents, and even disaffected Democrats the truth they need to counter common liberal claims. Issue by issue, the book offers clear and concise conservative responses and comebacks. Here is a brilliant, A-to-Z reference book that gives readers clear-cut answers on today s most pressing political and social issues. Conservative Comeback to Liberal Lies should be in the hands of every red-blooded conservative in America!

    But they believe the party had lost sight of the ideals it believes in, like economic freedom, limited government, the sanctity of life, and putting families first. This isn’t your grandfather’s Republican party. These Young Guns of the House GOP—Cantor (the leader), Ryan (the thinker), and McCarthy (the strategist)—are ready to take their belief in the principles that have made America great and translate it into solutions that will make the future even better, solutions that will create private sector jobs, maximize individual freedom, and establish a better world for our children. This groundbreaking book is a call to action that sets forth a plan for growth, opportunity, and commitment that will propel this country to prosperity once again. Together, the Young Guns are changing the face of the Republican party and giving us a new road map back to the American dream.

    But with heated debates over taxation now roiling Congress and the nation, an understanding of our tax system is of vital importance. Taxes in America: What Everyone Needs to Know(R), by preeminent tax scholars Leonard E. Burman and Joel Slemrod, offers a clear, concise explanation of how our tax system works, how it affects people and businesses, and how it might be improved. Accessibly written and organized in a clear, question-and-answer format, the book describes the intricacies of the modern tax system in an easy-to-grasp manner. Burman and Slemrod begin with the basic definitions of taxes and then delve into more complicated and indeed contentious concerns. They address such questions as how to recognize Fool's Gold tax reform plans. How much more tax could the IRS collect with better enforcement? How do tax burdens vary around the world? Why do corporations pay so little tax, even though they earn trillions of dollars every year? And what kind of tax system is most conducive to economic growth?What Everyone Needs to Know(R) is a registered trademark of Oxford University Press.

    He has strong traditional conservative bona fides: he supports cutting taxes, shrinking government spending, cracking down on illegal immigration, and outlawing abortion. But he is an equally passionate advocate for such seemingly progressive-left stances as ending the drug war, opposing military interventions in the Middle East, abolishing the PATRIOT Act, and constraining the Federal Reserve.Despite such seeming contradictions, he has represented his conservative Texas district for twelve terms now, on and off since 1976, and has twice won the presidential straw poll at the Conservative Political Action Conference, where the right wing's most energetic young activists gather, in 2010 and 2011.Paul has been condemned across the political and media spectrums as an unbearably radical kook since rising to national prominence with his 2008 presidential bid. But to his growing number of activist supporters, he is the only national politician standing for the Founding Fathers' vision of constitutional liberty. He has touched a constantly growing number of government skeptics who see the political status quo as increasingly unsustainable. In the early days of the 2012 primary season, Paul is capturing a surprising number of votes, highlighting a division between libertarians and big-government conservatism that will define the future of both the Republican Party and American politics.In this indispensable guide, journalist Brian Doherty details Paul's career, traces the evolution of his ideas, and explores his significance in American politics. "Ron Paul's rEVOLution" introduces us to Paul's revolutionary ideological armies, many of them Americans previously divorced from the political process because they believe no one speaks for them. The Paul Revolution is a rising generation of cross-partisan activists concerned with government overreach. These supporters see this freethinking, plain-talking iconoclast as the lone leader prepared to grapple radically with the realities of a government crippled by debt that has dramatically expanded domestically and overseas.

    What makes Bill Clinton tick?William Jefferson Clinton, the 42nd President of the United States is undoubtedly the greatest American enigma of our age -- a dark horse that captured the White House, fell from grace and was resurrected as an elder statesman whose popularity rises and falls based on the day’s sound bytes.  John Gartner's In Search of Bill Clinton unravels the mystery at the heart of Clinton’s complex nature and why so many people fall under his spell.  He tells the story we all thought we knew, from the fresh viewpoint of a psychologist, as he questions the well-crafted Clinton life story.  Gartner, a therapist with an expertise in treating individuals with hypomanic temperaments, saw in Clinton the energy, creativity and charisma that leads a hypomanic individual to success as well as the problems with impulse control and judgment, which frequently result in disastrous decision-making.  He knew, though, that if he wanted to find the real Bill Clinton he couldn’t rely on armchair psychology to provide the answer.  He knew he had to travel to Arkansas and around the world to talk with those who knew Clinton and his family intimately. With his boots on the ground, Gartner uncovers long-held secrets about Clinton's mother, the ambitious and seductive Virginia Kelley, her wild life in Hot Springs and the ghostly specter of his biological father, Bill Blythe, to uncover the truth surrounding Clinton’s rumor-filled birth.  He considers the abusive influence of Clinton's alcoholic stepfather, Roger Clinton, to understand the repeated public abuse he invited both by challenging a hostile Republican Congress and engaging in the clandestine affair with Monica Lewinsky that led to his downfall.  Of course, there is no marriage more dissected than that of the Clintons, both in the White House and on the Hillary Clinton presidential campaign trail.  Instead of going down familiar paths, Gartner looks at that relationship with a new focus and clearly sees, in Hillary’s molding of Clinton into a more disciplined politician, the figure of Bill Clinton’s stern grandmother, Edith Cassidy, the woman who set limits on him at an early age.   Gartner brings Clinton’s story up to date as he travels to Ireland, the scene of one of Clinton’s greatest diplomatic triumphs, and to Africa, where his work with AIDS victims is unmatched, to understand Clinton’s current humanitarian persona and to find out why he is beloved in so much of the world while still scorned by many at home.   John Gartner’s exhaustive trip around the globe provides the richest portrait of Clinton yet, a man who is one of our national obsessions.  In Search of Bill Clinton is a surprising and compelling book about a man we all thought we knew.

    In his new book, Elder is out to slay entrenched and enmeshed special interest groups, government agencies with the capacity to meddle in Americans' lives and businesses, lawmakers who continue a pattern of outrageous overtaxation, and those who would hamstring this country with good intentions.Showdown demonstrates how the nation would be better, stronger and safer with less gvernment intervention and how individuals would not only cope but thrive without the so-called safety net. Showdown is a call to arms for a truly free society. Elder discusses:- What a Republican-led government means for progress- Where a responsible government would put its citizens' tax dollars- Why racial and sex discrimination are non-issues in the 21st century.Larry Elders straight talk and common-sense solutions spare no one and will inspire his passionate and growing audience.

    But the truth is far more sinister, says Austin Ruse. We're actually living in the age of the low information voter, easily mislead by all-too-convincing false statistics and studies. In Fact-Shaming, Ruse debunks so-called "facts" used to advance political causes one after the other, revealing how poorly they stand up to actual science.

    In 2001, Virginia Mason Medical Center, an integrated healthcare delivery system in Seattle, Washington set out to achieve its compelling vision to become The Quality Leader and to fulfill that vision, adopted the Toyota Production System as its management method.Transforming Health Care: Virginia Mason Medical Center's Pursuit of the Perfect Patient Experience takes you on the journey of of Virginia Mason Medical Center's pursuit of the perfect patient experience through the application of lean principles, tools, and methodology. Over the last several years Virginia Mason has become internationally known for its journey towards perfection by applying the Toyota Production System to healthcare. The book takes readers step by step through Virginia Mason's journey as it seeks to provide perfection to its customer - the patient. This book shows you how you use this system to transform your own organization.

    Moving far beyond the strict confines of politics, George F. Will offers a fascinating look at the people, stories, and events–often unheralded–that make the American drama so endlessly entertaining and instructive. With Will’s signature erudition and wry wit always on display, One Man’s America chronicles a spectacular, eclectic procession of figures who have shaped our cultural landscape–from Playboy founder Hugh Hefner to National Review founder William F. Buckley Jr., from Victorian poet Henry Wadsworth Longfellow to Beat poet Lawrence Ferlinghetti, from cotton picker— turned—country singer Buck Owens to actor-turned-president Ronald Reagan. Will crisscrosses the country to illuminate what it is that makes America distinctive. He visits the USS Arizona memorial in Pearl Harbor and ponders its enduring links to the present. He travels to Milwaukee to celebrate the hundredth anniversary of an iconic brand, Harley-Davidson. In Los Angeles he finds the inspiring future of education, while in New York he confronts the dispiriting didacticism of the avant-garde. He ventures to the Civil War battlefields of Virginia to explore what we risk when we efface our own history. And on the outskirts of Chicago he investigates one of the darkest chapters in American history, only to discover a shining example of resilience and grace–the best the country has to offer. Will’s wide lens takes in much more as well–everything from the “most emblematic novel of the 1930s” (and no, it is not about the Joads) to the cult of ESPN to Brooks Brothers and Ben & Jerry’s. And of course, One Man’s America would not be complete without the author’s insights on the national pastime, baseball–the icons and the cheats, the hapless and the greats. Finally, in a personal and reflective turn, Will writes movingly of his thirty-five-year-old son Jon, born with Down syndrome, and pays loving and poignant tribute to his mother, who died at the age of ninety-eight after a long struggle with dementia. The essays in One Man’s America, even when critiquing American culture, reflect Will’s deep affection and regard for our nation. After all, he notes, when America falls short, it does so only as compared to “the uniquely high standards it has set for itself.” In the end, this brilliantly informative and entertaining book reminds us of the enduring value of “the simple virtues and decencies that can make communities flourish and that have made America great and exemplary.”