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Most of us want and expect medicine’s miracles to extend our lives. In today’s aging society, however, the line between life-giving therapies and too much treatment is hard to see—it’s being obscured by a perfect storm created by the pharmaceutical and biomedical industries, along with insurance companies. In Ordinary Medicine Sharon R. Kaufman investigates what drives that storm’s “more is better” approach to medicine: a nearly invisible chain of social, economic, and bureaucratic forces that has made once-extraordinary treatments seem ordinary, necessary, and desirable. Since 2002 Kaufman has listened to hundreds of older patients, their physicians and family members express their hopes, fears, and reasoning as they faced the line between enough and too much intervention. Their stories anchor Ordinary Medicine. Today’s medicine, Kaufman contends, shapes nearly every American’s experience of growing older, and ultimately medicine is undermining its own ability to function as a social good. Kaufman’s careful mapping of the sources of our health care dilemmas should make it far easier to rethink and renew medicine’s goals.

When a life-threatening allergic illness demanded that she eat only organically grown food, writer and professor Mary Swander built a new life in a former one-room Iowa schoolhouse in the middle of the largest Amish community west of the Mississippi. In this rich and engaging memoir, which follows the course of a farmer’s year, she writes from the well-named Fairview School to share the radical transformation of her life.

From her perch in rural Kalona, Iowa, Swander discovers new strength and self-reliance along with a community of hardworking and hospitable neighbors. Raising goats and poultry, participating in barn raisings and auctions, protecting her garden from a plague of grasshoppers, creating a living crèche at Christmastime, all the while laughing at her attempts to wrestle with the pioneer challenges of midwestern winters and summers, she explores what it means to be a lone physical and spiritual homesteader at the end of the twentieth century.

“There’s still time to change things.”—Siri Hustvedt, The Blazing World

Addiction is easy to fall into and hard to escape. It destroys the lives of individuals, and has a devastating cost to society. The National Institute of Health estimates seventeen million adults in the United States are alcoholics or have a serious problem with alcohol. At the same time, the country is seeing entire communities brought to their knees because of opioid additions. These scourges affect not only those who drink or use drugs but also their families and friends, who witness the horror of addiction. With Out of the Wreck I Rise, Neil Steinberg and Sara Bader have created a resource like no other—one that harnesses the power of literature, poetry, and creativity to illuminate what alcoholism and addiction are all about, while forging change, deepening understanding, and even saving lives.
Structured to follow the arduous steps to sobriety, the book marshals the wisdom of centuries and explores essential topics, including the importance of time, navigating family and friends, relapse, and what Raymond Carver calls “gravy,” the reward that is recovery. Each chapter begins with advice and commentary followed by a wealth of quotes to inspire and heal. The result is a mosaic of observations and encouragement that draws on writers and artists spanning thousands of years—from Seneca to David Foster Wallace, William Shakespeare to Patti Smith. The ruminations of notorious drinkers like John Cheever, Charles Bukowski, and Ernest Hemingway shed light on the difficult process of becoming sober and remind the reader that while the literary alcoholic is often romanticized, recovery is the true path of the hero.
Along with traditional routes to recovery—Alcoholics Anonymous, out-patient therapy, and intensive rehabilitation programs—this literary companion offers valuable support and inspiration to anyone seeking to fight their addiction or to a struggling loved one.

Featuring Charles Bukowski, John Cheever, Dante, Ricky Gervais, Ernest Hemingway, Billie Holiday, Anne Lamott, John Lennon, Haruki Murakami, Anaïs Nin, Mary Oliver, Samuel Pepys, Rainer Maria Rilke, J. K. Rowling, Patti Smith, Kurt Vonnegut, and many more.