“How long had this been going on?” she wondered, on behalf of the rest of the nation. “Was it something that we said?”The more she looked at Texas, the more she realized it was at the heart of the American political story. The Tea Party had Texas roots, with its passion for states’ rights and sense of persecution by an overreaching Washington. But Texas also seemed to be running the federal government it despised. Through its vigorous support of banking deregulation, which began with the savings and loan crisis of the 1980s and ended calamitously with the Wall Street crash of 2008, Texas’s boot prints were deep. In education, Texas had managed both to be the model for the wildly influential No Child Left Behind law and to provide some of the loudest political voices calling for the law to be trashed. In energy, Texas was the heart of the drill-baby-drill movement and the war against the whole concept of global warming.Collins brilliantly frames this national movement through the outsized behavior and inimitable swagger of some of Texas’s most colorful and influential political figures, from former House of Representatives Majority Leader Tom DeLay, who got into politics when the EPA banned his favorite fire ant repellent, to Perry himself, who when confronted with the fact that his state had the country’s third-highest teen pregnancy rate, defended its abstinence-only sex education policy by doggedly asserting, “I’m just going to tell you from my own personal life. Abstinence works.”Digging beneath the veneer of cowboy hats, oil derricks, and Alamo cries, Collins has produced a profoundly original work demonstrating that much of what ails America was first birthed in Texas. Like it or not, as Texas goes, so goes the nation.

    It did not have to end this way, but when the most devious and ruthless members of a society are tasked with running the system, the outcome can hardly be in dispute. All empires fall, but it is the reason they eventually come apart that is surprisingly similar. The fate of America will not be any different. Like a 47-story steel and concrete building that is covertly slated for demolition, the American Empire was built on a rotten foundation and has been targeted for destruction. The core of the building has been pre-weakened over the decades through government policies, had its support columns identified and rigged with financial detonators, watched society be transformed into a culture incapable of recognizing their impending doom to sound the alarm, and as the plunger is pushed down and the destruction begins, many people will have no idea of what is coming their way until it is too late. Once the debris is cleared away there is hope that a new civilization can be built, but will they make the same mistakes, or can they learn from the past and chart a different course?

    In Coming Apart, Charles Murray explores the formation of American classes that are different in kind from anything we have ever known, focusing on whites as a way of driving home the fact that the trends he describes do not break along lines of race or ethnicity. Drawing on five decades of statistics and research, Coming Apart demonstrates that a new upper class and a new lower class have diverged so far in core behaviors and values that they barely recognize their underlying American kinship—divergence that has nothing to do with income inequality and that has grown during good economic times and bad. The top and bottom of white America increasingly live in different cultures, Murray argues, with the powerful upper class living in enclaves surrounded by their own kind, ignorant about life in mainstream America, and the lower class suffering from erosions of family and community life that strike at the heart of the pursuit of happiness. That divergence puts the success of the American project at risk. The evidence in Coming Apart is about white America. Its message is about all of America.

    By demystifying the fantasies surrounding cancer, Sontag shows cancer for what it is--just a disease. Cancer, she argues, is not a curse, not a punishment, certainly not an embarrassment and, it is highly curable, if good treatment is followed.Almost a decade later, with the outbreak of a new, stigmatized disease replete with mystifications and punitive metaphors, Sontag wrote a sequel to Illness as Metaphor, extending the argument of the earlier book to the AIDS pandemic.These two essays now published together, Illness as Metaphor and AIDS and Its Metaphors, have been translated into many languages and continue to have an enormous influence on the thinking of medical professionals and, above all, on the lives of many thousands of patients and caregivers.

    How should Christians live their faith in the public arena? This updated edition of Charles Colson's blockbuster Kingdoms in Conflict includes a new foreword, new stories and recent court cases in place of older examples, and a revised opening that depicts today's current international climate marked by terrorism and the conflict with radical Islam.

    Leonard Zeskind draws heavily upon court documents, racist publications, and first-person reports, along with his own personal observations. An internationally recognized expert on the subject who received a MacArthur Fellowship for his work, Zeskind ties together seemingly disparate strands—from neo-Nazi skinheads, to Holocaust deniers, to Christian Identity churches, to David Duke, to the militia and beyond. Among these elements, two political strategies—mainstreaming and vanguardism—vie for dominance. Mainstreamers believe that a majority of white Christians will eventually support their cause. Vanguardists build small organizations made up of a highly dedicated cadre and plan a naked seizure of power. Zeskind shows how these factions have evolved into a normative social movement that looks like a demographic slice of white America, mostly blue-collar and working middle class, with lawyers and Ph.D.s among its leaders. When the Cold War ended, traditional conservatives helped birth a new white nationalism, most evident now among anti-immigrant organizations. With the dawn of a new millennium, they are fixated on predictions that white people will lose their majority status and become one minority among many. The book concludes with a look to the future, elucidating the growing threat these groups will pose to coming generations.

    Designed to check tyrants or defend the nation from a commander-in-chief who refuses to do so, the process of impeachment outlined in the Constitution is what Thomas Jefferson called "the most formidable weapon for the purpose of a dominant faction that was ever contrived." It nullifies the will of voters, the basic foundation of legitimacy for all representative democracies. Only three times has a president's conduct led to such political disarray as to warrant his potential removal from office, transforming a political crisis into a constitutional one. None has yet succeeded. Andrew Johnson was impeached in 1868 for failing to kowtow to congressional leaders--and in a large sense, for failing to be Abraham Lincoln--yet survived his Senate trial. Richard Nixon resigned in July of 1974 after the House Judiciary Committee approved three articles of impeachment for lying, obstructing justice, and employing his executive power for personal and political gain. Bill Clinton had an affair with a White House intern, but in 1999 faced trial in the Senate less for that prurient act than for lying under oath about it.In the first book to consider these three presidents alone, and the one thing they have in common, Jeffrey Engel, Jon Meacham, Timothy Naftali, and Peter Baker explain that the basis and process of impeachment is more political than it is a legal verdict. The Constitution states that the president, "shall be removed from Office on Impeachment for, and Conviction of, Treason, Bribery, or other high Crimes and Misdemeanors," leaving room for historical precedent and the temperament of the time to weigh heavily on each case. These three cases highlight factors beyond the president's behavior that impact the likelihood and outcome of an impeachment: the president's relationship with Congress, the power and resilience of the office itself, and the polarization of the moment. This is a realist, rather than hypothetical, view of impeachment that looks to history for clues about its future--with one obvious candidate in mind.

    Some of these drugs are truly transformative, offering major improvements in how long patients live or how they feel--but what is often missing from the popular narrative is that, far too often, these new drugs have marginal or minimal benefits. Some are even harmful. In Malignant, hematologist-oncologist Dr. Vinayak K. Prasad writes about the many sobering examples of how patients are too often failed by cancer policy and by how oncology is practiced. Throughout this work, Prasad illuminates deceptive practices which- promote novel cancer therapies long before credible data are available to support such treatment; and- exaggerate the potential benefits of new therapies, many of which cost thousands and in some cases hundreds of thousands of dollars.Prasad then critiques the financial conflicts of interest that pervade the oncology field, the pharmaceutical industry, and the US Food and Drug administration.This is a book about how the actions of human beings--our policies, our standards of evidence, and our drug regulation--incentivize the pursuit of marginal or unproven therapies at lofty and unsustainable prices. Prasad takes us through how cancer trials are conducted, how drugs come to market, and how pricing decisions are made, asking how we can ensure that more cancer drugs deliver both greater benefit and a lower price. Ultimately, Prasad says,- more cancer clinical trials should measure outcomes that actually matter to people with cancer;- patients on those trials should look more like actual global citizens;- we need drug regulators to raise, not perpetually lower, the bar for approval; and- we need unbiased patient advocates and experts.This well-written, opinionated, and engaging book explains what we can do differently to make serious and sustained progress against cancer--and how we can avoid repeating the policy and practice mistakes of the past.

    Designed for graduate and advanced undergraduate students, it includes the contributions of leading thinkers, educators, and practitioners who provide an in-depth and objective appraisal of why and how we organize health care the way we do; the enormous impact of health-related behaviors on the structure, function, and cost of the health care delivery system; and other emerging and recurrent issues in health policy, health care management, and public health. To update this book with the rapid changes that have occurred in health care through November 2013, a separate chapter, the Affordable Care Act (ACA) Supplement, is available to students and instructors as a downloadable PDF.This text is divided into five sections, in order to provide some coherence to this broad terrain. Part I, The Current U.S. Health Care System, addresses major characteristics and issues, including reform, financing, and comparative health care systems. This section now includes multiple new charts and tables providing concrete health care data. Part II, Population Health, focuses on health behavior, including health care models, public health policy and practice, risk factors, facilitating healthy lifestyle practices, and access to care. Part III, Medical Care Delivery, addresses integrated health models, delivering high-quality health care, health care costs and value, and comparative effectiveness. Part IV, Support for Medical Care Delivery, concerns governance and management issues, including accountability, the health workforce, and information technology. Part V, The Future of Health Care Delivery in the United States, includes a new 5-year trend forecast.Key Features: Includes major provisions of the Patient Protection and Affordable Health Care Act of 2010Each chapter includes these special features: key concepts; extensive mapping resources; key words; learning objectives; discussion questions; and case studiesCovers the newest models of care, such as Accountable Care Organizations and Integrated Delivery SystemsExamines new ways of conceptualizing and assessing health care, including comparative effectiveness researchFeatures contributions by leading scholars and key figures within the U.S. health care system, including John Billings, JD; Carolyn M. Clancy, MD; C. Tracy Orleans, PhD; and Michael S. Sparer, PhD, JDContains new coverage of health reform, developing countries, population health, public health and catastrophic events, and a broadened discussion of the health care workforceAffordable Care Act (ACA) Supplement available to students and instructors as a downloadable PDF. Available to Instructors: Instructor's Guide (updated to reflect content from ACA supplement)PowerPoint PresentationsImage BankTest Bank (updated to reflect content from ACA supplement)"

    A school cafeteria lunch is infected with a drug-resistant strain of E. coli.... Thousands in a bustling shopping mall inhale a lethal mist of smallpox, turning each individual into a highly infectious agent of suffering and death....Dr. Michael Osterholm knows all too well the horrifying scenarios he describes. In this eye-opening account, the nation’s leading expert on bioterrorism sounds a wake-up call to the terrifying threat of biological attack — and America’s startling lack of preparedness. He demonstrates the havoc these silent killers can wreak, exposes the startling ease with which they can be deployed, and asks probing questions about America’s ability to respond to such attacks. Are most doctors and emergency rooms able to diagnose correctly and treat anthrax, smallpox, and other potential tools in the bioterrorist’s arsenal? Is the government developing the appropriate vaccines and treatments? The answers are here in riveting detail — what America has and hasn’t done to prevent the coming bioterrorist catastrophe. Impeccably researched, grippingly told, Living Terrors presents the unsettling truth about the magnitude of the threat. And more important, it presents the ultimate insider’s prescription for change: what we must do as a nation to secure our freedom, our future, our lives.

    In this indispensable book, the staff of the Washington Post tells the story of health-care reform and explains what it means for the American people.In the book’s first section, the Washington Post’s reporter embedded in the White House provides a behind-the-scenes narrative of how Obama and the Democrats pushed through health-care reform in the face of nearly unanimous Republican opposition. This section traces the tortured evolution of the legislation, showing how the Senate killed the public option, how the January 2010 victory of Republican senator Scott Brown left the Democrats scrambling, and how Democratic leaders ultimately negotiated among entrenched political factions—including disillusioned Democrats—to reach a compromise.What does this final package include? The book’s second section provides an accessible summary of the legislation that Obama signed into law in March 2010. In the third section, Washington Post writers answer the most pressing questions about the health-care legislation’s immediate impact. Most importantly, how will the new bill affect individuals—small-business owners, uninsured Americans with pre-existing conditions, and twenty-somethings on their parents’ policies? This is a must-read for anyone who wants to understand how this legislation came into being and what the new health-care program means.

    Federal Election Commission trust in our government has reached an all-time low. More than ever before, Americans believe that money buys results in Congress, and that business interests wield control over our legislature.With heartfelt urgency and a keen desire for righting wrongs, Harvard law professor Lawrence Lessig takes a clear-eyed look at how we arrived at this crisis: how fundamentally good people, with good intentions, have allowed our democracy to be co-opted by outside interests, and how this exploitation has become entrenched in the system. Rejecting simple labels and reductive logic-and instead using examples that resonate as powerfully on the Right as on the Left-Lessig seeks out the root causes of our situation. He plumbs the issues of campaign financing and corporate lobbying, revealing the human faces and follies that have allowed corruption to take such a foothold in our system. He puts the issues in terms that nonwonks can understand, using real-world analogies and real human stories. And ultimately he calls for widespread mobilization and a new Constitutional Convention, presenting achievable solutions for regaining control of our corrupted-but redeemable-representational system. In this way, Lessig plots a roadmap for returning our republic to its intended greatness. While America may be divided, Lessig vividly champions the idea that we can succeed if we accept that corruption is our common enemy and that we must find a way to fight against it. In REPUBLIC, LOST, he not only makes this need palpable and clear-he gives us the practical and intellectual tools to do something about it.

    It can help you win the election and guide Republicans in shaping the political future.Memo to Democrats: Don't read this book. It's going to be THE political book of 2008. Republicans will be better off if you choose to ignore it."      --William Kristol, editor, The Weekly StandardIn a provocative challenge to Republican conventional wisdom, two of the Right's rising young thinkers call upon the GOP to focus on the interests and needs of working-class voters.Grand New Party lays bare the failures of the conservative revolution and presents a detailed blueprint for building the next Republican majority. Blending history, analysis, and fresh, often controversial recommendations, Ross Douthat and Reihan Salam argue that it is time to move beyond the Reagan legacy and the mind-set of the current Republican power structure.In a concise examination of recent political trends, the authors show that the Democrats' cultural liberalism makes their party inherently hostile to the interests and values of the working class. But on a host of issues, today's Republican Party lacks a message that speaks to their economic aspirations. Grand New Party offers a new direction "a conservative vision of a limited-but-active government that tackles the threats to working-class prosperity and to the broader American Dream.With specific proposals covering such hot-button topics as immigration, health care, and taxes, Grand New Party will shake up the Right, challenge the Left, and force both sides to confront and adapt to the changing political landscape.

    We like to imagine that it’s based on evidence and the results of fair tests. In reality, those tests are often profoundly flawed. We like to imagine that doctors are familiar with the research literature surrounding a drug, when in reality much of the research is hidden from them by drug companies. We like to imagine that doctors are impartially educated, when in reality much of their education is funded by industry. We like to imagine that regulators let only effective drugs onto the market, when in reality they approve hopeless drugs, with data on side effects casually withheld from doctors and patients.All these problems have been protected from public scrutiny because they’re too complex to capture in a sound bite. But Dr. Ben Goldacre shows that the true scale of this murderous disaster fully reveals itself only when the details are untangled. He believes we should all be able to understand precisely how data manipulation works and how research misconduct on a global scale affects us. In his own words, “the tricks and distortions documented in these pages are beautiful, intricate, and fascinating in their details.” With Goldacre’s characteristic flair and a forensic attention to detail, Bad Pharma reveals a shockingly broken system and calls for something to be done. This is the pharmaceutical industry as it has never been seen before.

    Naturalist. Warrior. President. There are so many sides to Theodore Roosevelt that it is easy to overlook one of his most enduring contributions to American public life: the use of fame to fuel his political career.In this concisely written, enlightening book, presidential historian Lewis L. Gould goes beyond the bully pulpit stereotypes to reveal how Roosevelt used his celebrity to change American politics. Based on research gleaned from the personal papers of Roosevelt and his contemporaries, TheodoreRoosevelt recaptures its subject's bold activism and irrepressible, larger-than-life personality. Beginning with his privileged childhood in New York City, the narrative traces his election to the New York Assembly, where he quickly rose through the ranks of the Republican Party. It is here that hefirst applied his shrewd ability to keep himself in the spotlight--a skill that served him well as commander of a volunteer regiment (dubbed Roosevelt's Rough Riders) in the Spanish-American War. Gould shows how Roosevelt rode a wave of popular acclaim at the war's end, assuming the governorshipof New York and serving as president from 1901 to 1909. While covering his major accomplishments as chief executive, including his successes as a trust-buster, labor mediator, and conservationist, Gould explains how fame both sustained and limited Roosevelt when he ran for president in 1912 andopposed Woodrow Wilson's policies during World War I.Theodore Roosevelt delivers the most insightful look yet at a pioneer of political theater--a man whose vigorous idealism as a champion of democracy serves as a counterpoint to the cynicism of today's political landscape. The book will coincide with the 100th anniversary of Roosevelt's third partyrun for the Progressive or Bull Moose Party.