In Obama, Doctors, and Health Reform, Richard Reece, MD explains what patient-centered care, physician demoralization, the entrepreneurial U.S. culture, and our system's complexities portend for reform. Reform and its handmaiden, transformation, hinge on how America's individualistic, entrepreneurial, and innovative culture responds to demands for higher quality, lower costs, and greater access.

When 78 million baby boomers turn 65 in 2011, they will expect the best medical care and a personal physician to care for them, as will the rest of the population. Will the doctors be there? And what will the care be like? Whatever the answers, it will require more personal involvement and personal responsibility on your part.

You may be asked: What plan do you want, a government alternative to a private plan? An HMO, PPO, basic plan, or a high deductible plan linked to a tax-deductible health savings account (HSA)? You may choose to receive your care at a retail clinic at a drug store or in a discount store. You may carry with you a personal hard disk loaded with your medical history.

If present trends continue, you also may have a hard time finding a personal doctor to care for you. What will you do then?

The threats of emerging diseases have shaken certainties about health systems, the effectiveness of governance, lifestyles and the reality of national sovereignty.The Covid-19 Crisis analyzes the global issues related to the emergence of the SARS-CoV-2 virus through investigations and reflections related to both the epidemic itself (epidemiology, computerized surveillance tools and vaccines) and to the societal issues it raises (work, innovation, religious practices, behaviors and societal models).This eclectic approach highlights scientific working methods that meet the requirements of health crises, as well as technical solutions and societal practices adapted to epidemic situations. It also presents feedback and testimonies.

Every year, the average American spends about $7,300 on medical expenses. The typical Canadian pays $2,700, the Briton only $2,000. And yet, according to the World Health Organization, our healthcare system, in terms of total quality, ranks thirty-eighth in the world, right between Costa Rica and Slovenia. Not only do 40 million Americans lack health insurance, but more than 200,000 die each year because of medical mistakes. Our average life expectancy is lower than Cuba's.
In Next Medicine, Dr. Walter Bortz zeroes in on why the American medicine is spiraling toward disaster. A physician with fifty years of experience and a leading authority on aging, Bortz argues that the financial interests of biotech and drug companies have distorted the healthcare system. Thanks to them, medicine today is economically motivated to treat disease rather than to prevent it. Heart disease, for example, is widely treated with drug interventions and invasive surgery--both of which are extravagantly profitable for pharmaceutical giants and hospitals. Daily exercise and a healthy diet, on the other hand, can prevent heart disease, and can be obtained by patients essentially for free--but there's no money in that. The medical-industrial complex has a vested interest in keeping us sick, and until that changes medicine will fail to effectively address the leading cause of disability and mortality today: chronic diseases like diabetes that are largely preventable. Bortz proposes a medical system that emphasizes personal responsibility and provides incentives for healthy lifestyle choices, along with new training for medical professionals.
Through a lively narrative full of personal anecdotes and jarring statistics, Bortz makes a powerful case for a radically new medical system--one that is based on rigorous science and loosens the strangle hold of corporate interests on American health.

This book addresses public safety and security from a holistic and visionary perspective. For the first time, safety and security organizations, as well as their administration, are brought together into an integrated work.
The protection of persons and property involves many public agencies and priivate organizations. Entities from the criminal jutics system (law enforcement, courts, corrections) as well as the fire service, private security and hazardous materials all contribute to public safety and security. This book addresses these entities, as well as safety and security issues, from a holistic and visionary perspective. It addresses criminal and non-criminal safety and security concerns, provides an overview of each entity (component) of the system of public safety and security, presents an overview of the administration process involved in planning, organizing, managing and evaluating public safety and security organizations and describes collateral functions of investigations, documentation and report writing.
Public safety and security organizations should not work in isolation. Rather, they should collaborate to protect persons and property. This book represents the first time all the public safety and security entities have been addressed in one text.

Focuses on the theories, concepts, practices and problems related to the present and future of public safety and security
Examines different strategies for problem solving which personnel working in the field may utilize
Synthesizes college-level lectures prepared, presented, and updated by the author over the past twenty years

This international edited volume is a rare look at cultural, economic and political forces that contribute to school violence. In light of the devastating events in US schools and the violence towards students and schools world-wide, the war on knowledge development in non/secular education is increasing at an alarming rate. This book offers an international perspective on violence from both K-12 to tertiary levels, parents, administrators-teachers-support staff and research scholars in a desire to understand the contextual issues surrounding violence and its impacts on the field of education. ELWB Scholars and practitioners hail from six continents propose historical to futuristic perspectives linking violence towards education and its inhabitants while framing future strategies to alter multinational fear mongering to the decline of knowledge generation for an informed citizenry.

Millions of men suffer from diseases such as diabetes, hypertension, heart disease, cancer, obesity, and other ailments."Men's Health and Wellness for the New Millennium" explains why these diseases occur, how to evaluate them, and how to treat them.

Geared toward the medical professional but written in such a way that a layperson can understand its language and concepts, Dr. Valiere Alcena explains the best way to take a person's blood pressure, how hypertension affects different areas of the brain, the proper ways to treat various diseases in men, and much more. Dr. Alcena also delves into the risk factors for different age groups and races, explains the variations between assorted types of strokes, and offers suggestions to men and their doctors on how to reduce susceptibility to various illnesses.

If you are a doctor trying to diagnose or treat an illness or if you are simply looking for recommendations on how to cope with or avoid an illness, "Men's Health and Wellness for the New Millennium" has the answers you seek.

Equitable Access to High-Cost Pharmaceuticals seeks to aid the development and implementation of equitable public health policies by pharmaco-economics professionals, health economists, and policymakers. With detailed country-by country analysis of policy and regulation, the Work compares and contrasts national healthcare systems to support researchers and practitioners identify optimal healthcare policy solutions. The Work incorporates chapters on global regulatory changes, health technology assessment guidelines, and competitive effectiveness research recommendations from international bodies such as the OECD or the EU. Novel policies such as horizon scanning, managed-entry agreement and post-launch monitoring are considered in detail. The Work also thoroughly reviews novel pharmaceuticals with particular research interest, including cancer drugs, orphan medicines, Hep C, and personalized medicines.

This edited volume builds on existing alternative food initiatives and food movements research to explore how a systems approach can bring about health and well-being through enhanced collaboration. Chapters describe the myriad ways community-driven actors work to foster food systems that are socially just, embed food in local economies, regenerate the environment and actively engage citizens. Drawing on case studies, interviews and Participatory Action Research projects, the editors share the stories behind community-driven efforts to develop sustainable food systems, and present a critical assessment of both the tensions and the achievements of these initiatives. The volume is unique in its focus on approaches and methodologies that both support and recognize the value of community-based practices. Throughout the book the editors identify success stories, challenges and opportunities that link practitioner experience to critical debates in food studies, practice and policy. By making current practices visible to scholars, the volume speaks to people engaged in the co-creation of knowledge, and documents a crucial point in the evolution of a rapidly expanding and dynamic sustainable food systems movement. Entrenched food insecurity, climate change induced crop failures, rural-urban migration, escalating rates of malnutrition related diseases, and aging farm populations are increasingly common obstacles for communities around the world. Merging private, public and civil society spheres, the book gives voice to actors from across the sustainable food system movement including small businesses, not-for-profits, eaters, farmers and government. Insights into the potential for market restructuring, knowledge sharing, planning and bridging civic-political divides come from across Canada, the United States and Mexico, making this a key resource for policy-makers, students, citizens, and practitioners.

The popularization of the Internet, due in larger part to the advent of multifunctional cell phones, poses new challenges for health professionals, patients, and caregivers as well as creates new possibilities for all of us. This comprehensive volume analyzes how this social phenomenon is transforming long-established healthcare practices and perceptions in a country with one of the highest numbers of Internet users: Brazil. After an opening text that analyzes the Internet and E-Health Care as a field of study, the book comprises six parts. The first part introduces the emergence and development of the internet in Brazil, its pioneering experience in internet governance, digital inclusion, and online citizen participation. The second part is dedicated to internet health audiences by analyzing the cases of patients, the young, and the elderly seeking and sharing health information online, especially in virtual communities. The third part is dedicated to the challenges that the expansion of the internet in healthcare poses to all of us, such as the evaluation of the quality of health information available online and the prevention of the risks involved with online sales, cyberbullying, and consumption of prescription medicines. The fourth presents some innovative e-learning experiences carried out with different groups in Brazil, while the fifth part analyses some practical applications involving the Internet and health, including studies on M-Health, the Internet of things, serious games and the use of new information and communication technologies in health promotion. The last chapter analyses the future of healthcare in the Internet Age. The authors establish a critical and creative debate with international scholarship on the subject. This book is written in a direct and comprehensible way for professionals, researchers, students of communication and health, as well as for stakeholders and others interested in better understanding the trends and the different challenges related to the social phenomenon of the internet in health.

This important new study explores how American health care evolved in the 1990s, as well as the changes in public support and policy. Birenbaum examines where the interests of consumers and professionals have dovetailed and where they differ. He considers the health care systeM's future and suggested ways the system must be adjusted to provide better and wider coverage at reasonable costs. This volume is essential reading for scholars, students, and professionals in the medical field, as well as general readers concerned with health care issues.

The 90s saw the country moving toward a realization that health care had become unaffordable--or an enormous financial burden for people with otherwise adequate incomes. Health care providers and consumers alike worried that the problem was becoming uncontrollable. Doctors saw their autonomy and control eroded, employers saw their costs rising significantly, the costs began shifting to employees, and alternative approaches to cost containment were explored.

Over the past 200 years, a health reform movement has emerged about every 80 years. These clean living cycles surged with, or were tangential to, a religious awakening. Simultaneously with these awakenings, out groups such as immigrants and/or youth were seen to exhibit behaviors that undermined society. Middle class fear of these dangerous classes and a desire to eliminate disease, crime, and other perceived health or social problems led to crusades in each of the three reform eras against alcohol, tobacco, drugs, certain foods, and sexual behaviors. A backlash began to emerge from some segments of the population against reform efforts. After the dissipation of the activism phase, laws made during the reform era often became ignored or repealed. With a few exceptions, during the 30 to 40 year ebb of the cycle, the memory of the movement disappeared from public awareness.

The desire for improved health and social conditions also led to campaigns in favor of exercise, semi-vegetarian diets, women's rights, chastity, and eugenics. Engs describes the interweaving of temperance, women's rights, or religion with most health issues. Factions of established faiths emerged to fight perceived immorality, while alternative religions formed and adopted health reform as dogma. In the reform phase of each cycle, a new infectious disease threatened the population. Some alternative medical practices became popular that later were incorporated into orthodox medicine and public health. Ironically, over each succeeding movement, reformers became more likely to represent grass roots beliefs, or even to be state or federal officials, rather than independent activists.

Widespread obesity, poor nutrition, sleep-deprivation, and highly digital and sedentary lifestyles are just a few of the many challenges facing young people. Although public schools in the United States have the potential for meeting these challenges on a mass scale, they are slow to respond. The emphasis on discrete subject areas and standardized test performance offers little in the way of authentic learning and may in reality impede health. Healthy Teens, Healthy Schools: How Media Literacy Education can Renew Education in the United States reframes health education as a complex terrain that resides within a larger ecosystem of historical, social, political, and global economic forces. It calls for a media literate pedagogy that empowers students to be critical consumers, creative producers, and responsible citizens. This book illustrates holistic health education through school-community initiatives and innovative partnerships that are successful in magnifying all curriculum subjects and their associated teaching practices. Vanessa Domine offers teachers, teacher educators, school administrators, community organizers, public health professionals, and policy makers with a transmedia and transdisciplinary educational approach to adolescent health to demonstrate how our collective focus on cultivating healthy teens will ultimately yield healthy schools.

This book presents new insights into the consequences of the impending growth in and impact of the older segment of Latino aging adults across distinctive regions of the Americas. It uses a comparative research framework to further understanding of current issues in health and aging in the transnational context of the health and migratory experiences of the U.S.- Mexican population. It provides an important contribution to the interdisciplinary investigation of chronic diseases and functional impairments, social care and medical services, care-giving and intervention development, and neighborhood factors supporting optimal aging, using new conceptual and methodological approaches (inter-group comparisons). Specifically, the chapters employ different methodologies that investigate trends in aging health and services related to immigration processes, family and household structure, macroeconomic changes in the quality of community life, and focus on the new realities of aging in Latino families in local communities. The book focuses on measurement, data-quality issues, new conceptual modeling techniques, and longitudinal survey capabilities, and suggests needed areas of new research. As such it is of interest to researchers and policy makers in a wide range of disciplines from social and behavioral sciences to economics, gerontology, geriatrics, and public health.

For fifty years, Medicare and Medicaid have stood at the center of a contentious debate surrounding American government, citizenship, and health care entitlement. In Medicare and Medicaid at 50, leading scholars in politics, government, economics, health policy, and history offer a comprehensive assessment of the evolution of these programs and their impact on society - from their origins in the Great Society era to the current battles over the Affordable Care Act ("Obamacare"). These highly accessible essays examine Medicare and Medicaid from their origins as programs for the elderly and poor to their later role as a safety net for the middle class. Along the way, they have served as touchstones for heated debates about economics, social welfare, and the role of government. Medicare and Medicaid at 50 addresses key questions for understanding the past and future of health policy in America, including: DT What were the origins for these initiatives, and how were they transformed over time? DT What marks have Medicare and Medicaid left on society? DT In what ways have these programs produced innovation, even in eras of retrenchment? DT How did Medicaid, once regarded as a poor person's program, expand its benefits and coverage over the decades to become the platform for the ACA's future expansion? The volume's contributors go on to examine the powerful role of courts in these transformations, along with the shifting roles of Congress, public opinion, and state governors in the programs' ongoing evolution. From Lyndon Johnson to Barack Obama on the left, and from Ronald Reagan to George W. Bush on the right, American political leaders have tied their political fortunes to the fate of America's entitlement programs; Medicare and Medicaid at 50 helps explain why, and how those ongoing debates are likely to shape the future of the Affordable Care Act.

Paradigms Lost challenges key paradigms currently held about the prevention or reduction of stigma attached to mental illness using evidence and the experience the authors gathered during the many years of their work in this field. Each chapter examines one currently held paradigm and presents reasons why it should be replaced with a new perspective. The book argues for enlightened opportunism (using every opportunity to fight stigma), rather than more time consuming planning, and emphasizes that the best way to approach anti-stigma work is to select targets jointly with those who are most concerned. The most radical change of paradigms concerns the evaluation of outcome for anti-stigma activities. Previously, changes in stigmatizing attitudes were used as the best indicator of success. Paradigms Lost and its authors argue that it is now necessary to measure changes in behaviors (both from the perspective of those stigmatized and those who stigmatize) to obtain a more valid measure of a program's success. Other myths to be challenged: providing knowledge about mental illness will reduce stigma; community care will de-stigmatize mental illness and psychiatry; people with a mental illness are less discriminated against in developing countries.
Paradigms Lost concludes by describing key elements in successful anti stigma work including the recommended duration of anti-stigma programmes, the involvement of those with mental illness in designing programmes, and the definition of programmes in accordance with local circumstances. A summary of weaknesses of currently held paradigms and corresponding lists of best practice principles to guide future anti-stigma action and research bring this insightful volume to an apt conclusion.

This is a significant and timely book. The chapters are rich in describing clinical considerations and approaches to the immigrant patient in a broad range of disease areas. I recommAnd this book to all administrators and clinicians who serve or plan to serve the growing immigrant populations in the United States.
--Henry Chung, medical director, Chinatown Health Clinic, New York, New York

Immigrant Women's Health offers doctors, nurses, and administrators the knowledge and tools they need to meet the challenge to provide quality care for one of the United States' most vulnerable patient populations?immigrant women.

Providing readers insights into the knowledge, attitudes, health beliefs, health care practices, and health care seeking behavior of immigrant women, the contributors offer effective strategies for providing culturally-competent, high-quality, cost-effective care to migrant women. Health care planners, policy makers, and administrators who seek a clear understanding of the issues surrounding health services utilization by immigrants and the devastating effects of recent changes to federal policies will find this book a vital and practical reference.

Most studies of geriatric patients have focused on nursing homes. In fact, most people are placed in these institutions only after being evaluated by medical and social service staff. This ethnography details the day-to-day experiences of a geriatric and assessment unit by examining the staff, families, and patients themselves. It looks at the activities that take place in the unit as well as the less obvious cultural patterns of the process. Using the Ethnography of Speaking method, it explores the human side of this most difficult of life's decisions.

This issue of Primary Care: Clinics in Office Practice, Guest Edited by Dr. Mark B. Stephens, is devoted to Cardiovascular Disease. Articles in this issue include: State of the Heart: Overview of disease burden of cardiovascular disease from an epidemiologic perspective; Heavy Heart: Economic burden of heart disease with projections/implications for impact on the health care system; Prevention of Heart Disease; Coronary Artery Disease; Congestive Heart Failure; Valvular Heart Disease; Peripheral Vascular Disease; The Athlete's Heart and Sudden Death; Metabolic Syndrome: systems thinking in heart disease; Women and Heart Disease; Heart Disease in Children; and Cardiac Imaging.

After Haiti's 2010 earthquake, over half of U.S. households donated to thousands of nongovernmental organizations (NGOs) in that country. Yet we continue to hear stories of misery from Haiti. Why have NGOs failed at their mission?
Set in Haiti during the 2004 coup and aftermath and enhanced by research conducted after the 2010 earthquake, "Killing with Kindness" analyzes the impact of official development aid on recipient NGOs and their relationships with local communities. Written like a detective story, the book offers rich enthnographic comparisons of two Haitian women's NGOs working in HIV/AIDS prevention, one with public funding (including USAID), the other with private European NGO partners. Mark Schuller looks at participation and autonomy, analyzing donor policies that inhibit these goals. He focuses on NGOs' roles as intermediaries in "gluing" the contemporary world system together and shows how power works within the aid system as these intermediaries impose interpretations of unclear mandates down the chain--a process Schuller calls "trickle-down imperialism."

This volume interrogates global health and especially the scourge of the COVID-19 pandemic, and the role that science has played in mitigating the human experiences of pandemics and health over the centuries. Science, and the scientific method, has always been at the forefront of the human attempt at undermining the virulent consequences of sicknesses and diseases. However, the scientific image of humans in the world is founded on the presumption of possessing the complete understanding about humans and their physiological and psychological frameworks. This volume challenges this scientific assumption. Global health denotes the complex and cumulative health profile of humanity that involves not only the framework of scientific researches and practices that investigates and seeks to improve the health of all people on the globe, but also the range of humanistic issues - economic, cultural, social, ideological - that constitute the sources of inequities and threat to the achievement of a positive global health profile. This volume balances the argument that diseases and pandemics are human problems that demand both scientific and humanistic interventions.

Handbook of Statistics: Disease Modelling and Public Health, Part B, Volume 37 addresses new challenges in existing and emerging diseases. As a two part volume, this title covers an extensive range of techniques in the field, with this book including chapters on Reaction diffusion equations and their application on bacterial communication, Spike and slab methods in disease modeling, Mathematical modeling of mass screening and parameter estimation, Individual-based and agent-based models for infectious disease transmission and evolution: an overview, and a section on Visual Clustering of Static and Dynamic High Dimensional Data. This volume covers the lack of availability of complete data relating to disease symptoms and disease epidemiology, one of the biggest challenges facing vaccine developers, public health planners, epidemiologists and health sector researchers.

The explosion of Pan Am Flight 103 over Lockerbie, Scotland, in December 1988, should never have happened. Wallis, who has extensive, direct, personal knowledge of aviation security matters gained from his position at the crossroads of security information and the industry's endeavors to combat aviation terrorism, had warned the industry one year before the bombing that the interline element of baggage represented the prime opportunity for terrorist activity and had urged the adoption of passenger and baggage matching, a system that he had helped to develop. Mandated by the FAA for use at high risk airports, it was the feature missing from Pan AM's activity at Frankfort, an omission so cruelly exploited by the bombers. Wallis argues that the priority given by governments to technological solutions to the continuing terrorist threat puts the flying public at unnecessary risk every day.

This volume brings together all of the facts surrounding the sabotage of Flight 103, including the investigation and the civil litigation in which so much of the story unfolded for the first time. It uncovers the fundamental weaknesses in Pan AM's communication and management policies. Wallis supports the policy that politics are politics and explores the possibility that U.S. and U.K. policy towards a neutral trial for the two Libyans indicted for the bombing, which may have been affected by the wider scenario of Middle East politics rather than simple justice for the victims of Lockerbie. Although the tragedy has led to improvements in defense technology for use against acts of aviation sabotage, these methods have yet to be applied universally.