Without warning stroke can paralyze, blind, or kill. Some victims recover, but many do not and may even suffer another disabling or fatal attack. The drug known as tPA can drastically reduce the long-term disability associated with stroke, but despite its near-miraculous capabilities and the growing support of most neurologists, it has been slow to win acceptance as the standard of care in emergency departments nationwide.
tPA for Stroke chronicles how this remarkable drug came to be tested in stroke victims, its early years in development by the pharmaceutical giant Genentech, and its eventual marginalization due to a convergence of unfavorable political, fiscal, and medical circumstances. For instance, initially many stroke specialists were unconvinced that the drug's benefits outweigh its risks (tPA was originally developed and is still used for cardiac patients). Moreover, neurologists called upon to assess stroke patients have not typically been trained to make decisions in emergency settings--and tPA must be given within a scant few hours after stroke. These and other factors have continued to delay the drug's universal acceptance as the most effective treatment available, and to hamper the general public's awareness that such a treatment exists--a troubling state of affairs that Zivin and Simmons argue must be rectified. Instilling the knowledge that anyone, at any time, is susceptible to stroke, from the old and infirm to the young and healthy, tPA for Stroke is a clarion call to awareness in a rapidly changing healthcare environment in which stroke, long a disease in thrall to resignation and pessimism, must be neglected no longer.

In his new introduction to this classic text on political economy, Galbraith reasserts the validity of the core thesis of American Capitalism: The best and established answer to economic power is the building of countervailing power. The trade union remains an equalizing force in the labor markets, and the chain store is the best answer to the market power of big food companies. This work remains an essential guidepost of American mores as well as that as of the American economy.

In this fortieth anniversary edition of a classic text on political economy, John Kenneth Galbraith reasserts the validity of its core thesis: the best and established answer to economic power is the building of countervailing power. Galbraith's work remains an essential guidepost of American mores as well as the American economy. His work explores the balance of forces that add up to a mosaic of prestige in business and power in politics. It provides a unique synthesis of pluralist and elitist concepts of power. While recognizing in his new introduction the diminution of certain forces, such as trade unionism at one end and the national corporation at the other, Galbraith knows that it is not only international competition that accounts for this startling reduction in overall American capitalism, but its internal weakness, noting that "we now know that we may have less to fear from corporate power than from corporate incompetence".

Galbraith's classic on the "economics of abundance" is, in the words of the New York Times, "a compelling challenge to conventional thought." With customary clarity, eloquence, and humor, Galbraith cuts to the heart of what economic security means (and doesn't mean) in today's world and lays bare the hazards of individual and societal complacence about economic inequity. While "affluent society" and "conventional wisdom" (first used in this book) have entered the vernacular, the message of the book has not been so widely embraced--reason enough to rediscover The Affluent Society.