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The inside story of the most audacious public health campaign of the twenty-first century. In 2002, a dynamic doctor named Thomas Frieden became health commissioner of New York City. With support from the new mayor, billionaire Michael Bloomberg, Frieden and his health department team prohibited smoking in bars, outlawed trans fats in restaurants, and attempted to cap the size of sodas, among other groundbreaking actions. The initiatives drew heated criticism, but they worked: by 2011, 450,000 people had quit smoking, childhood obesity rates were falling, and life expectancy was growing. Saving Gotham is the behind-the-scenes story of the most controversial—and successful—public health initiative of our time. Thomas A. Farley, MD, MPH, who succeeded Frieden as health commissioner, introduces a team of doctors who accepted the challenge of public health: to care for each of New York City’s eight million inhabitants as their own patients. The biggest threats they faced were not cholera or chemical toxins or lack of medical care but instead habits like smoking and unhealthy eating. As these doctors pressed to solve these problems, they found themselves battling those who encouraged those habits, and they reshaped their own agency for a different sort of fight. Farley shows what happens when science-driven doctors are given the political cover to make society-wide changes to protect people from today’s health risks—and how industries exploit legislatures, the courts, the media, and public opinion to undermine them. With Washington caught in partisan paralysis and New York City’s ideas spreading around the world, Saving Gotham demonstrates how government—local government—can protect its citizens and transform health for everyone.
The inside story of the most audacious public health campaign of the twenty-first century. In 2002, a dynamic doctor named Thomas Frieden became health commissioner of New York City. With support from the new mayor, billionaire Michael Bloomberg, Frieden and his health department team prohibited smoking in bars, outlawed trans fats in restaurants, and attempted to cap the size of sodas, among other groundbreaking actions. The initiatives drew heated criticism, but they worked: by 2011, 450,000 people had quit smoking, childhood obesity rates were falling, and life expectancy was growing. Saving Gotham is the behind-the-scenes story of the most controversial—and successful—public health initiative of our time. Thomas A. Farley, MD, MPH, who succeeded Frieden as health commissioner, introduces a team of doctors who accepted the challenge of public health: to care for each of New York City’s eight million inhabitants as their own patients. The biggest threats they faced were not cholera or chemical toxins or lack of medical care but instead habits like smoking and unhealthy eating. As these doctors pressed to solve these problems, they found themselves battling those who encouraged those habits, and they reshaped their own agency for a different sort of fight. Farley shows what happens when science-driven doctors are given the political cover to make society-wide changes to protect people from today’s health risks—and how industries exploit legislatures, the courts, the media, and public opinion to undermine them. With Washington caught in partisan paralysis and New York City’s ideas spreading around the world, Saving Gotham demonstrates how government—local government—can protect its citizens and transform health for everyone.
This authoritative and anecdote-filled biography of Michael Bloomberg—2020 presidential candidate and one of the richest and famously private/public figures in the country—is a “masterful work…[and] an absolutely first-rate study of leadership in business, politics, and philanthropy” (Doris Kearns Goodwin, Pulitzer Prize­–winning author) from a veteran New York Times reporter. Michael Bloomberg’s life sounds like an exaggerated version of The American Story, except his adventures are real. From modest Jewish middle class (and Eagle Scout) to Harvard MBA to Salomon Brothers hot shot (where he gets “sent upstairs” and later fired) to creator of the Bloomberg terminal, a machine that would change Wall Street and the financial universe and make him a billionaire, to presidential candidate in 2020, Randolph’s account of Bloomberg’s life reads almost like a novel. “A vivid, timely study of Bloomberg’s brand of plutocracy” (Publishers Weekly), this engaging and insightful biography recounts Mayor Bloomberg’s vigorous approach to New York City’s care—including his attempts at education reform, anti-smoking and anti-obesity campaigns, climate control, and new developments across the city. After he engineered a surprising third term as Mayor, Bloomberg returned to his business and philanthropies that focused increasingly on cities. The chapter that describes this is one of the most revealing of his temperament and energy and vision as well as how he spends his “private” time that was virtually off-limits even when he was mayor. Bloomberg promised to give away his money before he died, and his giving has focused on education, gun control, and a fighting climate change. He joined the 2020 presidential campaign as a moderate liberal and spent his millions focused on ousting President Donald Trump.
In Mayor Michael Bloomberg, Lynne A. Weikart dives into the mayoralty of Michael Bloomberg, offering an incisive analysis of Bloomberg's policies during his 2002–2014 tenure as mayor of New York and highlighting his impact on New York City politics. Michael Bloomberg became mayor of New York just four months after the 9/11 terrorist destruction of the World Trade Center and he lead the rebuilding of a physically and emotionally devastated city so well that within two years, the city had budget surpluses. Weikart reveals how state and federal governments constrained Bloomberg's efforts to set municipal policy and implement his strategic goals in the areas of homelessness, low-income housing, poverty, education, and crime. External powers of state and federal governments are strong currents and Bloomberg's navigation of these currents often determined the outcome of his efforts. Weikart evaluates Michael Bloomberg's mayoral successes and failures in the face of various challenges: externally, the constraints of state government, and mandates imposed by federal and state courts; and, internally, the impasse between labor unions and Bloomberg. Weikart identifies and explores both the self-created restrictions of Mayor Bloomberg's own management style and the courage of Mike Bloomberg's leadership.
Examine the Bipartisan Legacy of a Remarkable Billionaire Politician Bloomberg: A Billionaire’s Ambition tells the story of how one of America’s most successful entrepreneurs was elected mayor of New York City and what he did with the power he won. Bloomberg’s stunning victory against all odds just weeks after the 9/11 terrorist attack left him facing challenges unlike any mayor in history. For the next twelve years, he kept the city safe, managed budgets through fiscal crises, promoted private sector growth, generated jobs, built infrastructure, protected the environment, supported society’s cultural sensibilities, and achieved dramatic improvements in public health. Bloomberg was an activist executive who used government assets boldly and wisely for the greatest good, for the greatest number of people. His time as mayor was not without controversy. Bloomberg supported stop and frisk police tactics that a judge ruled unconstitutional, and jailhouse violence rose to levels so severe the federal government intervened. The administration’s homeless policies were ineffective. And he forced a change in the city charter to allow him to serve a third term. Overall, record low crime and the lasting impact of innovative policies will cause his tenure to be remembered as a remarkable success. Having returned to his global media empire, and to his private philanthropy, Bloomberg continues to challenge the National Rifle Association on gun control, promote national education reform, and support policies to combat climate change. Frequently touted as an independent candidate for president, Bloomberg leaves behind a legacy of effective government.
"A lively, immersive history by an award-winning urbanist of New York City's transformation, and the lessons it offers for the city's future"--
When Michael Bloomberg handed over the city to Bill de Blasio, New York and the country were experiencing record levels of income inequality. De Blasio was the first progressive elected to City Hall in twenty years. Invoking Fiorello La Guardia's name, he pledged to improve the lives of those marginalized by poverty and prejudice. Unlike La Guardia, de Blasio did not have allies in Washington like President Franklin D. Roosevelt who could effectively support his progressive agenda. As de Blasio approached the end of his first term, the situation worsened, with Donald Trump in the White House and a Republican-controlled Congress determined to further reduce social programs that help the needy. As a result, de Blasio's mayoralty is an illuminating case study of what mayors can and cannot do on their own to address economic and social inequality. As the Democratic Party attempts to reassemble a viable political coalition that cuts across boundaries of race, class and gender, de Blasio's efforts to redefine priorities in America's largest city is instructive. Joseph P. Viteritti's The Pragmatist is the first in-depth look at de Blasio-both the man himself and his policies in crucial areas such as housing, homelessness, education, and criminal justice. It is a test case for the viability of progressivism itself. Along the way, Viteritti introduces the reader to every NYC mayor since La Guardia. He covers progressives who breathed life into the "soul of the city" before the devastating fiscal crisis of 1975 put it on the brink of bankruptcy, and those post-fiscal crisis chief executives who served during times of limiting austerity. This engaging story of the rise, fall, and rebirth of progressivism in America's major urban center demonstrates that the road to progress has been a long-and continuing-journey.
In Roads to Health, G. Geltner demonstrates that urban dwellers in medieval Italy had a keen sense of the dangers to their health posed by conditions of overcrowding, shortages of food and clean water, air pollution, and the improper disposal of human and animal waste. He consults scientific, narrative, and normative sources that detailed and consistently denounced the physical and environmental hazards urban communities faced: latrines improperly installed and sewers blocked; animals left to roam free and carcasses left rotting on public byways; and thoroughfares congested by artisanal and commercial activities that impeded circulation, polluted waterways, and raised miasmas. However, as Geltner shows, numerous administrative records also offer ample evidence of the concrete measures cities took to ameliorate unhealthy conditions. Toiling on the frontlines were public functionaries generally known as viarii, or "road-masters," appointed to maintain their community's infrastructures and police pertinent human and animal behavior. Operating on a parallel track were the camparii, or "field-masters," charged with protecting the city's hinterlands and thereby the quality of what would reach urban markets, taverns, ovens, and mills. Roads to Health provides a critical overview of the mandates and activities of the viarii and camparii as enforcers of preventive health and safety policies between roughly 1250 and 1500, and offers three extended case studies, for Lucca, Bologna, and the smaller Piedmont town of Pinerolo. In telling their stories, Geltner contends that preventive health practices, while scientifically informed, emerged neither solely from a centralized regime nor as a reaction to the onset of the Black Death. Instead, they were typically negotiated by diverse stakeholders, including neighborhood residents, officials, artisans, and clergymen, and fostered throughout the centuries by a steady concern for people's greater health.
Providing a fascinating insight into the factors that influence individual choices regarding eating habits, diet and other behavioral patterns relevant to obesity, this book offers a new perspective about the relationship of obesity to poverty and inequality. The authors explore a unique socioeconomic model that helps build the framework to understand the causes of obesity and its relation to health, science, and economics. An essential read for policy makers who are seeking a framework to address this problem.
The public health benefits of giving city dwellers increased opportunities to lead physically active lifestyles are well known to urban planners, public health scholars, and government officials. Moreover, increases in “active living,” such as walking and cycling, help the environment, support local businesses, and reduce traffic congestion, among other advantages. But despite wide agreement that active living is both achievable and valuable, best practices are not easy to implement. In Political Exercise, Lawrence D. Brown presents five case studies of cities that have promoted active living with varying success through a range of approaches. He shows how and why the transformation of a call for public intervention into projects, programs, and policies is inescapably political. Brown argues that in order to implement policies that support active living, their proponents must give communities a sense of ownership of recommended changes in the built environment, filter the public health agenda through a range of public and private organizations, and secure committed political champions. At the intersection of public health and urban planning, Political Exercise offers a framework for scholars, policy makers, and reformers to more productively address both the rationales behind active living and the political strategies that spur change.