There are four major dilemmas at work in the rapid decline of the United States' healthcare system: the disappearing primary care sector, healthcare insurance reform, the influence of the pharmaceutical industry on the practice of medicine, and reform of malpractice litigation. In this book, Dr. Robert A. Linden provides a comprehensive explanation of these dilemmas, from the perspective of a primary care physician who has spent 30 years working directly with patients and seeing first-hand how changes in the system have impacted patients and physicians. Dr. Linden sorts out the fragments of information that most readers get through the media and fills in the blanks to provide a clear picture of what's wrong with the U.S. healthcare system, an impartial review of proposed solutions, and a look at what other countries have done to reform their healthcare systems. Unlike many academician authors who have covered the problems only in part with skewed information, this book will finally help the healthcare consumer understand the problems facing us and form their own assessments of what should be done to restore the American healthcare system.

The Rise and Decline of the American "Empire" explores the rapidly growing literature on the rise and fall of the United States. The author argues that after 1945 the US has definitely been the most dominant power the world has seen and that it has successfully met the challenges from, first, the Soviet Union and, then, Japan, and the European Union. Now, however, the United States is in decline: its vast military power is being challenged by asymmetrical wars, its economic growth is slow and its debt is rising rapidly, the political system is proving unable to meet these challenges in a satisfactory way. While the US is still likely to remain the world's leading power for the foreseeable future, it is being challenged by China, particularly economically, and also by several other regional Great Powers. The book also addresses the more theoretical question of what recent superpowers have been able to achieve and what they have not achieved. How could the United States be both the dominant power and at the same time suffer significant defeats? And how could the Soviet Union suddenly collapse? No power has ever been omnipotent. It cannot control events all around the world. The Soviet Union suffered from imperial overstretch; the traditional colonial empires suffered from a growing lack of legitimacy at the international, national, and local levels. The United States has been able to maintain its alliance system, but only in a much reformed way. If a small power simply insists on pursuing its own very different policies, there is normally little the United States and other Great Powers will do. Military intervention is an option that can be used only rarely and most often with strikingly limited results.

Throughout the twentieth century, the U.S. government willingly deployed power, hard and soft, to protect American investments all around the globe. Why did the United States get into the business of defending its citizens' property rights abroad? The Empire Trap looks at how modern U.S. involvement in the empire business began, how American foreign policy became increasingly tied to the sway of private financial interests, and how postwar administrations finally extricated the United States from economic interventionism, even though the government had the will and power to continue. Noel Maurer examines the ways that American investors initially influenced their government to intercede to protect investments in locations such as Central America and the Caribbean. Costs were small--at least at the outset--but with each incremental step, American policy became increasingly entangled with the goals of those they were backing, making disengagement more difficult. Maurer discusses how, all the way through the 1970s, the United States not only failed to resist pressure to defend American investments, but also remained unsuccessful at altering internal institutions of other countries in order to make property rights secure in the absence of active American involvement. Foreign nations expropriated American investments, but in almost every case the U.S. government's employment of economic sanctions or covert action obtained market value or more in compensation--despite the growing strategic risks. The advent of institutions focusing on international arbitration finally gave the executive branch a credible political excuse not to act. Maurer cautions that these institutions are now under strain and that a collapse might open the empire trap once more. With shrewd and timely analysis, this book considers American patterns of foreign intervention and the nation's changing role as an imperial power.

Best Book Award • Mormon History Association A brilliant young historian excavates the brief life of a lost Mormon city, uncovering a “grand, underappreciated saga in American history” (Wall Street Journal). In Kingdom of Nauvoo, Benjamin E. Park draws on newly available sources to re-create the founding and destruction of the Mormon city of Nauvoo. On the banks of the Mississippi in Illinois, the early Mormons built a religious utopia, establishing their own army and writing their own constitution. For those offenses and others—including the introduction of polygamy, which was bitterly opposed by Emma Smith, the iron-willed first wife of Joseph Smith—the surrounding population violently ejected the Mormons, sending them on their flight to Utah. Throughout his absorbing chronicle, Park shows how the Mormons of Nauvoo were representative of their era, and in doing so elevates Mormon history into the American mainstream.

SALEM has long been notorious for the witch trials of 1692. But a hundred years later it was renowned for very different pursuits: vast wealth and worldwide trade. Now Death of an Empire tells the story of Salem's glory days in the age of sailing, and the murder that hastened its descent. When America first became a nation, Salem was the richest city in the republic, led by a visionary merchant who still ranks as one of the wealthiest men in history. For decades, Salem connected America with the wider world, through a large fleet of tall ships and a pragmatic, egalitarian brand of commerce taht remains a model of enlightened international relations. But America's emerging big cities and westward expansion began to erode Salem's national political importance just as its seafaring economy faltered in the face of tariffs and global depression. With Salem's standing as a world capital imperiled, two men, equally favored by fortune, struggled for its future: one, a progressive merchant-politician, tried to build new institutions and businesses, while the other, a reclusive crime lord, offered a demimonde of forbidden pleasures. The scandalous trial that followed signaled Salem's fall from national prominence, a fall that echoed around the world in the loss of friendly trade and in bloody reprisals against native peoples by the U.S. Navy. Death of an Empire is an exciting tale of a remarkably rich era, shedding light on a little-known but fascinating period of Ameriacn history in which characters such as Nathaniel Hawthorne, John Quincy Adams, and Daniel Webster interact with the ambitious merchants and fearless mariners who made Salem famous around the world.

In the years following World War II, medicine won major battles against smallpox, diphtheria, and polio. In the same period it also produced treatments to control the progress of Parkinson's, rheumatoid arthritis, and schizophrenia. It made realities of open-heart surgery, organ transplants, test-tube babies. Unquestionably, the medical accomplishments of the postwar years stand at the forefront of human endeavor, yet progress in recent decades has slowed nearly to a halt. In this winner of the Los Angeles Times Book Prize, medical doctor and columnist James Le Fanu both surveys the glories of medicine in the postwar years and analyzes the factors that for the past twenty-five years have increasingly widened the gulf between achievement and advancement: the social theories of medicine, ethical issues, and political debates over health care that have hobbled the development of vaccines and discovery of new "miracle" cures. While fully demonstrating the extraordinary progress effected by medical research in the latter half of the twentieth century, Le Fanu also identifies the perils that confront medicine in the twenty-first. 16 pages of black-and-white photographs add to what the Los Angeles Times cited as "a sobering, contrarian challenge" to the "nostrum of medicine as a never-ending font of ‘miracle cures'." "[From] a respected science writer ... important information that ... has been overlooked or ignored by many physicians." —New Republic "Provocative and engrossing and informative." —Houston Chronicle "Marvelously written, meticulously researched ... one of the most thought-provoking and important works to appear in recent years." —Choice

Speaks directly to the person diagnosed with early-stage Alzheimer's and offers them the information they need to move ahead.