Your Money or Your Life: Strong Medicine for America's Health Care System
David M. Cutler - 2003
Medical care is in crisis, we are repeatedly told, and so it is. Barely one in five Americans thinks the medical system works well. Enter David M. Cutler, a Harvard economist who served on President Clinton's health care task force and later advised presidential candidate Bill Bradley. One of the nation's leading experts on the subject, Cutler argues in Your Money or Your Life that health care has in fact improvedexponentially over the last fifty years, and that the successes of our system suggest ways in which we might improve care, make the system easier to deal with, and extend coverage to all Americans. Cutler applies an economic analysis to show that our spending on medicine is well worth it--and thatwe could do even better by spending more. Further, millions of people with easily manageable diseases, from hypertension to depression to diabetes, receive either too much or too little care because of inefficiencies in the way we reimburse care, resulting in poor health and in some cases prematuredeath. The key to improving the system, Cutler argues, is to change the way we organize health care. Everyone must be insured for the medical system to perform well, and payments should be based on the quality of services provided not just on the amount of cutting and poking performed. Lively and compelling, Your Money or Your Life offers a realistic yet rigorous economic approach to reforming health care--one that promises to break through the stalemate of failed reform.
Lincoln's Melancholy: How Depression Challenged a President and Fueled His Greatness
Joshua Wolf Shenk - 2005
Giving shape to the deep depression that pervaded Lincoln's adult life, Joshua Wolf Shenk's Lincoln's Melancholy reveals how this illness influenced both the president's character and his leadership. Lincoln forged a hard path toward mental health from the time he was a young man. Shenk draws from historical record, interviews with Lincoln scholars, and contemporary research on depression to understand the nature of his unhappiness. In the process, he discovers that the President's coping strategies—among them, a rich sense of humor and a tendency toward quiet reflection—ultimately helped him to lead the nation through its greatest turmoil.
Limits to Medicine: Medical Nemesis: The Expropriation of Health
Ivan Illich - 1974
In Limits to Medicine Ivan Illich has enlarged on this theme of disabling social services, schools, and transport, which have become, through over-industrialization, harmful to man. In this radical contribution to social thinking Illich decimates the myth of the magic of the medical profession.
A Nation Under Our Feet: Black Political Struggles in the Rural South from Slavery to the Great Migration
Steven Hahn - 2003
As Steven Hahn demonstrates, rural African-Americans were central political actors in the great events of disunion, emancipation, and nation-building. At the same time, Hahn asks us to think in more expansive ways about the nature and boundaries of politics and political practice.Emphasizing the importance of kinship, labor, and networks of communication, A Nation under Our Feet explores the political relations and sensibilities that developed under slavery and shows how they set the stage for grassroots mobilization. Hahn introduces us to local leaders, and shows how political communities were built, defended, and rebuilt. He also identifies the quest for self-governance as an essential goal of black politics across the rural South, from contests for local power during Reconstruction, to emigrationism, biracial electoral alliances, social separatism, and, eventually, migration.Hahn suggests that Garveyism and other popular forms of black nationalism absorbed and elaborated these earlier struggles, thus linking the first generation of migrants to the urban North with those who remained in the South. He offers a new framework--looking out from slavery--to understand twentieth-century forms of black political consciousness as well as emerging battles for civil rights. It is a powerful story, told here for the first time, and one that presents both an inspiring and a troubling perspective on American democracy.
The Other America: Poverty in the United States
Michael Harrington - 1962
This anniversary edition includes Michael Harrington’s essays on poverty in the 1970s and ’80s as well as a new introduction by Harrington’s biographer, Maurice Isserman. This illuminating, profoundly moving classic is still all too relevant for today’s America.When Michael Harrington’s masterpiece, The Other America, was first published in 1962, it was hailed as an explosive work and became a galvanizing force for the war on poverty. Harrington shed light on the lives of the poor—from farm to city—and the social forces that relegated them to their difficult situations. He was determined to make poverty in the United States visible and his observations and analyses have had a profound effect on our country, radically changing how we view the poor and the policies we employ to help them.
Inside National Health Reform
John E. McDonough - 2011
Dr. John E. McDonough, DPH, a health policy expert who served as an advisor to the late Senator Edward Kennedy, provides a vivid picture of the intense effort required to bring this legislation into law. McDonough clearly explains the ACA’s inner workings, revealing the rich landscape of the issues, policies, and controversies embedded in the law yet unknown to most Americans. In his account of these historic events, McDonough takes us through the process from the 2008 presidential campaign to the moment in 2010 when President Obama signed the bill into law. At a time when the nation is taking a second look at the ACA, Inside National Health Reform provides the essential information for Americans to make informed judgments about this landmark law.
Cook County ICU: 30 Years of Unforgettable Patients and Odd Cases
Cory Franklin - 2015
Cory Franklin. Filled with stories of strange medical cases and unforgettable patients culled from a thirty-year career in medicine, Cook County ICU offers readers a peek into the inner workings of a hospital. Author Dr. Cory Franklin, who headed the hospital’s intensive care unit from the 1970s through the 1990s, shares his most unique and bizarre experiences, including the deadly Chicago heat wave of 1995, treating some of the first AIDS patients in the country before the disease was diagnosed, the nurse with rare Munchausen syndrome, the first surviving ricin victim, and the famous professor whose Parkinson’s disease hid the effects of the wrong medication. Surprising, darkly humorous, heartwarming, and sometimes tragic, these stories provide a big-picture look at how the practice of medicine has changed over the years, making it an enjoyable read for patients, doctors, and anyone with an interest in medicine.
The Impending Crisis: America Before the Civil War, 1848-1861
David Morris Potter - 1976
Potter’s magisterial The Impending Crisis is the single best account to date of the coming of the Civil War.” —Civil War History“The magnum opus of a great American historian.” —NewsweekNow in a new edition for the 150th Anniversary of the Civil War, David Potter’s Pulitzer Prize-winning history of antebellum America offers an indispensible analysis of the causes of the war between the states. The Journal of Southern History calls Potter’s incisive account, “modern scholarship’s most comprehensive account of the coming of the Civil War,” and the New York Times Book Review hails it as “profound and original…. History in the grand tradition.”
Body of Work: Meditations on Mortality from the Human Anatomy Lab
Christine Montross - 2007
Entering a room with stainless-steel tables topped by corpses in body bags is shocking no matter how long you've prepared yourself, but a strange thing happened when Montross met her cadaver. Instead of being disgusted by her, she was utterly intrigued-intrigued by the person the woman once was, humbled by the sacrifice she had made in donating her body to science, fascinated by the strange, unsettling beauty of the human form. They called her Eve. This is the story of Montross and Eve-the student and the subject-and the surprising relationship that grew between them. Body of Work is a mesmerizing, rarely seen glimpse into the day-to-day life of a medical student-yet one that follows naturally in the footsteps of recent highly successful literary renderings of the mysteries of medicine such as Atul Gawande's Complications: A Surgeon's Notes on an Imperfect Science. Christine Montross was a poet long before she became a doctor and brings an uncommon perspective to the emotional difficulty of the first year of medical school-the dispiriting task of remaining clinical and detached while in the anatomy lab and the struggle with the line you've crossed by violating another's body once you leave it. Montross was so affected by her experience with Eve that she undertook to learn more about the history of cadavers and the study of anatomy. She visited an autopsy lab in Ireland and the University of Padua in Italy where Vesalius, a forefather of anatomy, once studied; she learned about body snatchers and grave-robbers and anatomists who practiced their work on live criminals. Her disturbing, often entertaining anecdotes enrich this exquisitely crafted memoir, endowing an eerie beauty to the world of a doctor-in-training. Body of Work is an unforgettable examination of the mysteries of the human body and a remarkable look at our relationship with both the living and the dead.
Drug Use for Grown-Ups: Chasing Liberty in the Land of Fear
Carl L. Hart - 2021
. . when it comes to the legacy of this country's war on drugs, we should all share his outrage." --The New York Times Book Review From one of the world's foremost experts on the subject, a powerful argument that the greatest damage from drugs flows from their being illegal, and a hopeful reckoning with the possibility of their use as part of a responsible and happy lifeDr. Carl L. Hart, Ziff Professor at Columbia University and former chair of the Department of Psychology, is one of the world's preeminent experts on the effects of so-called recreational drugs on the human mind and body. Dr. Hart is open about the fact that he uses drugs himself, in a happy balance with the rest of his full and productive life as a colleague, husband, father, and friend. In Drug Use for Grown-Ups, he draws on decades of research and his own personal experience to argue definitively that the criminalization and demonization of drug use--not drugs themselves--have been a tremendous scourge on America, not least in reinforcing this country's enduring structural racism.Dr. Hart did not always have this view. He came of age in one of Miami's most troubled neighborhoods at a time when many ills were being laid at the door of crack cocaine. His initial work as a researcher was aimed at proving that drug use caused bad outcomes. But one problem kept cropping up: the evidence from his research did not support his hypothesis. From inside the massively well-funded research arm of the American war on drugs, he saw how the facts did not support the ideology. The truth was dismissed and distorted in order to keep fear and outrage stoked, the funds rolling in, and Black and brown bodies behind bars.Drug Use for Grown-Ups will be controversial, to be sure: the propaganda war, Dr. Hart argues, has been tremendously effective. Imagine if the only subject of any discussion about driving automobiles was fatal car crashes. Drug Use for Grown-Ups offers a radically different vision: when used responsibly, drugs can enrich and enhance our lives. We have a long way to go, but the vital conversation this book will generate is an extraordinarily important step.
Dragons of Eden: Speculations on the Evolution of Human Intelligence
Carl Sagan - 1977
Dr Carl Sagan takes us on a great reading adventure, offering his vivid and startling insights into the brains of humans & beasts, the origin of human intelligence, the function of our most haunting legends and their amazing links to recent discoveries.
This Republic of Suffering: Death and the American Civil War
Drew Gilpin Faust - 2008
During the war, approximately 620,000 soldiers lost their lives. An equivalent proportion of today's population would be six million. This Republic of Suffering explores the impact of this enormous death toll from every angle: material, political, intellectual, and spiritual. The eminent historian Drew Gilpin Faust delineates the ways death changed not only individual lives but the life of the nation and its understanding of the rights and responsibilities of citizenship. She describes how survivors mourned and how a deeply religious culture struggled to reconcile the slaughter with its belief in a benevolent God, pondered who should die and under what circumstances, and reconceived its understanding of life after death. Faust details the logistical challenges involved when thousands were left dead, many with their identities unknown, on the fields of places like Bull Run, Shiloh, Antietam, and Gettysburg. She chronicles the efforts to identify, reclaim, preserve, and bury battlefield dead, the resulting rise of undertaking as a profession, the first widespread use of embalming, the gradual emergence of military graves registration procedures, the development of a federal system of national cemeteries for Union dead, and the creation of private cemeteries in the South that contributed to the cult of the Lost Cause. She shows, too, how the war victimized civilians through violence that extended beyond battlefields-from disease, displacement, hardships, shortages, emotional wounds, and conflicts connected to the disintegration of slavery.
The Armies of the Night: History as a Novel, the Novel as History
Norman Mailer - 1968
Winner of America’s two highest literary awards, The Armies of the Night uniquely and unforgettably captures the Sixties’ tidal wave of love and rage at its crest and a towering genius at his peak. The time is October 21, 1967. The place is Washington, D.C. Depending on the paper you read, 20,000 to 200,000 protestors are marching to end the war in Vietnam, while helicopters hover overhead and federal marshals and soldiers with fixed bayonets await them on the Pentagon steps. Among the marchers is a writer named Norman Mailer. From his own singular participation in the day’s events and his even more extraordinary perceptions comes a classic work that shatters the mold of traditional reportage. Intellectuals and hippies, clergymen and cops, poets and army MPs crowd the pages of a book in which facts are fused with techniques of fiction to create the nerve-end reality of experiential truth.
The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures
Anne Fadiman - 1997
By 1988 she was living at home but was brain dead after a tragic cycle of misunderstanding, over-medication, and culture clash: "What the doctors viewed as clinical efficiency the Hmong viewed as frosty arrogance." The Spirit Catches You and You Fall Down is a tragedy of Shakespearean dimensions, written with the deepest of human feeling. Sherwin Nuland said of the account, "There are no villains in Fadiman's tale, just as there are no heroes. People are presented as she saw them, in their humility and their frailty—and their nobility.
Why We Get Sick: The New Science of Darwinian Medicine
Randolph M. Nesse - 1994
Why We Get Sick compels readers to reexamine the age-old attitudes toward sickness. Line drawings.