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Affirmative action programs have significantly changed American medicine for the better, not only in medical school admissions and access to postgraduate training but also in bringing a higher quality of health care to all people. James L. Curtis approaches this important transition from historical, statistical, and personal perspectives. He tells how over the course of his medical education and career as a psychiatrist and professor--often as the first or only African American in his cohort--the status of minorities in the medical professions grew from a tiny percentage to a far more equitable representation of the American population.

Advancing arguments from his earlier book, Blacks, Medical Schools, and Society, Curtis evaluates the outcomes of affirmative action efforts over the past thirty years. He describes formidable barriers to minority access to medical-education opportunities and the resulting problems faced by minority patients in receiving medical treatment. His progress report includes a review of two thousand minority students admitted to U.S. medical schools in 1969, following them through graduation and their careers, comparing them with the careers of two thousand of their nonminority peers. These samples provide an important look at medical schools that, while heralding dramatic progress in physician education and training opportunity, indicates much room for further improvement.

A basic hurdle continues to face African Americans and other minorities who are still confined to segregated neighborhoods and inferior school systems that stifle full scholastic development. Curtis urges us as a nation to develop all our human resources through an expansion of affirmative action programs, thus improving health care for everyone.

James L. Curtis is Clinical Professor Emeritus of Psychiatry, Columbia University College of Physicians and Surgeons.

Demanding Medical Excellence is a groundbreaking and accessible work that reveals how the information revolution is changing the way doctors make decisions. Michael Millenson, a three-time Pulitzer Prize nominee as a health-care reporter for the Chicago Tribune, illustrates serious flaws in contemporary medical practice and shows ways to improve care and save tens of thousands of lives.

"If you read only one book this year, read Demanding Medical Excellence. It's that good, and the revolution it describes is that important."—Health Affairs

"Millenson has done yeoman's work in amassing and understanding that avalanche of data that lies beneath most of the managed-care headlines. . . . What he finds is both important and well-explained: inconsistency, overlap, and inattention to quality measures in medical treatment cost more and are more dangerous than most cost-cutting measures. . . . [This book] elevates the healthcare debate to a new level and deserves a wide readership."—Library Journal

"An involving, human narrative explaining how we got to where we are today and what lies ahead."—Mark Taylor, Philadelphia Inquirer

"Read this book. It will entertain you, challenge, and strengthen you in your quest for better accountability in health care."—Alex R. Rodriguez, M.D., American Journal of Medical Quality

"Finally, a health-care book that doesn't wring its hands over the decline of medicine at the hands of money-grubbing corporations. . . . This is a readable account of what Millenson calls a 'quiet revolution' in health care, and his optimism makes for a refreshing change."—Publishers Weekly

"With meticulous detail, historical accuracy, and an uncommon understanding of the clinical field, Millenson documents our struggle to reach accountability."—Saty Satya-Murti, M.D., Journal of the American Medical Association

As classrooms across the globe become increasingly more diverse, it is imperative that educators understand how to meet the needs of students with varying demographic backgrounds. Emerging Issues and Trends in Education presents case studies from academics who have all at one point been teachers in K–12 classrooms, addressing topics such as STEM as well as global issues related to race, gender education, education policy, and parental engagement. The contributors take an international approach, including research about Nigerian, Chinese, Native American, and Mexican American classrooms. With a focus on multidisciplinary perspectives, Emerging Issues and Trends in Education is reflective of the need to embrace different ways of looking at problems to improve education for all students.

Future Medicine is an investigation into the clinical, legal, ethical, and regulatory changes occurring in our health care system as a result of the developing field of Complimentary and Alternative Medicine (CAM). Here Michael H. Cohen describes the likely evolution of the legal system and the health care system at the crossroads of developments in the way human beings care for body, mind, emotions, environment, and soul.

Through the use of fascinating and relevant case studies, Cohen presents stimulating questions that will challenge academics, intellectuals, and all those interested in the future of health care. In concise, evocative strokes, the book lays the foundation for a novel synthesis of ideas from such diverse disciplines as transpersonal psychology, political philosophy, and bioethics. Providing an exploration of regulatory conundrums faced by many healing professionals, Cohen articulates the value of expanding our concept of health care regulation to consider not only goals of fraud control and quality assurance, but also health care freedom, integration of global medicine, and human transformation.

Future Medicine provides a fair-minded, illuminating, and honest discussion that will interest hospice workers, pastoral counselors, and psychotherapists, as well as bioethicists, physicians and allied health care providers, complementary and alternative medical providers (such as chiropractors, acupuncturists, naturopaths, massage therapists, homeopaths, and herbalists), and attorneys, hospital administrators, health care executives, and government health care workers.

Michael H. Cohen is Director for Legal Programs, the Center for Research and Education in Complementary and Integrative Medical Therapies, Beth Israel Deaconess Medical Center, Harvard Medical School.

Drawing upon research from six continents, Housing Needs and Policy Approaches analyzes the social problems involved with providing housing in the industrialized nations and in the Third World. The book focuses on four areas of concern: current trends in housing in specific Western countries, the role of Western governments in creating this housing, housing provisions in less developed nations, and the relationship of societal structure and housing, particularly with respect to the decentralization of population occurring in many regions.

Assembles, collates, and analyzes data bearing on trends in American education. The author presents the basic data on school enrollment, retention, and attainment, indicating changes in the educational characteristics of the population and comparable time-series statistics on teachers and school finances reflecting change within the school system itself. Dr. Ferriss then relates these data to a statement of educational goals set some ten years ago, utilizing the data to provide an assessment of progress toward those goals.

Assembles, collates, and analyzes data bearing on trends in American education. The author presents the basic data on school enrollment, retention, and attainment, indicating changes in the educational characteristics of the population and comparable time-series statistics on teachers and school finances reflecting change within the school system itself. Dr. Ferriss then relates these data to a statement of educational goals set some ten years ago, utilizing the data to provide an assessment of progress toward those goals.

In 1998, health expenditures in the United States accounted for 12.9% of national income-the highest share of income devoted to health in the developed world. The United States also spends more on medical research than any other country-in 2000, the federal government dedicated $18.4 billion to it, compared with only $3.7 billion for the entire European Union. In this book, leading health economists ask whether we are getting our money's worth.

From an economic perspective, they find, the answer is a resounding "yes": in fact, considering the extraordinary value of improvements to health, we may even be spending too little on medical research. The evidence these papers present and the conclusions they reach are both surprising and convincing: that growth in longevity since 1950 has been as valuable as growth in all other forms of consumption combined; that medical advances producing 10% reductions in mortality from cancer and heart disease alone would add roughly $10 trillion-a year's GDP-to the national wealth; or that the average new drug approved by the FDA yields benefits worth many times its cost of development.

The papers in this book are packed with these and many other surprising revelations, their sophisticated analysis persuasively demonstrating the massive economic benefits we can gain from investments in medical research. For anyone concerned about the cost and the value of such research-from policy makers to health care professionals and economists-this will be a landmark book.

The 21st International Congress on the Education of the Deaf (ICED) witnessed revolutionary exchanges on the vital themes in education. Presenters addressed topics encompassing seven major strands: Educational Environments, Language and Literacy, Early Intervention, Unique Challenges in Developing Countries, Educating Learners with Diverse Needs, Technology in Education, and Sign Language and Deaf Culture. These presentations and ensuing dialogues raised many complex questions. Partners in Education: Issues and Trends from the 21st International Congress on the Education of the Deaf features all of the keynote addresses by renowned luminaries in deaf education: Breda Carty, Karen Ewing, Nassozi Kiyaga, John Luckner, Connie Mayer and Beverly Trezek, volume editor Donald F. Moores, Peter V. Paul, Antti Raike, Claudine Storbeck, James Tucker, and Alys Young.

Most critically, the contributors to this collection explore the many multifaceted challenges facing the world’s deaf students. Deaf children are being diagnosed with overlays of disabilities; more deaf children are growing up in poverty; and many deaf children represent minority racial/ethnic groups or are immigrants to their country of residence. The situation for deaf individuals in the most impoverished countries of the world is desperate and of crisis proportions. This volume brings these themes to light through its exceptional synthesis of the outstanding discourse that took place at ICED 2010, including abstracts from 30 celebrated conference presentations.

Evidence from the United States suggests that technological change is a key factor in understanding both medical expenditure growth and recent dramatic improvements in the health of people with serious illnesses. Yet little international research has examined how the causes and consequences of technological change in health care differ worldwide. Seeking to illuminate these issues, this volume documents how use of high-technology treatments for heart attack changed in fifteen developed countries over the 1980s and 1990s. Drawn from the collaborative effort of seventeen research teams in fifteen countries, it provides a cross-country analysis of microdata that illuminates the relationships between public policies toward health care, technology, costs, and health outcomes.
The comparisons presented here confirm that the use of medical technology in treatment for heart attack is strongly related to incentives, and that technological change is an important cause of medical expenditure growth in all developed countries. Each participating research team reviewed the economic and regulatory incentives provided by their country's health system, and major changes in those incentives over the 1980s and 1990s, according to a commonly used framework. Such incentives include: the magnitude of out-of-pocket costs to patients, the generosity of reimbursement to physicians and hospitals, regulation of the use of new technologies or the supply of physicians, regulation of competition, and the structure of hospital ownership. Each team also reviewed how care for heart attacks has changed in their country over the past decade.
The book will be of enormous importance to health economists, medical researchers and epidemiologists, and policymakers.
Mark McClellan is Associate Professor of Economics and of Medicine and, by courtesy, of Health Research and Policy, Stanford University. He is a National Fellow, the Hoover Institution. Daniel P. Kessler is Associate Professor of Economics, Law, and Policy in the Graduate School of Business, Stanford University, and a Research Fellow, the Hoover Institution.

E.H. Carr said: “Before you study the history, study the historian.” Written history often tells us more about the historian’s own times than it does of the times about which he is writing. The historians and the way in which each generation has rewritten history in the light of its own preoccupations is the subject of The Changing Past. This is the first book-length survey in English that covers all the main trends in South African historiography. Starting with the first documents and histories, it goes on to trace the 19th century. British and settler “schools,” Afrikaans historiography from its pre-academic 19th century phase to the present, and the liberal historians who struck out in a new direction from the 1920s. The book highlights the break with the past that historians of the “new radical school” have made in the last 15 years, and surveys the position of historical writing to the present.

The canvas is delineated in bold strokes that sketch in the main outlines rather than seek an exhaustive treatment of all existing literature. This, together with a conscious effort to minimize theoretical discussion, makes it a highly readable text.

E.H. Carr said: “Before you study the history, study the historian.” Written history often tells us more about the historian’s own times than it does of the times about which he is writing. The historians and the way in which each generation has rewritten history in the light of its own preoccupations is the subject of The Changing Past. This is the first book-length survey in English that covers all the main trends in South African historiography. Starting with the first documents and histories, it goes on to trace the 19th century. British and settler “schools,” Afrikaans historiography from its pre-academic 19th century phase to the present, and the liberal historians who struck out in a new direction from the 1920s. The book highlights the break with the past that historians of the “new radical school” have made in the last 15 years, and surveys the position of historical writing to the present.

The canvas is delineated in bold strokes that sketch in the main outlines rather than seek an exhaustive treatment of all existing literature. This, together with a conscious effort to minimize theoretical discussion, makes it a highly readable text.

American health care is in crisis because of exploding medical malpractice litigation. Insurance premiums for doctors and malpractice lawsuits are skyrocketing, rendering doctors both afraid and unable to afford to continue to practice medicine. Undeserving victims sue at the drop of a hat, egged on by greedy lawyers, and receive eye-popping awards that insurance companies, hospitals, and doctors themselves struggle to pay. The plaintiffs and lawyers always win; doctors, and the nonlitigious, always lose; and affordable health care is the real victim.

This, according to Tom Baker, is the myth of medical malpractice, and as a reality check he offers The Medical Malpractice Myth, a stunning dismantling of this familiar, but inaccurate, picture of the health care industry. Are there too many medical malpractice suits? No, according to Baker; there is actually a great deal more medical malpractice, with only a fraction of the cases ever seeing the inside of a courtroom. Is too much litigation to blame for the malpractice insurance crisis? No, for that we can look to financial trends and competitive behavior in the insurance industry. Are these lawsuits frivolous? Very rarely. Point by point, Baker—a leading authority on insurance and law—pulls together the research that demolishes the myths that have taken hold about medical malpractice and suggests a series of legal reforms that would help doctors manage malpractice insurance while also improving patient safety and medical accountability.

President Bush has made medical malpractice reform a priority in his last term in office, but if history is any indication, legislative reform would only worsen the situation and perpetuate the gross misunderstanding of it. The debate surely will be transformed by The Medical Malpractice Myth, a book aimed squarely at general readers but with radical conclusions that speak to the highest level of domestic policymaking.

This book examines the major phases in the history of health services in Africa and treats health as an integral aspect of the deepening crisis in Africa’s underdevelopment. One important thesis is that Western delivery systems have made health care less accessible for most people. Contributors direct attention to problems engendered by food shortages, acute cases of infection, the market in fake drugs as well as the inequality of access to facilities, the violation of human rights, and the recent danger of the dumping of toxic wastes in several African countries. One major implication of this volume is that there can be no solution to the health crisis in Africa until the linkage between health and poverty is recognized. The authors consider questions that add to the contemporary discussion of the place that traditional African medicine and philosophy should take alongside modern Western medicine in Africa today.

This monumental study is a comprehensive critical survey of the policy preferences of the American public, and will be the definitive work on American public opinion for some time to come. Drawing on an enormous body of public opinion data, Benjamin I. Page and Robert Y. Shapiro provide the richest available portrait of the political views of Americans, from the 1930's to 1990. They not only cover all types of domestic and foreign policy issues, but also consider how opinions vary by age, gender, race, region, and the like.

The authors unequivocally demonstrate that, notwithstanding fluctuations in the opinions of individuals, collective public opinion is remarkably coherent: it reflects a stable system of values shared by the majority of Americans and it responds sensitively to new events, arguments, and information reported in the mass media. While documenting some alarming case of manipulation, Page and Shapiro solidly establish the soundness and value of collective political opinion. The Rational Public provides a wealth of information about what we as a nation have wanted from government, how we have changed our minds over the years, and why.

For anyone interested in the short- and long-term trends in Americans' policy preferences, or eager to learn what Americans have thought about issues ranging from racial equality to the MX missile, welfare to abortion, this book offers by far the most sophisticated and detailed treatment available.

With contributions from leading international experts from within both the communications industry and academia, Trends in Communication Policy Research comprises the very latest developments in the theories, methods, and practical applications of this dynamic field. Topical and politically relevant, this authoritative and up-to-date volume will prove an invaluable reference for students and scholars seeking to understand communication policy issues.