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.

    It invites both introductory and advanced students to appreciate the roots and limits of American exceptionalism, and to recognize the profound importance of current debates over the government's role in our everyday lives.

    It argues that without proper access to the information that citizens pay for, Britain can never be a true democracy.

    It is notable also for elucidating the principles of "To each according to his contribution" as the basis for a "lower phase" of communist society directly following the transition from capitalism and "From each according to his ability, to each according to his needs" as the basis for a future "higher phase" of communist society. In describing the lower phase, he states that "the individual receives from society exactly what he gives to it" and advocates remuneration in the form of non-transferable labor vouchers as opposed to money.The Critique of the Gotha Program, published after his death, was among Marx's last major writings.

    No matter who you are, it is certain that one day you will die, but the mechanics and understanding of that experience will differ greatly in today’s modern age. Dr. Haider Warraich is a young and brilliant new voice in the conversation about death and dying started by Dr. Sherwin Nuland’s classic How We Die: Reflections on Life’s Final Chapter, and Atul Gawande’s recent sensation, Being Mortal: Medicine and What Matters in the End. Dr. Warraich takes a broader look at how we die today, from the cellular level up to the very definition of death itself.The most basic aspects of dying—the whys, wheres, whens, and hows—are almost nothing like what they were mere decades ago. Beyond its ecology, epidemiology, and economics, the very ethos of death has changed. Modern Death, Dr. Warraich’s debut book, will explore the rituals and language of dying that have developed in the last century, and how modern technology has not only changed the hows, whens, and wheres of death, but the what of death.Delving into the vast body of research on the evolving nature of death, Modern Death will provide readers with an enriched understanding of how death differs from the past, what our ancestors got right, and how trends and events have transformed this most final of human experiences.

    As a woman pregnant with more than one baby, you're feeling all these things . . . only more so! In When You're Expecting Twins, Triplets, or Quads, Dr. Barbara Luke, an acknowledged expert on the prenatal care of multiples, outlines a practical, nutrition-based program to keep you and your babies healthy, and she offers a comprehensive tour of what you can expect during your unique pregnancy and childbirth experience. Women who follow this program have significantly fewer complications during pregnancy—and their babies are born weighing 20 to 35 percent more than the average twin, triplet, or quad. Included is crucial information on:· Finding a qualified maternal/fetal medicine specialist · Dietary guidelines for maximizing birthweight · Safe limits on exercise, physical activity, and work · Taking a leave from your job and negotiating the best deal · Reducing your risk for pregnancy complications · Recognizing the signs of preterm labor and what to do about them · What to expect during and after delivery · Feeding and caring for your newborns . . . and yourself · Getting back into shape after delivery

    

    Is stoicism right for you? What can you learn from these ancient masters? Stoicism: Ultimate Handbook to Stoic Philosophy, Wisdom and Way of Life describes the core philosophies of the stoics: • Control What You Can • Emotions and Outcomes Exist Within • Honesty is a Virtue • Hope Never Dies • Knowledge Will Save You • Mindfulness is Important • Seek Morals, Not Awards • Stop On Time • Every Day Is A New Day You'll also learn the 4 Cardinal Virtues Of Stoicism: • Wisdom • Courage • Justice • Temperance What can Stoicism do for you in your everyday life? Stoicism: Ultimate Handbook to Stoic Philosophy, Wisdom and Way of Life also describes how Stoicism can help you in today's world. This ancient tradition can help you through tough times by teaching you to build your mental and physical strength and be a great leader. Also, you'll find that most religions agree with the philosophies and practices of Stoicism. Practicing Stoicism can help you cope with many negative emotions: • Stress • Judgment • Anger • Worry • Incompetence • Disappointment Download Stoicism: Ultimate Handbook to Stoic Philosophy, Wisdom and Way of Life NOW to find out about this amazing tradition that has stood the test of time. You'll be so glad you did!

    It feeds a whole industry of commentators, pundits and politicians who take great delight in whipping us all into a frenzy, speaking for the ‘ordinary people’. But, when ugly prejudices are being fed by professionals grown fat on the fear and fury of their consumers, it is time to stop and ask whether the faceless group of immigrants really exists – or whether it just appeals to our basest fears.In this lively polemic, James O’Brien brings some common sense back into the discussion. Some people want to be frightened. They thrive on anger and division and upset. But many people don’t, and it is they who are most let down – most insulted – by the immigration debate. We don’t need to buy into this myth. There is no such thing as ‘immigrants’. There is no ‘they’. There is only ‘we’.

    You might run for speed. But ultimately, running is about much more than the physical act itself. It is about the challenges we face in life, and how we measure up to them. It is about companionship, endurance, ambition, hope, conviction, determination, self-respect and inspiration. It is about how we choose to live our lives, and what it means to share our values with other people. In this year-long memoir, which might be described as a historian’s take on Haruki Murakami’s What I Talk About When I Talk About Running, the celebrated historian Ian Mortimer considers the meaning of running as he approaches his fiftieth birthday. From injuries and frustrated ambitions to exhilaration and empathy, it is a personal and yet universal account of what running means to people, and how it helps everyone focus on what really matters.

    These kids often have violent outbursts, steal, engage in outlandish lying, play with feces, and hoard food. They are broken children who too often break even the most loving of caregivers. Many parents of these children feel utterly isolated as family, friends, and professionals minimize their struggles. Reactive Attachment Disorder (RAD) - The Essential Guide for Parents is written by a parent who is in the trenches with you. Keri has lived the journey of raising a son with RAD and has navigated the mental health system for over a decade. This is the resource you’ve been waiting for – you won’t find platitudes or false hopes. What you will find is essential information, practical suggestions, and resource recommendations to provide a way forward. If you desperately need help navigating the difficult RAD journey with your child, this book is for you.

    Jonathan Eig's masterful narrative revolves around four principal characters: the fiery feminist Margaret Sanger, who was a champion of birth control in her campaign for the rights of women but neglected her own children in pursuit of free love; the beautiful Katharine McCormick, who owed her fortune to her wealthy husband, the son of the founder of International Harvester and a schizophrenic; the visionary scientist Gregory Pincus, who was dismissed by Harvard in the 1930s as a result of his experimentation with in vitro fertilization but who, after he was approached by Sanger and McCormick, grew obsessed with the idea of inventing a drug that could stop ovulation; and the telegenic John Rock, a Catholic doctor from Boston who battled his own church to become an enormously effective advocate in the effort to win public approval for the drug that would be marketed by Searle as Enovid.Spanning the years from Sanger’s heady Greenwich Village days in the early twentieth century to trial tests in Puerto Rico in the 1950s to the cusp of the sexual revolution in the 1960s, this is a grand story of radical feminist politics, scientific ingenuity, establishment opposition, and, ultimately, a sea change in social attitudes. Brilliantly researched and briskly written, The Birth of the Pill is gripping social, cultural, and scientific history.

     A riveting, powerful telling of the story of the grassroots movement of activists, many of them in a life-or-death struggle, who seized upon scientific research to help develop the drugs that turned HIV from a mostly fatal infection to a manageable disease. Ignored by public officials, religious leaders, and the nation at large, and confronted with shame and hatred, this small group of men and women chose to fight for their right to live by educating themselves and demanding to become full partners in the race for effective treatments. Around the globe, 16 million people are alive today thanks to their efforts. Not since the publication of Randy Shilts's classic And the Band Played On has a book measured the AIDS plague in such brutally human, intimate, and soaring terms. In dramatic fashion, we witness the founding of ACT UP and TAG (Treatment Action Group), and the rise of an underground drug market in opposition to the prohibitively expensive (and sometimes toxic) AZT. We watch as these activists learn to become their own researchers, lobbyists, drug smugglers, and clinicians, establishing their own newspapers, research journals, and laboratories, and as they go on to force reform in the nation s disease-fighting agencies. With his unparalleled access to this community David France illuminates the lives of extraordinary characters, including the closeted Wall Street trader-turned-activist, the high school dropout who found purpose battling pharmaceutical giants in New York, the South African physician who helped establish the first officially recognized buyers club at the height of the epidemic, and the public relations executive fighting to save his own life for the sake of his young daughter. Expansive yet richly detailed, this is an insider's account of a pivotal moment in the history of American civil rights. Powerful, heart-wrenching, and finally exhilarating, How to Survive a Plague is destined to become an essential part of the literature of AIDS.

    Arguing that the cause of this failure to control addiction is that treatments have focused too single-mindedly on the afflicted individual addict, this book presents a radical rethink about the nature of addiction.

    Otis Brawley is the chief medical and scientific officer of The American Cancer Society, an oncologist with a dazzling clinical, research, and policy career. How We Do Harm pulls back the curtain on how medicine is really practiced in America. Brawley tells of doctors who select treatment based on payment they will receive, rather than on demonstrated scientific results; hospitals and pharmaceutical companies that seek out patients to treat even if they are not actually ill (but as long as their insurance will pay); a public primed to swallow the latest pill, no matter the cost; and rising healthcare costs for unnecessary—and often unproven—treatments that we all pay for. Brawley calls for rational healthcare, healthcare drawn from results-based, scientifically justifiable treatments, and not just the peddling of hot new drugs.Brawley's personal history – from a childhood in the gang-ridden streets of black Detroit, to the green hallways of Grady Memorial Hospital, the largest public hospital in the U.S., to the boardrooms of The American Cancer Society—results in a passionate view of medicine and the politics of illness in America - and a deep understanding of healthcare today. How We Do Harm is his well-reasoned manifesto for change.