Learning Lessons by Rashi Fein is an enjoyable memoir from a scholar and policy adviser unlike any other. Fein’s influential involvement in health care policy dates back to John F. Kennedy’s administration, and his career as a leading health economist paralleled the significant growth in the political influence of health economists following the enactment of Medicare and Medicaid in 1965. Now an emeritus professor of the economics of medicine at Harvard Medical School, Fein writes here about the lessons he learned in medicine, economics, and public policy. His view of the policy process, as a way of coming to terms with life’s unavoidable trade-offs, has much to offer us, too.
"Methamphetamine: A Love Story presents an insider's view into the lived experience of immersion in the world of methamphetamine. In-depth interviews were conducted with 33 adults formerly immersed in using, dealing, and manufacturing. Detailed accounts bring insight into the intoxicating aspects of the lifestyle including sex, money, power, and the ability to create methamphetamine. Social networks and environment play an important role in shaping and influencing drug-related decisions. The transformation of the lifestyle from one that is intoxicating to one that becomes risky and ultimately dark explains the unsustainability and the challenges exiting the life"--Provided by publisher.
Advocates universal & comprehensive health insurance (1) to cover the 16% of Americans who now have no public or private coverage; (2) to help hospitals pressured to end the cross-subsidies that previously enabled them to care for the uninsured; (3) to protect the jobs &, thus, the communities of health care workers; & (4) to improve the care received by the currently underinsured. It is allowed, however, that the US nonparliamentary political system all but precludes the enactment of the sort of ambitious, cohesive plan needed to repair the health care system. Thus, even though an incremental approach tends to politically weaken those it does not directly help, several smaller steps for improving the organization & financing of care are suggested: (A) slowing the shift of not-for-profit providers to the for-profit sector, possibly through the power of the states' attorneys general; (B) regulating & demanding greater accountability from health maintenance organizations; & (C) strengthening & improving Medicare. E. Blackwell