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There are four major dilemmas at work in the rapid decline of the United States' healthcare system: the disappearing primary care sector, healthcare insurance reform, the influence of the pharmaceutical industry on the practice of medicine, and reform of malpractice litigation. In this book, Dr. Robert A. Linden provides a comprehensive explanation of these dilemmas, from the perspective of a primary care physician who has spent 30 years working directly with patients and seeing first-hand how changes in the system have impacted patients and physicians. Dr. Linden sorts out the fragments of information that most readers get through the media and fills in the blanks to provide a clear picture of what's wrong with the U.S. healthcare system, an impartial review of proposed solutions, and a look at what other countries have done to reform their healthcare systems. Unlike many academician authors who have covered the problems only in part with skewed information, this book will finally help the healthcare consumer understand the problems facing us and form their own assessments of what should be done to restore the American healthcare system.
The Rise and Decline of the American "Empire" explores the rapidly growing literature on the rise and fall of the United States. The author argues that after 1945 the US has definitely been the most dominant power the world has seen and that it has successfully met the challenges from, first, the Soviet Union and, then, Japan, and the European Union. Now, however, the United States is in decline: its vast military power is being challenged by asymmetrical wars, its economic growth is slow and its debt is rising rapidly, the political system is proving unable to meet these challenges in a satisfactory way. While the US is still likely to remain the world's leading power for the foreseeable future, it is being challenged by China, particularly economically, and also by several other regional Great Powers. The book also addresses the more theoretical question of what recent superpowers have been able to achieve and what they have not achieved. How could the United States be both the dominant power and at the same time suffer significant defeats? And how could the Soviet Union suddenly collapse? No power has ever been omnipotent. It cannot control events all around the world. The Soviet Union suffered from imperial overstretch; the traditional colonial empires suffered from a growing lack of legitimacy at the international, national, and local levels. The United States has been able to maintain its alliance system, but only in a much reformed way. If a small power simply insists on pursuing its own very different policies, there is normally little the United States and other Great Powers will do. Military intervention is an option that can be used only rarely and most often with strikingly limited results.
SALEM has long been notorious for the witch trials of 1692. But a hundred years later it was renowned for very different pursuits: vast wealth and worldwide trade. Now Death of an Empire tells the story of Salem's glory days in the age of sailing, and the murder that hastened its descent. When America first became a nation, Salem was the richest city in the republic, led by a visionary merchant who still ranks as one of the wealthiest men in history. For decades, Salem connected America with the wider world, through a large fleet of tall ships and a pragmatic, egalitarian brand of commerce taht remains a model of enlightened international relations. But America's emerging big cities and westward expansion began to erode Salem's national political importance just as its seafaring economy faltered in the face of tariffs and global depression. With Salem's standing as a world capital imperiled, two men, equally favored by fortune, struggled for its future: one, a progressive merchant-politician, tried to build new institutions and businesses, while the other, a reclusive crime lord, offered a demimonde of forbidden pleasures. The scandalous trial that followed signaled Salem's fall from national prominence, a fall that echoed around the world in the loss of friendly trade and in bloody reprisals against native peoples by the U.S. Navy. Death of an Empire is an exciting tale of a remarkably rich era, shedding light on a little-known but fascinating period of Ameriacn history in which characters such as Nathaniel Hawthorne, John Quincy Adams, and Daniel Webster interact with the ambitious merchants and fearless mariners who made Salem famous around the world.
How the United States became an imperial power by bowing to pressure to defend its citizens' overseas investments Throughout the twentieth century, the U.S. government willingly deployed power, hard and soft, to protect American investments all around the globe. Why did the United States get into the business of defending its citizens' property rights abroad? The Empire Trap looks at how modern U.S. involvement in the empire business began, how American foreign policy became increasingly tied to the sway of private financial interests, and how postwar administrations finally extricated the United States from economic interventionism, even though the government had the will and power to continue. Noel Maurer examines the ways that American investors initially influenced their government to intercede to protect investments in locations such as Central America and the Caribbean. Costs were small—at least at the outset—but with each incremental step, American policy became increasingly entangled with the goals of those they were backing, making disengagement more difficult. Maurer discusses how, all the way through the 1970s, the United States not only failed to resist pressure to defend American investments, but also remained unsuccessful at altering internal institutions of other countries in order to make property rights secure in the absence of active American involvement. Foreign nations expropriated American investments, but in almost every case the U.S. government's employment of economic sanctions or covert action obtained market value or more in compensation—despite the growing strategic risks. The advent of institutions focusing on international arbitration finally gave the executive branch a credible political excuse not to act. Maurer cautions that these institutions are now under strain and that a collapse might open the empire trap once more. With shrewd and timely analysis, this book considers American patterns of foreign intervention and the nation's changing role as an imperial power.
Argues that the pace of medical discoveries has slowed in the last twenty-five years due to excessive emphasis on the social and political aspects of health care, and to controversies caused by ethical issues.
NATIONAL BESTSELLER A thrilling new telling of the story of modern Canada's origins. The story of the Hudson's Bay Company, dramatic and adventurous and complex, is the story of modern Canada's creation. And yet it hasn't been told in a book for over thirty years, and never in such depth and vivid detail as in Stephen R. Bown's exciting new telling. The Company started out small in 1670, trading practical manufactured goods for furs with the Indigenous inhabitants of inland subarctic Canada. Controlled by a handful of English aristocrats, it expanded into a powerful political force that ruled the lives of many thousands of people--from the lowlands south and west of Hudson Bay, to the tundra, the great plains, the Rocky Mountains and the Pacific northwest. It transformed the culture and economy of many Indigenous groups and ended up as the most important political and economic force in northern and western North America. When the Company was faced with competition from French traders in the 1780s, the result was a bloody corporate battle, the coming of Governor George Simpson--one of the greatest villains in Canadian history--and the Company assuming political control and ruthless dominance. By the time its monopoly was rescinded after two hundred years, the Hudson's Bay Company had reworked the entire northern North American world. Stephen R. Bown has a scholar's profound knowledge and understanding of the Company's history, but wears his learning lightly in a narrative as compelling, and rich in well-drawn characters, as a page-turning novel.
NEW YORK TIMES BESTSELLER • A NEW YORK TIMES NOTABLE BOOK OF THE YEAR • A grand, devastating portrait of three generations of the Sackler family, famed for their philanthropy, whose fortune was built by Valium and whose reputation was destroyed by OxyContin. From the prize-winning and bestselling author of Say Nothing. "A real-life version of the HBO series Succession with a lethal sting in its tail…a masterful work of narrative reportage.” – Laura Miller, Slate The history of the Sackler dynasty is rife with drama—baroque personal lives; bitter disputes over estates; fistfights in boardrooms; glittering art collections; Machiavellian courtroom maneuvers; and the calculated use of money to burnish reputations and crush the less powerful. The Sackler name has adorned the walls of many storied institutions—Harvard, the Metropolitan Museum of Art, Oxford, the Louvre. They are one of the richest families in the world, but the source of the family fortune was vague—until it emerged that the Sacklers were responsible for making and marketing a blockbuster painkiller that was the catalyst for the opioid crisis. Empire of Pain is the saga of three generations of a single family and the mark they would leave on the world, a tale that moves from the bustling streets of early twentieth-century Brooklyn to the seaside palaces of Greenwich, Connecticut, and Cap d’Antibes to the corridors of power in Washington, D.C. It follows the family’s early success with Valium to the much more potent OxyContin, marketed with a ruthless technique of co-opting doctors, influencing the FDA, downplaying the drug’s addictiveness. Empire of Pain chronicles the multiple investigations of the Sacklers and their company, and the scorched-earth legal tactics that the family has used to evade accountability. A masterpiece of narrative reporting, Empire of Pain is a ferociously compelling portrait of America’s second Gilded Age, a study of impunity among the super-elite and a relentless investigation of the naked greed that built one of the world’s great fortunes.
*Finalist for the Pulitzer Prize and the National Book Critics Circle Award* *A New York Times Notable Book* *Winner of the Texas Book Award and the Oklahoma Book Award* This New York Times bestseller and stunning historical account of the forty-year battle between Comanche Indians and white settlers for control of the American West “is nothing short of a revelation…will leave dust and blood on your jeans” (The New York Times Book Review). Empire of the Summer Moon spans two astonishing stories. The first traces the rise and fall of the Comanches, the most powerful Indian tribe in American history. The second entails one of the most remarkable narratives ever to come out of the Old West: the epic saga of the pioneer woman Cynthia Ann Parker and her mixed-blood son Quanah, who became the last and greatest chief of the Comanches. Although readers may be more familiar with the tribal names Apache and Sioux, it was in fact the legendary fighting ability of the Comanches that determined when the American West opened up. Comanche boys became adept bareback riders by age six; full Comanche braves were considered the best horsemen who ever rode. They were so masterful at war and so skillful with their arrows and lances that they stopped the northern drive of colonial Spain from Mexico and halted the French expansion westward from Louisiana. White settlers arriving in Texas from the eastern United States were surprised to find the frontier being rolled backward by Comanches incensed by the invasion of their tribal lands. The war with the Comanches lasted four decades, in effect holding up the development of the new American nation. Gwynne’s exhilarating account delivers a sweeping narrative that encompasses Spanish colonialism, the Civil War, the destruction of the buffalo herds, and the arrival of the railroads, and the amazing story of Cynthia Ann Parker and her son Quanah—a historical feast for anyone interested in how the United States came into being. Hailed by critics, S. C. Gwynne’s account of these events is meticulously researched, intellectually provocative, and, above all, thrillingly told. Empire of the Summer Moon announces him as a major new writer of American history.
The Rise and Fall of the Holy Roman Empire is the only complete history of the Holy Roman Empure currently in print. The vain attempt of the Holy Roman Empire to restore the legacy of ancient Rome is recounted in full. Unlike other histories, Dr. Criswell covers both emperors and popes, who were by charter co-rulers of the empire, and discusses the whole empire as it extended at various times far beoynd Germany and Italy to Spain, England, France, and even to Constantiniople, Jerusalem, and the Americas. Preferring facts to interpretation, Dr. Criswell has presented this history as a chronoligcal narrative, discussing each and every emperor and pope, as well as the dominant kings of Europe, from the time of Charlemagne to the empire's fall under Napoleon. The result is a history that combines Church history with secular history and is the first comprehensive, yet conscise, history of the Holy Roman Empire.
Argues that the key to the formation of an empire lies in a society's capacity for collective action, resulting from people banding together to confront a common enemy, and describing how the growth of empires leads to a growing dichotomy between rich and poor, increasing conflict instead of cooperation, and inevitable dissolution. Reprint. 25,000 first printing.