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Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
The New York Times bestseller A New York Times Notable and Critics’ Top Book of 2016 Longlisted for the PEN/John Kenneth Galbraith Award for Nonfiction One of NPR's 10 Best Books Of 2016 Faced Tough Topics Head On NPR's Book Concierge Guide To 2016’s Great Reads San Francisco Chronicle's Best of 2016: 100 recommended books A Washington Post Notable Nonfiction Book of 2016 Globe & Mail 100 Best of 2016 “Formidable and truth-dealing . . . necessary.” —The New York Times “This eye-opening investigation into our country’s entrenched social hierarchy is acutely relevant.” —O Magazine In her groundbreaking bestselling history of the class system in America, Nancy Isenberg upends history as we know it by taking on our comforting myths about equality and uncovering the crucial legacy of the ever-present, always embarrassing—if occasionally entertaining—poor white trash. “When you turn an election into a three-ring circus, there’s always a chance that the dancing bear will win,” says Isenberg of the political climate surrounding Sarah Palin. And we recognize how right she is today. Yet the voters who boosted Trump all the way to the White House have been a permanent part of our American fabric, argues Isenberg. The wretched and landless poor have existed from the time of the earliest British colonial settlement to today's hillbillies. They were alternately known as “waste people,” “offals,” “rubbish,” “lazy lubbers,” and “crackers.” By the 1850s, the downtrodden included so-called “clay eaters” and “sandhillers,” known for prematurely aged children distinguished by their yellowish skin, ragged clothing, and listless minds. Surveying political rhetoric and policy, popular literature and scientific theories over four hundred years, Isenberg upends assumptions about America’s supposedly class-free society––where liberty and hard work were meant to ensure real social mobility. Poor whites were central to the rise of the Republican Party in the early nineteenth century, and the Civil War itself was fought over class issues nearly as much as it was fought over slavery. Reconstruction pitted poor white trash against newly freed slaves, which factored in the rise of eugenics–-a widely popular movement embraced by Theodore Roosevelt that targeted poor whites for sterilization. These poor were at the heart of New Deal reforms and LBJ’s Great Society; they haunt us in reality TV shows like Here Comes Honey Boo Boo and Duck Dynasty. Marginalized as a class, white trash have always been at or near the center of major political debates over the character of the American identity. We acknowledge racial injustice as an ugly stain on our nation’s history. With Isenberg’s landmark book, we will have to face the truth about the enduring, malevolent nature of class as well.
This work contains abstracts of the intestate records of the fifty-seven Georgia counties formed before the 1832 Land Lottery, plus those for Fulton (1853), White (1857), Dawson (1857), and Webster (1853) counties. Besides the name of the deceased and the dates of the various court papers, information in the abstracts includes the names of the administrators, sureties and guardians (often relatives of the deceased), names of the surviving spouse and children, the names of orphan children and heirs, and, where a will is recorded, the names of the legatees!
Combining classical Marxism, psychoanalysis, and the new labor history pioneered by E. P. Thompson and Herbert Gutman, David Roediger’s widely acclaimed book provides an original study of the formative years of working-class racism in the United States. This, he argues, cannot be explained simply with reference to economic advantage; rather, white working-class racism is underpinned by a complex series of psychological and ideological mechanisms that reinforce racial stereotypes, and thus help to forge the identities of white workers in opposition to Blacks.
The genesis of this volume was in a one-day meeting arranged under the auspices of the Nathematical Ecology Group, jointly of the British Region of the Biometric Society and the British Ecological Society, and held in the Natural History Museum in London on the 4th May 1982. The object of the meeting was to bring together individuals from different dis ciplines but with a common interest in ornithology. In this volume we have tried to preserve the flavour of the meeting so that all but two of the papers read or pre sented as posters can be found here. The two papers that have not been included have since been published elsewhere: see Birkhead and Nettleship (1983) and Cav~ (1983). Further papers have been added to the volume from contributors who were unable to attend the London meeting, or were unable to present a paper there. All of the papers were refereed by ourselves. A volume which contains papers by both statisticians and non-statisticians is inevitably going to be variable with regard to the depth and range of statistical techniques used. Thus non-statisticians are likely to find some of the papers written by statisticians difficult at times, and conversely statisticians n2Y find that they would have treated some problems differently from non-statisticians. It is hoped, however, that this volun~ will increase awareness of the interests and problems (including solutions), in the general area of ornithology, and stimulate cross-fertilisation of ideas.
A comprehensive, illustrated encyclopedia which provides information on over 150 native tribes of North America, including prehistoric peoples.
We live in the age of international crime but when did it begin? This book examines the period when crime became an international issue (1881-1914), exploring issues such as 'world-shrinking' changes in transportation, communication and commerce, and concerns about alien criminality, white slave trading and anarchist outrages.