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Building on the innovative Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Quality Through Collaboration: The Future of Rural Health offers a strategy to address the quality challenges in rural communities. Rural America is a vital, diverse component of the American community, representing nearly 20% of the population of the United States. Rural communities are heterogeneous and differ in population density, remoteness from urban areas, and the cultural norms of the regions of which they are a part. As a result, rural communities range in their demographics and environmental, economic, and social characteristics. These differences influence the magnitude and types of health problems these communities face. Quality Through Collaboration: The Future of Rural Health assesses the quality of health care in rural areas and provides a framework for core set of services and essential infrastructure to deliver those services to rural communities. The book recommends: Adopting an integrated approach to addressing both personal and population health needs Establishing a stronger health care quality improvement support structure to assist rural health systems and professionals Enhancing the human resource capacity of health care professionals in rural communities and expanding the preparedness of rural residents to actively engage in improving their health and health care Assuring that rural health care systems are financially stable Investing in an information and communications technology infrastructure It is critical that existing and new resources be deployed strategically, recognizing the need to improve both the quality of individual-level care and the health of rural communities and populations.
An examination of the emerging rural left, from environmentalists blocking pipeline construction to teachers on strike. In Left Elsewhere, volume editor and lead essayist Elizabeth Catte turns a skeptical eye toward “purple” politicians, such as West Virginia Democrat Richard Ojeda, who are hailed by many as the best hope for U.S. progressives outside the urban coasts. By offering a survey of what the left actually looks like outside major urban centers, Catte shows how an emerging rural left is developing new strategies that do not easily fit into typical ideas of liberals, leftists, and Democratic politics. From environmentalists who successfully block pipeline construction to advocates for “radical” health care solutions such as needle exchanges to school teachers who go on strike, these newly energized activists may offer a better path forward for both policy and candidates to represent the needs of poor and working Americans. By engaging activists and scholars outside the coastal bubbles, this collection offers insights into several overlooked areas, including working-class women's activism, victories in new labor struggle (especially in staunchly right-to-work states) and new organizing principles in Jackson, Mississippi—"America's most radical city"—that are bringing about meaningful racial and economic change on the ground. Taken together, the essays in Left Elsewhere show that today's political language is insufficient to convey what's happening in these areas and examine what, if any, coherent set of politics can be assigned to them. Contributors William J. Barber II, Thomas Baxter, Lesly-Marie Buer, Ash-Lee Woodard Henderson, Nancy Isenberg, Elaine C. Kamarck, Michael Kazin, Toussaint Losier, Robin McDowell, Bob Moser, Hugh Ryan, Matt Stoller, Ruy Teixeira, Makani Themba, Jessica Wilkerson
Booklist Editors’ Choice “Best Books of 2019” An intimate portrait of the joys and hardships of rural life, as one man searches for community, equality, and tradition in Appalachia Charles D. Thompson, Jr. was born in southwestern Virginia into an extended family of small farmers. Yet as he came of age he witnessed the demise of every farm in his family. Over the course of his own life of farming, rural education, organizing, and activism, the stories of his home place have been his constant inspiration, helping him identify with the losses of others and to fight against injustices. In Going Over Home, Thompson shares revelations and reflections, from cattle auctions with his grandfather to community gardens in the coal camps of eastern Kentucky, racial disparities of white and Black landownership in the South to recent work with migrant farm workers from Latin America. In this heartfelt first-person narrative, Thompson unpacks our country’s agricultural myths and addresses the history of racism and wealth inequality and how they have come to bear on our nation’s rural places and their people.
The Routledge Companion to Rural Planning provides a critical account and state of the art review of rural planning in the early years of the twenty-first century. Looking across different international experiences – from Europe, North America and Australasia to the transition and emerging economies, including BRIC and former communist states – it aims to develop new conceptual propositions and theoretical insights, supported by detailed case studies and reviews of available data. The Companion gives coverage to emerging topics in the field and seeks to position rural planning in the broader context of global challenges: climate change, the loss of biodiversity, food and energy security, and low carbon futures. It also looks at old, established questions in new ways: at social and spatial justice, place shaping, economic development, and environmental and landscape management. Planning in the twenty-first century must grapple not only with the challenges presented by cities and urban concentration, but also grasp the opportunities – and understand the risks – arising from rural change and restructuring. Rural areas are diverse and dynamic. This Companion attempts to capture and analyse at least some of this diversity, fostering a dialogue on likely and possible rural futures between a global community of rural planning researchers. Primarily intended for scholars and graduate students across a range of disciplines, such as planning, rural geography, rural sociology, agricultural studies, development studies, environmental studies and countryside management, this book will prove to be an invaluable and up-to-date resource.
The Future is Rural challenges the conventional wisdom about the future of food in our modern, globalized world. It is a much-needed reality check that explains why certain trends we take for granted-like the decline of rural areas and the dependence of farming and the food system on fossil fuels-are historical anomalies that will reverse over the coming decades. Renewable sources of energy must replace fossil fuels, but they will not power economies at the same scale as today. Priorities will profoundly shift, and food will become a central concern. Lessons learned from resilience science and alternatives to industrial agriculture provide a foundation for people to transition to more rural and locally focused lives.Jason Bradford, a biologist and farmer, offers a deeply researched report on the future of food that reveals key blind spots in conventional wisdom on energy, technology, and demographics. The Future Is Rural presents Bradford's analysis from his career in ecology and agriculture, as well as a synthesis of the historical and scientific underpinnings of the astonishing changes that will transform the food system and society as a whole.
Situated between the foothills of Appalachia to the east and bluegrass country to the west, Nicholas County has been home to small tobacco farms in rural Kentucky for the past 200 years. But now, in the midst of tremendous economic changes generated by the movement of both textile jobs and tobacco production to other countries, residents of Nicholas County face an uncertain future. Based on twenty-five years of research, Kingsolvers longitudinal ethnography of Nicholas County, her home community, synthesizes geographical, historical, economic, and political processes that have shaped lifeways and worldviews. She documents the perspectives of farmers, factory workers, politicians, those pursuing new niches in the labor market, and middle school students in search of alternative futures. Countering stereotypes, Kingsolver emphasizes the skills and agency of rural residents and demonstrates how people in widely dispersed and seemingly isolated communities in the world are connected through capitalist logic and practice, thereby illuminating globalizations far-reaching effects.
Farming for Our Future examines the policies and legal reforms necessary to accelerate the adoption of practices that can make agriculture in the United States climate-neutral or better. These proven practices will also make our food system more resilient to the impacts of climate change. Agriculture's contribution to climate change is substantial--much more so than official figures suggest--and we will not be able to achieve our overall mitigation goals unless agricultural emissions sharply decline. Fortunately, farms and ranches can be a major part of the climate solution, while protecting biodiversity, strengthening rural communities, and improving the lives of the workers who cultivate our crops and rear our animals. The importance of agricultural climate solutions can not be underestimated; it is a critical element both in ensuring our food security and limiting climate change. This book provides essential solutions to address the greatest crises of our time.
A study of how China’s changing economy may leave its rural communities in the dust and launch a political and economic disaster. As the glittering skyline in Shanghai seemingly attests, China has quickly transformed itself from a place of stark poverty into a modern, urban, technologically savvy economic powerhouse. But as Scott Rozelle and Natalie Hell show in Invisible China, the truth is much more complicated and might be a serious cause for concern. China’s growth has relied heavily on unskilled labor. Most of the workers who have fueled the country’s rise come from rural villages and have never been to high school. While this national growth strategy has been effective for three decades, the unskilled wage rate is finally rising, inducing companies inside China to automate at an unprecedented rate and triggering an exodus of companies seeking cheaper labor in other countries. Ten years ago, almost every product for sale in an American Walmart was made in China. Today, that is no longer the case. With the changing demand for labor, China seems to have no good back-up plan. For all of its investment in physical infrastructure, for decades China failed to invest enough in its people. Recent progress may come too late. Drawing on extensive surveys on the ground in China, Rozelle and Hell reveal that while China may be the second-largest economy in the world, its labor force has one of the lowest levels of education of any comparable country. Over half of China’s population—as well as a vast majority of its children—are from rural areas. Their low levels of basic education may leave many unable to find work in the formal workplace as China’s economy changes and manufacturing jobs move elsewhere. In Invisible China, Rozelle and Hell speak not only to an urgent humanitarian concern but also a potential economic crisis that could upend economies and foreign relations around the globe. If too many are left structurally unemployable, the implications both inside and outside of China could be serious. Understanding the situation in China today is essential if we are to avoid a potential crisis of international proportions. This book is an urgent and timely call to action that should be read by economists, policymakers, the business community, and general readers alike. Praise for Invisible China “Stunningly researched.” —TheEconomist, Best Books of the Year (UK) “Invisible China sounds a wake-up call.” —The Strategist “Not to be missed.” —Times Literary Supplement (UK) “[Invisible China] provides an extensive coverage of problems for China in the sphere of human capital development . . . the book is rich in content and is not constrained only to China, but provides important parallels with past and present developments in other countries.” —Journal of Chinese Political Science
Throughout the world’s hinterland regions, people are growing old in resource-dependent communities that were neither originally designed nor presently equipped to support an ageing population. This book provides cutting edge theoretical and empirical insights into the new phenomenon resource frontier ageing, to understand the diverse experiences of and responses to rural population ageing in the early 21st century. The book explores the resource hinterland as a new frontier of rural ageing and examines three central themes of rural population change, community development and voluntarism that characterize ageing resource communities. By investigating the links among these three themes, the book provides the conceptual and empirical foundations for the future agenda of rural ageing research. This timely contribution contains 15 original chapters by leading international experts from Australia, New Zealand, USA, Canada, UK, Ireland and Norway.