Andy Lazris, MD, is a practicing primary care physician who experiences the effects of Medicare policy on a daily basis. As a result, he believes that the way we care for our elderly has taken a wrong turn and that Medicare is complicit in creating the very problems it seeks to solve. Aging is not a disease to be cured; it is a life stage to be lived. Lazris argues that aggressive treatments cannot change that fact but only get in the way and decrease quality of life. Unfortunately, Medicare’s payment structure and rules deprive the elderly of the chance to pursue less aggressive care, which often yields the most humane and effective results. Medicare encourages and will pay more readily for hospitalization than for palliative and home care. It encourages and pays for high-tech assaults on disease rather than for the primary care that can make a real difference in the lives of the elderly.
Lazris offers straightforward solutions to ensure Medicare’s solvency through sensible cost-effective plans that do not restrict patient choice or negate the doctor-patient relationship. Using both data and personal stories, he shows how Medicare needs to change in structure and purpose as the population ages, the physician pool becomes more specialized, and new medical technology becomes available. Curing Medicare demonstrates which medical interventions (medicines, tests, procedures) work and which can be harmful in many common conditions in the elderly; the harms and benefits of hospitalization; the current culture of long-term care; and how Medicare often promotes care that is ineffective, expensive, and contrary to what many elderly patients and their families really want.
How Americans make energy choices, why they think locally (not globally), and how this can shape U.S. energy and climate change policy.
How do Americans think about energy? Is the debate over fossil fuels highly partisan and ideological? Does public opinion about fossil fuels and alternative energies divide along the fault between red states and blue states? And how much do concerns about climate change weigh on their opinions? In Cheap and Clean, Stephen Ansolabehere and David Konisky show that Americans are more pragmatic than ideological in their opinions about energy alternatives, more unified than divided about their main concerns, and more local than global in their approach to energy.
Drawing on extensive surveys they designed and conducted over the course of a decade (in conjunction with MIT's Energy Initiative), Ansolabehere and Konisky report that beliefs about the costs and environmental harms associated with particular fuels drive public opinions about energy. People approach energy choices as consumers, and what is most important to them is simply that energy be cheap and clean. Most of us want energy at low economic cost and with little social cost (that is, minimal health risk from pollution). The authors also find that although environmental concerns weigh heavily in people's energy preferences, these concerns are local and not global. Worries about global warming are less pressing to most than worries about their own city's smog and toxic waste. With this in mind, Ansolabehere and Konisky argue for policies that target both local pollutants and carbon emissions (the main source of global warming). The local and immediate nature of people's energy concerns can be the starting point for a new approach to energy and climate change policy.
Описание: Failure to Adjust presents an especially timely analysis of the trade policies of the Obama administration, and discusses how America can reassert itself as the leader in setting rules for international economic competition that would spread the benefits of global trade and investment more broadly.
Автор: Day Christine L. Название: What Older Americans Think: Interest Groups and Aging Policy ISBN: 0691603529 ISBN-13(EAN): 9780691603520 Издательство: Wiley Рейтинг: Цена: 4752.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: As the much publicized "graying of America" progresses, political groups that lobby for the elderly have achieved enormous power and organizational success, with no sign of decline in the foreseeable future. What Older Americans Think provides a fresh look at these groups. Are older people united in support of increasing old-age benefits--or perhap
Автор: Hibbing John R., Theiss-Morse Elizabeth, Kuklinski James H. Название: What Is It about Government That Americans Dislike? ISBN: 0521796318 ISBN-13(EAN): 9780521796316 Издательство: Cambridge Academ Рейтинг: Цена: 4118.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: In the chapters of this edited volume, first published in 2001, the various authors report research designed to help readers understand why so many Americans do not like, trust, approve of, or support their government. Readers with interests in current affairs, American politics, American government, and American opinion should like this book.
A historical overview of the census race question--and a bold proposal for eliminating it
America is preoccupied with race statistics--perhaps more than any other nation. Do these statistics illuminate social reality and produce coherent social policy, or cloud that reality and confuse social policy? Does America still have a color line? Who is on which side? Does it have a different "race" line--the nativity line--separating the native born from the foreign born? You might expect to answer these and similar questions with the government's "statistical races." Not likely, observes Kenneth Prewitt, who shows why the way we count by race is flawed.
Prewitt calls for radical change. The nation needs to move beyond a race classification whose origins are in discredited eighteenth-century race-is-biology science, a classification that once defined Japanese and Chinese as separate races, but now combines them as a statistical "Asian race." One that once tried to divide the "white race" into "good whites" and "bad whites," and that today cannot distinguish descendants of Africans brought in chains four hundred years ago from children of Ethiopian parents who eagerly immigrated twenty years ago. Contrary to common sense, the classification says there are only two ethnicities in America--Hispanics and non-Hispanics. But if the old classification is cast aside, is there something better?
What Is Your Race? clearly lays out the steps that can take the nation from where it is to where it needs to be. It's not an overnight task--particularly the explosive step of dropping today's race question from the census--but Prewitt argues persuasively that radical change is technically and politically achievable, and morally necessary.
Автор: Krajewska Magdalena Название: Documenting americans ISBN: 1316510107 ISBN-13(EAN): 9781316510100 Издательство: Cambridge Academ Рейтинг: Цена: 14256.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: This is the first comprehensive political history of national ID card proposals and developments in identity policing in the United States. Examining how national ID card proposals have been woven into political conflict across a variety of policy fields, the book focuses on the period from 1915 to 2016.
Автор: Routledge Karen Название: Do You See Ice?: Inuit and Americans at Home and Away ISBN: 022658013X ISBN-13(EAN): 9780226580135 Издательство: Wiley Рейтинг: Цена: 6970.00 р. Наличие на складе: Поставка под заказ.
Описание: Many Americans imagine the Arctic as harsh, freezing, and nearly uninhabitable. The living Arctic, however--the one experienced by native Inuit and others who work and travel there--is a diverse region shaped by much more than stereotype and mythology. Do You See Ice? presents a history of Arctic encounters from 1850 to 1920 based on Inuit and American accounts, revealing how people made sense of new or changing environments.
Routledge vividly depicts the experiences of American whalers and explorers in Inuit homelands. Conversely, she relates stories of Inuit who traveled to the northeastern United States and were similarly challenged by the norms, practices, and weather they found there. Standing apart from earlier books of Arctic cultural research--which tend to focus on either Western expeditions or Inuit life--Do You See Ice? explores relationships between these two groups in a range of northern and temperate locations. Based on archival research and conversations with Inuit Elders and experts, Routledge's book is grounded by ideas of home: how Inuit and Americans often experienced each other's countries as dangerous and inhospitable, how they tried to feel at home in unfamiliar places, and why these feelings and experiences continue to resonate today.
The author intends to donate all royalties from this book to the Elders' Room at the Angmarlik Center in Pangnirtung, Nunavut.
Описание: The Civil War haunted Americans long before it happened. As this innovative book shows, forecasts and prophecies of bloodshed shaped how people approached the conflict and reacted to its unfolding drama. The war changed America`s future and transformed how Americans have thought about the future ever since.
