Foreword by Harvey V. Fineberg, President of the Institute of MedicineFor decades, experts have puzzled over why the US spends more on health care but suffers poorer outcomes than other industrialized nations. Now Elizabeth H. Bradley and Lauren A. Taylor marshal extensive research, including a comparative study of health care data from thirty countries, and get to the root of this paradox: We've left out of our tally the most impactful expenditures countries make to improve the health of their populations,investments in social services. In The American Health Care Paradox , Bradley and Taylor illuminate how narrow definitions of health care," archaic divisions in the distribution of health and social services, and our allergy to government programs combine to create needless suffering in individual lives, even as health care spending continues to soar. They show us how and why the US health care system" developed as it did examine the constraints on, and possibilities for, reform and profile inspiring new initiatives from around the world. Offering a unique and clarifying perspective on the problems the Affordable Care Act won't solve, this book also points a new way forward.

It is one thing to draw a line in the sand but another to enforce it. In this innovative new work, Jessica Lauren Taylor follows the Native peoples and the newcomers who built and crossed emerging boundaries surrounding Indigenous towns and developing English plantations in the seventeenth-century Chesapeake Bay. In a riverine landscape defined by connection, Algonquians had cultivated ties to one another and into the continent for centuries. As Taylor finds, their networks continued to define the watery Chesapeake landscape, even as Virginia and Maryland’s planters erected fences and forts, policed unfree laborers, and dispatched land surveyors. By chronicling English and Algonquian attempts to move along paths and rivers and to enforce boundaries, Taylor casts a new light on pivotal moments in Anglo-Indigenous relations, from the growth of the fur trade to Bacon’s Rebellion. Most important, Taylor traces the ways in which the peoples resisting colonial encroachment and subjugation used Native networks and Indigenous knowledge of the Bay to cross newly created English boundaries. She thereby illuminates alternate visions of power, freedom, and connection in the colonial Chesapeake.

It is one thing to draw a line in the sand but another to enforce it. In this innovative new work, Jessica Lauren Taylor follows the Native peoples and the newcomers who built and crossed emerging boundaries surrounding Indigenous towns and developing English plantations in the seventeenth-century Chesapeake Bay. In a riverine landscape defined by connection, Algonquians had cultivated ties to one another and into the continent for centuries. As Taylor finds, their networks continued to define the watery Chesapeake landscape, even as Virginia and Maryland’s planters erected fences and forts, policed unfree laborers, and dispatched land surveyors. By chronicling English and Algonquian attempts to move along paths and rivers and to enforce boundaries, Taylor casts a new light on pivotal moments in Anglo-Indigenous relations, from the growth of the fur trade to Bacon’s Rebellion. Most important, Taylor traces the ways in which the peoples resisting colonial encroachment and subjugation used Native networks and Indigenous knowledge of the Bay to cross newly created English boundaries. She thereby illuminates alternate visions of power, freedom, and connection in the colonial Chesapeake.