This fully updated and revised 11th edition of a highly esteemed survey and analysis of health care delivery in the United States keeps pace with the rapid changes that are reshaping our system. Fundamentally, this new edition presents the realities that impact our nation’s achievement of the so-called Triple Aim: better health and better care at a lower cost. It addresses challenges and responses to the Affordable Care Act (ACA), the implementation of Obamacare, and many new models of care designed to replace outmoded systems. Leading scholars, practitioners, and educators within population health and medical care present the most up-to-date evidence-based information on health disparities, vulnerable populations, and immigrant health; nursing workforce challenges; new information technology; preventive medicine; emerging approaches to control health care costs; and much more.Designed for graduate and advanced undergraduate students of health care management and administration and public health, the text addresses all of the complex core issues surrounding our health care system in a strikingly readable and accessible format. Contributors 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. The 11th edition features the writings of such luminaries as Michael K. Gusmanno, Carolyn M. Clancy, Joanne Spetz, Nirav R. Shah, Michael S. Sparer, and Christy Harris Lemak, among others. Chapters include key words, learning objectives and competencies, discussion questions, case studies, and new charts and tables with concrete health care data. Included for instructors is an Instructor’s Manual, PowerPoint slides, Syllabus, Test Bank, Image Bank, Supplemental e-chapter on the ACA, and a transition guide bridging the 10th and 11th editions.Key Features:Integration of the ACA throughout the text, including a supplementary e-chapter devoted to this major health care policy innovationThe implementation of ObamacareCombines acute and chronic care into organizations of medical careNursing workforce challengesHealth disparities, vulnerable populations, and immigrant healthStrategies to achieve the Triple Aim (better health and better care at lower cost)New models of care including accountable care organizations (ACOs), patient homes, health exchanges, and integrated health systemsEmerging societal efforts toward creating healthy environments and illness preventionIncreasing incentives for efficiency and better quality of careExpanded discussion of information technologyA new 5-year trend forecast
Covering the U.S.A. and Canada like never before, and for the first time with full-color photographs, here are 1,000 compelling, essential, offbeat, utterly unforgettable places. Pristine beaches and national parks, world-class museums and the Just for Laughs festival, mountain resorts, salmon-rich rivers, scenic byways, the Oyster Bar and the country’s best taco, lush gardens and coastal treks at Point Reyes, rafting the Upper Gauley (if you dare). Plus resorts, vineyards, hot springs, classic ballparks, the Talladega Speedway, and more. Includes new attractions, like Miami’s Pérez Art Museum and Manhattan’s High Line, plus more than 150 places of special interest to families. And, for every entry, what you need to know about how and when to visit.“Patricia Schultz unearths the hidden gems in our North American backyard. Don’t even think about packing your bag and sightseeing without it.” —New York Daily News
In the past decade, the nation experienced an unusually active period in health policy with the enactment of the Affordable Care Act (ACA). Historically, health policymaking has been a slow yet persistent evolution. The ACA, in spite of its magnitude, is an excellent example of the incremental evolution that characterizes policymaking in the United States. This book provides context and background for understanding the development of today s health reform legislation. In the new edition of this widely used book, Beaufort Longest provides a framework for understanding the formulation, implementation, and modification of health policymaking at both the federal and state levels. Students will learn how policymaking relates to decisions that affect healthcare providers and patients. They will also gain insight into how they can influence the policymaking process. Incorporated in the book are excerpts from congressional testimony, news stories, executive orders, legislation, and other documents related to real-world policy issues. Thoroughly updated and revised, this edition: Discusses the ACA extensively, with examples of both its formulation and its implementationExpands coverage of policymaking s implementation phaseProvides a new chapter on the role of courts in health policy and policymakingIncludes more than 30 appendices, many brand new to this edition, to illustrate the policymaking process
In this absorbing, smart, and accessible blend of economic and cultural history, Scott Nations, a longtime trader, financial engineer, and CNBC contributor, takes us on a journey through the five significant stock market crashes in the past century to reveal how they defined the United States todayThe Panic of 1907: When the Knickerbocker Trust Company failed, after a brazen attempt to manipulate the stock market led to a disastrous run on the banks, the Dow lost nearly half its value in weeks. Only billionaire J.P. Morgan was able to save the stock market.Black Tuesday (1929): As the newly created Federal Reserve System repeatedly adjusted interest rates in all the wrong ways, investment trusts, the darlings of that decade, became the catalyst that caused the bubble to burst, and the Dow fell dramatically, leading swiftly to the Great Depression.Black Monday (1987): When "portfolio insurance," a new tool meant to protect investments, instead led to increased losses, and corporate raiders drove stock prices above their real values, the Dow dropped an astonishing 22.6 percent in one day.The Great Recession (2008): As homeowners began defaulting on mortgages, investment portfolios that contained them collapsed, bringing the nation's largest banks, much of the economy, and the stock market down with them.The Flash Crash (2010): When one investment manager, using a runaway computer algorithm that was dangerously unstable and poorly understood, reacted to the economic turmoil in Greece, the stock market took an unprecedentedly sudden plunge, with the Dow shedding 998.5 points (roughly a trillion dollars in valuation) in just minutes.The stories behind the great crashes are filled with drama, human foibles, and heroic rescues. Taken together they tell the larger story of a nation reaching enormous heights of financial power while experiencing precipitous dips that alter and reset a market where millions of Americans invest their savings, and on which they depend for their futures. Scott Nations vividly shows how each of these major crashes played a role in America's political and cultural fabric, each providing painful lessons that have strengthened us and helped us to build the nation we know today.A History of the United States in Five Crashes clearly and compellingly illustrates the connections between these major financial collapses and examines the solid, clear-cut lessons they offer for preventing the next one.
This best-selling anthology expertly explores concepts of identity, diversity and inequality as it introduces students to race, class, gender, and sexuality in the United States. The thoroughly updated 10th edition features 38 new readings. New material explores citizenship and immigration, mass incarceration, sex crimes on campus, transgender identity, the school to prison pipeline, food insecurity, the Black Lives Matter movement, the pathology of poverty, socioeconomic privilege vs. racial privilege, pollution on tribal lands, stereotype threat, gentrification and more. The combination of thoughtfully selected readings, deftly written introductions, and careful organization make Race, Class, and Gender, 10th edition the most engaging and balanced presentation of these issues available today.
Silicon Valley gets all the credit for digital creativity, but this account of the pre-PC world, when computing meant more than using mature consumer technology, challenges that triumphalism.The invention of the personal computer liberated users from corporate mainframes and brought computing into homes. But throughout the 1960s and 1970s a diverse group of teachers and students working together on academic computing systems conducted many of the activities we now recognize as personal and social computing. Their networks were centered in New Hampshire, Minnesota, and Illinois, but they connected far-flung users. Joy Rankin draws on detailed records to explore how users exchanged messages, programmed music and poems, fostered communities, and developed computer games like The Oregon Trail. These unsung pioneers helped shape our digital world, just as much as the inventors, garage hobbyists, and eccentric billionaires of Palo Alto.By imagining computing as an interactive commons, the early denizens of the digital realm seeded today’s debate about whether the internet should be a public utility and laid the groundwork for the concept of net neutrality. Rankin offers a radical precedent for a more democratic digital culture, and new models for the next generation of activists, educators, coders, and makers.
From the bestselling author of Assassination Vacation and The Partly Cloudy Patriot, an insightful and unconventional account of George Washington’s trusted officer and friend, that swashbuckling teenage French aristocrat the Marquis de Lafayette. Chronicling General Lafayette’s years in Washington’s army, Vowell reflects on the ideals of the American Revolution versus the reality of the Revolutionary War. Riding shotgun with Lafayette, Vowell swerves from the high-minded debates of Independence Hall to the frozen wasteland of Valley Forge, from bloody battlefields to the Palace of Versailles, bumping into John Adams, Thomas Jefferson, Lord Cornwallis, Benjamin Franklin, Marie Antoinette and various kings, Quakers and redcoats along the way. Drawn to the patriots’ war out of a lust for glory, Enlightenment ideas and the traditional French hatred for the British, young Lafayette crossed the Atlantic expecting to join forces with an undivided people, encountering instead fault lines between the Continental Congress and the Continental Army, rebel and loyalist inhabitants, and a conspiracy to fire George Washington, the one man holding together the rickety, seemingly doomed patriot cause. While Vowell’s yarn is full of the bickering and infighting that marks the American past—and present—her telling of the Revolution is just as much a story of friendship: between Washington and Lafayette, between the Americans and their French allies and, most of all between Lafayette and the American people. Coinciding with one of the most contentious presidential elections in American history, Vowell lingers over the elderly Lafayette’s sentimental return tour of America in 1824, when three fourths of the population of New York City turned out to welcome him ashore. As a Frenchman and the last surviving general of the Continental Army, Lafayette belonged to neither North nor South, to no political party or faction. He was a walking, talking reminder of the sacrifices and bravery of the revolutionary generation and what the founders hoped this country could be. His return was not just a reunion with his beloved Americans it was a reunion for Americans with their own astonishing, singular past. Vowell’s narrative look at our somewhat united states is humorous, irreverent and wholly original.From the Hardcover edition.
Throughout its history, America has been defined through maps. Whether made for military strategy or urban reform, to encourage settlement or to investigate disease, maps invest information with meaning by translating it into visual form. They capture what people knew, what they thought they knew, what they hoped for, and what they feared. As such they offer unrivaled windows onto the past. In this book Susan Schulten uses maps to explore five centuries of American history, from the voyages of European discovery to the digital age. With stunning visual clarity, A History of America in 100 Maps showcases the power of cartography to illuminate and complicate our understanding of the past. Gathered primarily from the British Library’s incomparable archives and compiled into nine chronological chapters, these one hundred full-color maps range from the iconic to the unfamiliar. Each is discussed in terms of its specific features as well as its larger historical significance in a way that conveys a fresh perspective on the past. Some of these maps were made by established cartographers, while others were made by unknown individuals such as Cherokee tribal leaders, soldiers on the front, and the first generation of girls to be formally educated. Some were tools of statecraft and diplomacy, and others were instruments of social reform or even advertising and entertainment. But when considered together, they demonstrate the many ways that maps both reflect and influence historical change. Audacious in scope and charming in execution, this collection of one hundred full-color maps offers an imaginative and visually engaging tour of American history that will show readers a new way of navigating their own worlds.
From the author Robert Lipsyte calls “the best young sportswriter in America,” a rollicking, rebellious, myth-busting history of sports in America that puts politics in the ring with pop cultureIn this long-waited book from the rising superstar of sportswriting, whose blog Edge of Sports is read each week by thousands of people across the country, Dave Zirin offers a riotously entertaining chronicle of larger-than-life sporting characters and dramatic contests and what amounts to an alternative history of the United States as seen through the games its people played. Through Zirin’s eyes, sports are never mere games, but a reflection of—and spur toward—the political conflicts that shape American society.Half a century before Jackie Robinson was born, the black ballplayer Moses Fleetwood Walker brandished a revolver to keep racist fans at bay, then took his regular place in the lineup. In the midst of the Depression, when almost no black athletes were allowed on the U.S. Olympic team, athletes held a Counter Olympics where a third of the participants were African American.A People’s History of Sports in the United States is replete with surprises for seasoned sports fans, while anyone interested in history will be amazed by the connections Zirin draws between politics and pop flies. As Jeff Chang, author of Can’t Stop Won’t Stop, puts it, “After you read him, you’ll never see sports the same way again.”