In 1880 a young medical student named Arthur Conan Doyle embarked upon the “first real outstanding adventure” of his life, taking a berth as ship’s surgeon on an Arctic whaler, the Hope. The voyage took him to unknown regions, showered him with dramatic and unexpected experiences, and plunged him into dangerous work on the ice floes of the Arctic seas. He tested himself, overcame the hardships, and, as he wrote later, “came of age at 80 degrees north latitude.”

A special limited, numbered edition of the clothbound book is also available. In addition, a text-only e-book edition is published as Dangerous Work: Diary of an Arctic Adventure, Text-only Edition.

This e-book features the complete text found in the print edition of Dangerous Work, without the illustrations or the facsimile reproductions of Conan Doyle's notebook pages.

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.

An unflinching examination of the effects and boundaries of partisan animosity.

For generations, experts argued that American politics needed cohesive parties to function effectively. Now many fear that strong partisan views, particularly hostility to the opposing party, are damaging democracy. Is partisanship as dangerous as we fear it is?

To provide an answer, this book offers a nuanced evaluation of when and how partisan animosity matters in today’s highly charged, dynamic political environment, drawing on panel data from some of the most tumultuous years in recent American history, 2019 through 2021. The authors show that partisanship powerfully shapes political behaviors, but its effects are conditional, not constant. Instead, it is most powerful when politicians send clear signals and when an issue is unlikely to bring direct personal consequences. In the absence of these conditions, other factors often dominate decision-making.

The authors argue that while partisan hostility has degraded US politics—for example, politicizing previously non-political issues and undermining compromise—it is not in itself an existential threat. As their research shows, the future of American democracy depends on how politicians, more than ordinary voters, behave.