The National Guardsman, the citizen soldier called upon to fight for this nation in a time of war, is one of the least understood — and perhaps one of the most compelling — figures of the Iraq War. Saber’s Edge is the story of a middle-aged Vermont firefighter called upon to be a soldier in the worst place on earth — Ramadi, Iraq. In a few short weeks Thomas A. Middleton went from being a suburban dad to a combat medic traveling between platoons, filling in for other medics and engaging in some of the fiercest and most crucial fighting of the war. This is the war as experienced from the ground level: days of tedium interspersed with the adrenalin of combat; moments of lighthearted laughter broken by the sorrow of loss. This is also the story of the unique wartime perspective of our guardsmen. Unlike the raw, unformed young recruit, the mature guardsman often comes with the burdens of family, experience, and a developed sense of self. Accordingly, Sgt. Middleton’s story chronicles the inner conflict created by his long-time professional role as a healer and his newfound life as a warrior in the urban battlefields of Iraq. Thrust into a culture and theater of war that he is little equipped or trained for, the author tries to make sense of his actions. Coarsened by combat and increasingly disdainful of the local population, he receives solace and insight from his life-long faith and ultimately emerges as a man who understands his role in the world. Saber’s Edge is also the story of the Green Mountain Boys of Task Force Saber: a story of comradeship and communion amid fierce street fighting in a crucial theater of the Iraq War (the eventual site of the “Al Anbar Awakening”). Based on the author’s first-hand experiences and interviews with other soldiers, Saber’s Edge presents a riveting account of modern urban warfare and the inspiring story of one man reconciling his actions in warfare.

"Culture counts" has long been a rallying cry among health advocates and policymakers concerned with racial disparities in health care. A generation ago, the women's health movement led to a host of changes that also benefited racial minorities, including more culturally aware medical staff, enhanced health education, and the mandated inclusion of women and minorities in federally funded research. Many health professionals would now agree that cultural competence is important in clinical settings, but in what ways? Shattering Culture provides an insightful view of medicine and psychiatry as they are practiced in today's culturally diverse clinical settings. The book offers a compelling account of the many ways culture shapes how doctors conduct their practices and how patients feel about the care they receive. Based on interviews with clinicians, health care staff, and patients, Shattering Culture shows the human face of health care in America. Building on over a decade of research led by Mary-Jo Good, the book delves into the cultural backgrounds of patients and their health care providers, as well as the institutional cultures of clinical settings, to illuminate how these many cultures interact and shape the quality of patient care. Sarah Willen explores the controversial practice of matching doctors and patients based on a shared race, ethnicity, or language and finds a spectrum of arguments challenging its usefulness, including patients who may fear being judged negatively by providers from the same culture. Seth Hannah introduces the concept of cultural environments of hyperdiversity describing complex cultural identities. Antonio Bullon and Mary-Jo Good demonstrate how regulations meant to standardize the caregiving process—such as the use of templates and check boxes instead of narrative notes—have steadily limited clinician flexibility, autonomy, and the time they can dedicate to caring for patients. Elizabeth Carpenter-Song looks at positive doctor-patient relationships in mental health care settings and finds that the most successful of these are based on mutual "recognition"—patients who can express their concerns and clinicians who validate them. In the book's final essay, Hannah, Good, and Park show how navigating the maze of insurance regulations, financial arrangements, and paperwork compromises the effectiveness of mental health professionals seeking to provide quality care to minority and poor patients. Rapidly increasing diversity on one hand and bureaucratic regulations on the other are two realities that have made providing culturally sensitive care even more challenging for doctors. Few opportunities exist to go inside the world of medical and mental health clinics and see how these realities are influencing patient care. Shattering Culture provides a rare look at the day-to-day experiences of psychiatrists and other clinicians and offers multiple perspectives on what culture means to doctors, staff, and patients and how it shapes the practice of medicine and psychiatry.

An event-by-event look at how institutionalized racism harms the health of African Americans in the twenty-first century
 

A crucial component of anti-Black racism is the unconscionable disparity in health outcomes between Black and white Americans. Sickening examines this institutionalized inequality through dramatic, concrete events from the past two decades, revealing how unequal living conditions and inadequate medical care have become routine. 

From the spike in chronic disease after Hurricane Katrina to the lack of protection for Black residents during the Flint water crisis—and even the life-threatening childbirth experience for tennis star Serena Williams—author Anne Pollock takes readers on a journey through the diversity of anti-Black racism operating in healthcare. She goes beneath the surface to deconstruct the structures that make these events possible, including mass incarceration, police brutality, and the hypervisibility of Black athletes’ bodies. Ultimately, Sickening shows what these shocking events reveal about the everyday racialization of health in the United States.

Concluding with a vital examination of racialized healthcare during the COVID pandemic and the Black Lives Matter rebellions of 2020, Sickening cuts through the mind-numbing statistics to vividly portray healthcare inequalities. In a gripping and passionate style, Pollock shows the devastating reality and consequences of systemic racism on the lives and health of Black Americans. 

For any country that has a large and diverse migrant population, it is a struggle to connect these people to the country’s institutions, including the healthcare system, which can be overwhelming in its complexity. Cultural and language barriers often make it difficult for doctors to fully understand the symptoms of their migrant patients, reach accurate diagnoses, or properly treat their suffering. Thus, medical practitioners must attempt new, innovative practices in order to reach patients where they are and convince them to accept treatment from doctors they don’t totally understand. In France, Serge Bouznah and Catherine Lewertowski have pioneered one such practice—that of transcultural mediation. 
 
Drawn from two decades of their experience with transcultural mediation, Spirits in the Consulting Room tells the stories of eight patients—mainly migrants—and their families. Each chapter focuses on a different patient, and Christelle, Djibril, Moncef, Alhassane, Jacinthe, Amy, Cyril, Alice, and Pierre leap off the page as distinct people with unique situations. Together, these chapters reveal how patients’ comprehension of their symptoms is shaped by their cultural background, while recounting the challenges of translating that into terms the doctors can grasp. 
 
The book shows how trained transcultural mediators can help to redress the power imbalance between doctors and the migrants they treat, providing patients with advocates who respect the authority of their background and experiences and don’t just take the side of the medical professionals. The groundbreaking insights modeled in this book can be applied to any medical situation where doctors and patients find themselves speaking different languages. 
 

"Surviving Modern Medicine" gives consumers the practical steps they can take to navigate today's confusing medical world to improve the quality of care they receive. The authors dig through leading research for down-to-earth tips that any patient can apply to: open lines of communication with doctors; weigh the risks and benefits among treatment options; mobilize understanding and effective support from family and friends; overcome the fatigue and guilt of long-term cargiving; and control life-support situations to balance high-technology against an acceptable quality of life. Readers learn how to battle with a stubborn HMO and to select the right coverage in the first place. Patients discover how to make better use of their office visits, communicating effectively with doctors by asking the right questions and remembering crucial facts. The book features the authors' nationally-tested guide to decision making about critical care and to completing a Living Will or Healthcare Power of Attorney. Throughout, the book provides simple exercises that readers can practice. These exercises allow patients to replace frustating and perplexing encounters with the health and medical bureaucracy with successful ones.