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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.
Countering assumptions about early American print culture and challenging our scholarly fixation on the novel, Jared Gardner reimagines the early American magazine as a rich literary culture that operated as a model for nation-building by celebrating editorship over authorship and serving as a virtual salon in which citizens were invited to share their different perspectives. The Rise and Fall of Early American Magazine Culture reexamines early magazines and their reach to show how magazine culture was multivocal and presented a porous distinction between author and reader, as opposed to novel culture, which imposed a one-sided authorial voice and restricted the agency of the reader.
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.
Here, Michael F. Holt gives us the only comprehensive history of the Whigs ever written. He offers a panoramic account of the tumultuous antebellum period, a time when a flurry of parties and larger-than-life politicians--Andrew Jackson, John C. Calhoun, Martin Van Buren, and Henry Clay--struggled for control as the U.S. inched towards secession. It was an era when Americans were passionately involved in politics, when local concerns drove national policy, and when momentous political events--like the Annexation of Texas and the Kansas-Nebraska Act--rocked the country. Amid this contentious political activity, the Whig Party continuously strove to unite North and South, emerging as the nation's last great hope to prevent secession.
The award-winning historian delivers a “brilliant and deeply informed” analysis of American power from the Spanish-American War to the Trump Administration (New York Journal of Books). In this sweeping and incisive history of US foreign relations, historian Alfred McCoy explores America’s rise as a world power from the 1890s through the Cold War, and its bid to extend its hegemony deep into the twenty-first century. Since American dominance reached its apex at the close of the Cold War, the nation has met new challenges that it is increasingly unequipped to handle. From the disastrous invasion of Iraq to the failure of the Trans-Pacific Partnership, fracturing military alliances, and the blundering nationalism of Donald Trump, McCoy traces US decline in the face of rising powers such as China. He also offers a critique of America’s attempt to maintain its position through cyberwar, covert intervention, client elites, psychological torture, and worldwide surveillance.
The American System was implemented by the US government after the American-British War of 1812 to develop a national domestic market. This study explores the rise and fall of the system between its inception in 1790 and the Panic of 1837.
“Audacious . . . offers a fierce critique of democracy’s most dangerous adversary: the abuse of democratic power by democratically elected chief executives.” (Benjamin R. Barber, New York Times bestselling author of Jihad vs. McWorld ) Bruce Ackerman shows how the institutional dynamics of the last half-century have transformed the American presidency into a potential platform for political extremism and lawlessness. Watergate, Iran-Contra, and the War on Terror are only symptoms of deeper pathologies. Ackerman points to a series of developments that have previously been treated independently of one another?from the rise of presidential primaries, to the role of pollsters and media gurus, to the centralization of power in White House czars, to the politicization of the military, to the manipulation of constitutional doctrine to justify presidential power-grabs. He shows how these different transformations can interact to generate profound constitutional crises in the twenty-first century?and then proposes a series of reforms that will minimize, if not eliminate, the risks going forward. “The questions [Ackerman] raises regarding the threat of the American Executive to the republic are daunting. This fascinating book does an admirable job of laying them out.” —The Rumpus “Ackerman worries that the office of the presidency will continue to grow in political influence in the coming years, opening possibilities for abuse of power if not outright despotism.” —Boston Globe “A serious attention-getter.” —Joyce Appleby, author of The Relentless Revolution “Those who care about the future of our nation should pay careful heed to Ackerman’s warning, as well as to his prescriptions for avoiding a constitutional disaster.” —Geoffrey R. Stone, author of Perilous Times
How America's high standard of living came to be and why future growth is under threat In the century after the Civil War, an economic revolution improved the American standard of living in ways previously unimaginable. Electric lighting, indoor plumbing, motor vehicles, air travel, and television transformed households and workplaces. But has that era of unprecedented growth come to an end? Weaving together a vivid narrative, historical anecdotes, and economic analysis, The Rise and Fall of American Growth challenges the view that economic growth will continue unabated, and demonstrates that the life-altering scale of innovations between 1870 and 1970 cannot be repeated. Gordon contends that the nation's productivity growth will be further held back by the headwinds of rising inequality, stagnating education, an aging population, and the rising debt of college students and the federal government, and that we must find new solutions. A critical voice in the most pressing debates of our time, The Rise and Fall of American Growth is at once a tribute to a century of radical change and a harbinger of tougher times to come.
About national and international power in the "modern" or Post Renaissance period. Explains how the various powers have risen and fallen over the 5 centuries since the formation of the "new monarchies" in W. Europe.
Asserts that America is straying from its democratic ideals and faltering in a rapidly globalized world community, and challenges policies that are based on a priority of making America "number one" in the world while examining the economic and politicalforces that have brought about contemporary problems.