This is an auto-narrated audiobook edition of this book.

There is little debate that health care in the United States is in need of reform. But where should those improvements begin? With insurers? Drug makers? The doctors themselves? In Big Med, David Dranove and Lawton Robert Burns argue that we’re overlooking the most ubiquitous cause of our costly and underperforming system: megaproviders, the expansive health care organizations that have become the face of American medicine. Your local hospital is likely part of one. Your doctors, too. And the megaproviders are bad news for your health and your wallet.

Drawing on decades of combined expertise in health care consolidation, Dranove and Burns trace Big Med’s emergence in the 1990s, followed by its swift rise amid false promises of scale economies and organizational collaboration. In the decades since, megaproviders have gobbled up market share and turned independent physicians into salaried employees of big bureaucracies, while delivering on none of their early promises. For patients this means higher costs and lesser care. Meanwhile, physicians report increasingly low morale, making it all but impossible for most systems to implement meaningful reforms.

In Big Med, Dranove and Burns combine their respective skills in economics and management to provide a nuanced explanation of how the provision of health care has been corrupted and submerged under consolidation. They offer practical recommendations for improving competition policies that would reform megaproviders to actually achieve the efficiencies and quality improvements they have long promised.
This is an essential read for understanding the current state of the health care system in America—and the steps urgently needed to create an environment of better care for all of us.

The story of how the First Amendment became an obstacle to campaign finance regulation—a history that began much earlier than most imagine.

Americans across party lines believe that public policy is rigged in favor of those who wield big money in elections. Yet, legislators are restricted in addressing these concerns by a series of Supreme Court decisions finding that campaign finance regulations violate the First Amendment.

Big Money Unleashed argues that our current impasse is the result of a long-term process involving many players. Naturally, the justices played critical roles—but so did the attorneys who hatched the theories necessary to support the legal doctrine, the legal advocacy groups that advanced those arguments, the wealthy patrons who financed these efforts, and the networks through which they coordinated strategy and held the Court accountable.

Drawing from interviews, public records, and archival materials, Big Money Unleashed chronicles how these players borrowed a litigation strategy pioneered by the NAACP to dismantle racial segregation and used it to advance a very different type of cause.

Over the course of human history, the sciences, and biology in particular, have often been manipulated to cause immense human suffering. For example, biology has been used to justify eugenic programs, forced sterilization, human experimentation, and death camps—all in an attempt to support notions of racial superiority. By investigating the past, the contributors to Biology and Ideology from Descartes to Dawkins hope to better prepare us to discern ideological abuse of science when it occurs in the future.  

Denis R. Alexander and Ronald L. Numbers bring together fourteen experts to examine the varied ways science has been used and abused for nonscientific purposes from the fifteenth century to the present day. Featuring an essay on eugenics from Edward J. Larson and an examination of the progress of evolution by Michael J. Ruse, Biology and Ideology examines uses both benign and sinister, ultimately reminding us that ideological extrapolation continues today. An accessible survey, this collection will enlighten historians of science, their students, practicing scientists, and anyone interested in the relationship between science and culture.

Life on earth is characterized by three striking phenomena that demand explanation: adaptation—the marvelous fit between organism and environment; diversity—the great variety of organisms; and complexity—the enormous intricacy of their internal structure. Natural selection explains adaptation. But what explains diversity and complexity? Daniel W. McShea and Robert N. Brandon argue that there exists in evolution a spontaneous tendency toward increased diversity and complexity, one that acts whether natural selection is present or not. They call this tendency a biological law—the Zero-Force Evolutionary Law, or ZFEL. This law unifies the principles and data of biology under a single framework and invites a reconceptualization of the field of the same sort that Newton’s First Law brought to physics.

Biology’s First Law shows how the ZFEL can be applied to the study of diversity and complexity and examines its wider implications for biology. Intended for evolutionary biologists, paleontologists, and other scientists studying complex systems, and written in a concise and engaging format that speaks to students and interdisciplinary practitioners alike, this book will also find an appreciative audience in the philosophy of science.

From the tufted puffin in the Pacific Northwest to the hook-billed hermit in the Brazilian rainforest, birds suffer from the effects of climate change in every corner of the globe. Scientists have found declines of up to 90 percent in some troubled bird populations and unprecedented reproductive failure in others. The most recent studies suggest dire prospects: 1,227 avian species are threatened with extinction and an additional 838 near-threatened species are urgent priorities for conservation action.

As much an indispensable guide as a timely call to action, Bird Watch is an illustrated tour of these endangered birds and their habitats. Encyclopedic in scope, this book features all 1,227 species on the International Union for Conservation of Nature (IUCN) Red List, thoroughly detailing the environmental pressures and conservation prescriptions that hold their futures in the balance. After introducing readers to the main threats to birds and regions at high risk, Bird Watch presents a visually stunning and scientifically accurate flight over the major bird habitats, including tropical forests; temperate and northern forests; deserts; mountains; grasslands; and Mediterranean, marine, freshwater, and oceanic islands. The volume concludes with an overview of bird species by region—categorized by family within each region, and a guide to the world’s best birding sites. Produced in cooperation with BirdLife International, Bird Watch is a celebration of the beauty and diversity of birds and their habitats—and a warning of the dangers they face around the world.

In one remarkable quarter-century, thirteen quarrelsome colonies were transformed into a nation. Edmund S. Morgan's classic account of the Revolutionary period shows how the challenge of British taxation started the Americans on a search for constitutional principles to protect their freedom and eventually led to the Revolution.

Morgan demonstrates that these principles were not abstract doctrines of political theory but grew instead out of the immediate needs and experiences of the colonists. They were held with passionate conviction, and incorporated, finally, into the constitutions of the new American states and of the United States.

Though the basic theme of the book and his assessment of what the Revolution achieved remain the same, Morgan has updated the revised edition of The Birth of the Republic (1977) to include some textual and stylistic changes as well as a substantial revision of the Bibliographic Note.

At once an inspiring story about the shifting boundaries of race, citizenship, and democracy in America and a crucial look at the nature of racial inequality, The Black Child Savers is a stirring account of the stakes and meaning of social justice.