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The former VA secretary describes his fight to save health care from politics and money-and how it was ultimately derailed by a small group of unelected officials with influence in the Trump White House. Known in health care circles for his ability to fix ailing hospitals, Dr. David Shulkin was originally brought into government by President Obama, in an attempt to save the broken Department of Veterans Affairs. When President Trump made him VA secretary, Dr. Shulkin was as shocked as anyone. Yet this surprise was trivial compared to what Shulkin encountered as the VA secretary: a team of political appointees devoted to stopping anyone-including the secretary himself-who stood in the way of privatizing the organization and implementing their agenda. In this uninhibited memoir, Shulkin opens up about why the government has long struggled to get good medical care to military veterans and the plan he had for how to address these problems. This is a book about the commitment we make to the people who risk their lives for our country, how and why we've failed to honor it, and why the new administration may be taking us in the wrong direction.
The former VA secretary describes his fight to save veteran health care from partisan politics and how his efforts were ultimately derailed by a small group of unelected officials appointed by the Trump White House. Known in health care circles for his ability to turn around ailing hospitals, Dr. David Shulkin was originally brought into government by President Obama to save the beleaguered Department of Veterans Affairs. When President Trump appointed him as secretary of the VA, Shulkin was as shocked as anyone. Yet this surprise was trivial compared to what Shulkin encountered as secretary: a team of political appointees devoted to stopping anyone -- including the secretary himself -- who stood in the way of privatizing the agency and implementing their political agenda. In this uninhibited memoir, Shulkin opens up about why the government has long struggled to provide good medical care to military veterans and the plan he had to solve these problems. This is a book about the commitment we make to the men and women who risk their lives fighting for our country, how the VA was finally beginning to live up to it, and why the new administration may now be taking us in the wrong direction.
U.S. military conflicts abroad have left nine million Americans dependent on the Veterans Health Administration (VHA) for medical care. Their "wounds of war" are treated by the largest hospital system in the country—one that has come under fire from critics in the White House, on Capitol Hill, and in the nation's media. In Wounds of War, Suzanne Gordon draws on five years of observational research to describe how the VHA does a better job than private sector institutions offering primary and geriatric care, mental health and home care services, and support for patients nearing the end of life. In the unusual culture of solidarity between patients and providers that the VHA has fostered, Gordon finds a working model for higher-quality health care and a much-needed alternative to the practice of for-profit medicine.
This inspiring anthology it the first to convey the noteworthy experiences and contributions of women in the American military in their own words-from the Revolutionary War to the present wars in the Middle East. Serving with the Union Army during the Civil War as a nurse, scout, spy, and soldier, Harriet Tubman tells what it was like to be the first American woman to lead a raid against an enemy, freeing some 750 slaves. Busting gender stereotypes, Inga Fredriksen Ferris's describes how it felt to be a woman marine during World War II. Heidi Squier Kraft recounts her experiences as a lieutenant commander in the navy, deployed to Iraq as a psychologist to provide mental health care in a combat zone. In excerpts from their diaries, letters, oral histories, military depositions and testimonies, as well as from published and unpublished memoirs-generations of women reveal why and how they chose to serve their country, often breaking with social norms and at great personal peril.
In The Battle for Veterans' Healthcare, award-winning author Suzanne Gordon takes us to the front lines of federal policymaking and healthcare delivery, as it affects eight million Americans whose military service makes them eligible for Veterans Health Administration (VHA) coverage. Gordon’s collected dispatches provide insight and information too often missing from mainstream media reporting on the VHA and from Capitol Hill debates about its future. Drawing on interviews with veterans and their families, VHA staff and administrators, health care policy experts and Congressional decision makers, Gordon describes a federal agency under siege that nevertheless accomplishes its difficult mission of serving men and women injured, in myriad ways, while on active duty. The Battle for Veterans’ Healthcare is an essential primer on VHA care and a call to action by veterans, their advocacy organizations, and political allies. Without lobbying efforts and broader public understanding of what’s at stake, a system now functioning far better than most private hospital systems may end up looking more like them, to the detriment of patients and providers alike.
Phillip Longman tells the amazing story of the turnaround of the Department of Veterans Affairs health-care system from a dysfunctional, scandal-prone bureaucracy into the benchmark for high-quality medicine in the United States. Best Care Anywhere shows that vast swaths of what we think we know about health, health care, and medical economics are just plain wrong. And the book demonstrates how this extraordinarily cost-effective model, which has proven to be highly popular with veterans, can be made available to everyone. New to this edition is an analysis of how the shortcomings of both so-called Obamacare and Republican plans to privatize Medicare reinforce the need for applying the lessons of the VA. Also included are completely updated statistics and research, as well as examples of how the private sector is already beginning to learn from the VA's example.
“Compelling . . . . Even those who know the details of Trump’s impeachment will find it chilling to hear them related by one of the event’s chief figures. . . . The story of an ordinary man placed in extraordinary circumstances who did the right thing.” — New York Times Book Review “Vindman reminds us of what genuine patriotism can look like. . . . Vindman’s regional knowledge allows him to unpack the reasons that so many Democrats thought Trump’s phone conversation should be the basis of the nation’s third presidential impeachment. In meticulous fashion, he details the stunning number of high-ranking officials—such as Gordon Sondland, U.S. ambassador to the European Union—who were in on the game.” — Washington Post “An important book from a true patriot whose oath to the Constitution could not allow him to look away.” — Kirkus Reviews "Compelling." — Christian Science Monitor
The beloved New York Times bestselling author reflects on home, family, friendships and writing in this deeply personal collection of essays. "The elegance of Patchett’s prose is seductive and inviting: with Patchett as a guide, readers will really get to grips with the power of struggles, failures, and triumphs alike." —Publisher's Weekly “Any story that starts will also end.” As a writer, Ann Patchett knows what the outcome of her fiction will be. Life, however, often takes turns we do not see coming. Patchett ponders this truth in these wise essays that afford a fresh and intimate look into her mind and heart. At the center of These Precious Days is the title essay, a surprising and moving meditation on an unexpected friendship that explores “what it means to be seen, to find someone with whom you can be your best and most complete self.” When Patchett chose an early galley of actor and producer Tom Hanks’ short story collection to read one night before bed, she had no idea that this single choice would be life changing. It would introduce her to a remarkable woman—Tom’s brilliant assistant Sooki—with whom she would form a profound bond that held monumental consequences for them both. A literary alchemist, Patchett plumbs the depths of her experiences to create gold: engaging and moving pieces that are both self-portrait and landscape, each vibrant with emotion and rich in insight. Turning her writer’s eye on her own experiences, she transforms the private into the universal, providing us all a way to look at our own worlds anew, and reminds how fleeting and enigmatic life can be. From the enchantments of Kate DiCamillo’s children’s books (author of The Beatryce Prophecy) to youthful memories of Paris; the cherished life gifts given by her three fathers to the unexpected influence of Charles Schultz’s Snoopy; the expansive vision of Eudora Welty to the importance of knitting, Patchett connects life and art as she illuminates what matters most. Infused with the author’s grace, wit, and warmth, the pieces in These Precious Days resonate deep in the soul, leaving an indelible mark—and demonstrate why Ann Patchett is one of the most celebrated writers of our time.
America is at an important turning point. Remote warfare is not just a mainstay of post–9/11 wars, it is a harbinger of what lies ahead—a future of high-tech, artificial intelligence–enabled, and autonomous weapons systems that raise a host of new ethical questions. Most fundamentally, is remote warfare moral? And if so, why? Joseph O. Chapa, with unique credentials as Air Force officer, Predator pilot, and doctorate in moral philosophy, serves as our guide to understanding this future, able to engage in both the language of military operations and the language of moral philosophy. Through gripping accounts of remote pilots making life-and-death decisions and analysis of high-profile cases such as the killing of Iranian high government official General Qasem Soleimani, Chapa examines remote warfare within the context of the just war tradition, virtue, moral psychology, and moral responsibility. He develops the principles we should use to evaluate its morality, especially as pilots apply human judgment in morally complex combat situations. Moving on to the bigger picture, he examines how the morality of human decisions in remote war is situated within the broader moral context of US foreign policy and the future of warfare.