Americans at Risk

Americans at Risk PDF Author: Irwin Redlener
Publisher: Knopf
ISBN: 0307266036
Category : Self-Help
Languages : en
Pages : 306

Book Description
This important book by one of our leading experts on disaster preparedness offers a compelling narrative about our nation’s inability to properly plan for large-scale disasters and proposes changes that can still be made to assure the safety of its citizens. Five years after 9/11 and one year after Hurricane Katrina, it is painfully clear that the government’s emergency response capacity is plagued by incompetence and a paralyzing bureaucracy. Irwin Redlener, who founded and directs the National Center for Disaster Preparedness, brings his years of experience with disasters and health care crises, national and international, to an incisive analysis of why our health care system, our infrastructure, and our overall approach to disaster readiness have left the nation vulnerable, virtually unable to respond effectively to catastrophic events. He has had frank, and sometimes shocking, conversations about the failure of systems during and after disasters with a broad spectrum of people—from hospital workers and FEMA officials to Washington policy makers and military leaders. And he also analyzes the role of nongovernmental organizations, such as the American Red Cross in the aftermath of Katrina. Redlener points out how a government with a track record of over-the-top cronyism and a stunning disregard for accountability has spent billions on “random acts of preparedness,” with very little to show for it—other than an ever-growing bureaucracy. As a doctor, Redlener is especially concerned about America’s increasingly dysfunctional and expensive health care system, incapable of handling a large-scale public health emergency, such as pandemic flu or widespread bioterrorism. And he also looks at the serious problem of a disengaged, uninformed citizenry—one of the most important obstacles to assuring optimal readiness for any major crisis. Redlener describes five natural and man-made disaster scenarios as a way to imagine what we might face, what our current systems would and would not prepare us for, and what would constitute optimal planning—for government and the public—in each situation. To see what could be learned from others, he points up some of the more effective ways countries in Europe, Asia, and the Middle East have dealt with various disasters. And he concludes with a real prescription: a nine-point proposal for how America can be better prepared as well as an addendum of what citizens themselves can do. An essential book for our time, Americans at Risk is a devastating and realistic account of where we stand today.

Lives at Risk

Lives at Risk PDF Author: John C. Goodman
Publisher: Rowman & Littlefield
ISBN: 9780742541528
Category : Health care reform
Languages : en
Pages : 278

Book Description
Lives at Risk identifies 20 myths about health care as delivered in countries that have national health insurance. These myths have gained the status of fact in both the United States and abroad, even though the evidence shows a far different reality. The authors also explore the political and economic climate of the health care system and offer alternatives to the current health care public policies.

U.S. Health in International Perspective

U.S. Health in International Perspective PDF Author: National Research Council
Publisher: National Academies Press
ISBN: 0309264146
Category : Social Science
Languages : en
Pages : 421

Book Description
The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.

The Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity

The Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity PDF Author:
Publisher: Office of the Surgeon General
ISBN:
Category : Health & Fitness
Languages : en
Pages : 80

Book Description
Promotes the recognition, treatment, and prevention of conditions of overweight and obesity in the United States.

Children at Risk in America

Children at Risk in America PDF Author: Roberta Wollons
Publisher: State University of New York Press
ISBN: 1438424396
Category : Education
Languages : en
Pages : 340

Book Description
This collection of essays addresses twentieth-century historical and contemporary issues regarding children who are considered to be at risk. The essays explore the language of risk as it is used by the courts, the schools, governmental agencies, and child advocates, those who discover risks and create correctives for children who both need protection and threaten to disturb the social order. The tasks require an exploration of differing, often contradictory, concepts of the child and society that are embedded in public policy debates. Deepening the complexity of the problems, institutions to which we look for solutions are too often faced with conflicts that arise when the needs of the child are at variance with the needs of the institutions themselves. These dilemmas are central to understanding our failure to achieve adequate public policy solutions for children at risk.

Front-of-Package Nutrition Rating Systems and Symbols

Front-of-Package Nutrition Rating Systems and Symbols PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309218233
Category : Medical
Languages : en
Pages : 180

Book Description
During the past decade, tremendous growth has occurred in the use of nutrition symbols and rating systems designed to summarize key nutritional aspects and characteristics of food products. These symbols and the systems that underlie them have become known as front-of-package (FOP) nutrition rating systems and symbols, even though the symbols themselves can be found anywhere on the front of a food package or on a retail shelf tag. Though not regulated and inconsistent in format, content, and criteria, FOP systems and symbols have the potential to provide useful guidance to consumers as well as maximize effectiveness. As a result, Congress directed the Centers for Disease Control and Prevention (CDC) to undertake a study with the Institute of Medicine (IOM) to examine and provide recommendations regarding FOP nutrition rating systems and symbols. The study was completed in two phases. Phase I focused primarily on the nutrition criteria underlying FOP systems. Phase II builds on the results of Phase I while focusing on aspects related to consumer understanding and behavior related to the development of a standardized FOP system. Front-of-Package Nutrition Rating Systems and Symbols focuses on Phase II of the study. The report addresses the potential benefits of a single, standardized front-label food guidance system regulated by the Food and Drug Administration, assesses which icons are most effective with consumer audiences, and considers the systems/icons that best promote health and how to maximize their use.

To Err Is Human

To Err Is Human PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309068371
Category : Medical
Languages : en
Pages : 312

Book Description
Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine

Democracy at Risk

Democracy at Risk PDF Author: Stephen Macedo
Publisher: Rowman & Littlefield
ISBN: 0815797869
Category : Political Science
Languages : en
Pages : 242

Book Description
Voter turnout was unusually high in the 2004 U.S. presidential election. At first glance, that level of participation—largely spurred by war in Iraq and a burgeoning culture war at home—might look like vindication of democracy. If the recent past is any indication, however, too many Americans will soon return to apathy and inactivity. Clearly, all is not well in our civic life. Citizens are participating in public affairs too infrequently, too unequally, and in too few venues to develop and sustain a robust democracy. This important new book explores the problem of America's decreasing involvement in its own affairs. D emocracy at Risk reveals the dangers of civic disengagement for the future of representative democracy. The authors, all eminent scholars, undertake three main tasks: documenting recent trends in civic engagement, exploring the influence that the design of political institutions and public policies have had on those trends, and recommending steps that will increase the amount and quality of civic engagement in America. The authors focus their attention on three key areas: the electoral process, including elections and the way people get involved; the impact of location, including demographic shifts and changing development patterns; and the critical role of nonprofit organizations and voluntary associations, including the philanthropy that help keep them going. This important project, initially sponsored by the American Political Science Association, tests the proposition that social science has useful insights on the state of our democratic life. Most importantly, it charts a course for reinvigorating civic participation in the world's oldest democracy. The authors: Stephen Macedo (Princeton University), Yvette Alex-Assensoh (Indiana University), Jeffrey M. Berry (Tufts), Michael Brintnall (American Political Science Association), David E. Campbell (Notre Dame), Luis Ricardo Fraga (Stanford), Archon Fung (Harvard), William A. Galston (University of Maryland), Christopher F. Karpowitz (Princeton), Margaret Levi (University of Washington), Meira Levinson (Radcliffe Institute), Keena Lipsitz (California–Berkeley), Richard G. Niemi (University of Rochester), Robert D. Putnam (Harvard), Wendy M. Rahn (University of Minnesota), Keith Reeves (Swarthmore), Rob Reich (Stanford), Robert R. Rodgers (Princeton), Todd Swanstrom (Saint Louis University), and Katherine Cramer Walsh (University of Wisconsin).

The Geography of Risk

The Geography of Risk PDF Author: Gilbert M. Gaul
Publisher: Sarah Crichton Books
ISBN: 0374718520
Category : Political Science
Languages : en
Pages : 304

Book Description
This century has seen the costliest hurricanes in U.S. history—but who bears the brunt of these monster storms? Consider this: Five of the most expensive hurricanes in history have made landfall since 2005: Katrina ($160 billion), Ike ($40 billion), Sandy ($72 billion), Harvey ($125 billion), and Maria ($90 billion). With more property than ever in harm’s way, and the planet and oceans warming dangerously, it won’t be long before we see a $250 billion hurricane. Why? Because Americans have built $3 trillion worth of property in some of the riskiest places on earth: barrier islands and coastal floodplains. And they have been encouraged to do so by what Gilbert M. Gaul reveals in The Geography of Risk to be a confounding array of federal subsidies, tax breaks, low-interest loans, grants, and government flood insurance that shift the risk of life at the beach from private investors to public taxpayers, radically distorting common notions of risk. These federal incentives, Gaul argues, have resulted in one of the worst planning failures in American history, and the costs to taxpayers are reaching unsustainable levels. We have become responsible for a shocking array of coastal amenities: new roads, bridges, buildings, streetlights, tennis courts, marinas, gazebos, and even spoiled food after hurricanes. The Geography of Risk will forever change the way you think about the coasts, from the clash between economic interests and nature, to the heated politics of regulators and developers.

African Americans at Risk [2 volumes]

African Americans at Risk [2 volumes] PDF Author: Glenn L. Starks
Publisher: Bloomsbury Publishing USA
ISBN:
Category : Social Science
Languages : en
Pages : 693

Book Description
With all of the progress African Americans have made, they still face many risks that threaten the entire race or place segments in jeopardy of survival. This work examines the widespread problem and suggests solutions. This two-volume set examines the issues and policies that put African Americans at risk in our culture today, utilizing the most recent research from scholars in the field to provide not only objective, encyclopedic information, but also varying viewpoints to encourage critical thinking. The entries comprehensively document how African Americans are treated differently, have more negative outcomes in the same situations than other races, and face risks due to issues inherent in their past or current social and economic conditions. Care is taken to note distinctions between subgroups and not further a "blanket approach" to the diverse members of this minority population. Intended for members of the African American community; societal scholars; students in the fields of health, social studies, and public policy; as well as general readers, this work will provide readers with a deeper understanding of key components affecting the lives of African Americans today.