America is being consumed by entitlement spending. This important issue is surveyed in America’s Addiction to Entitlements: Not What the Governed Meant.Seventeeth- and eighteenth-century philosophers studied civilizations and governance. Their observations and studies gave tremendous insight into the nature of man. Following in the footsteps of these philosophers, founders of the United States of America forged a new governance model, where individual sovereignty and personal liberty enabled man a glimpse of his own potential if unabated by the tyranny and oppression of government.However, liberal progressive American ideologies have facilitated a slow decline from the heights of true freedom to a new level of slavery. Social programs with good intentions have led free men into chronic dependency and have destroyed the independent character that was uniquely American.Political ideologies between conservatives and liberals are now battling for the will of the people. Can America regain its stature as the land of the free and the home of the brave?
We have experienced a shift in American character: we've become a nation of moochers. Increasingly dependent on the efforts of others over our own, Americans are free to freeload. From the corporate bailouts on Wall Street to the alarming increases in personal default and dependency, from questionable tax exemptions to enormous pension, healthcare, and other entitlement costs, the new moocher culture cuts across lines of class, race, and private and public sectors. And the millions that plan and behave sensibly, only to bail out the profligate? They're angry. Charles Sykes' argument is not against compassion or legitimate charity, but targets the new moocher culture, in which self-reliance and personal responsibility have given way to mass grasping after handouts. A Nation of Moochers is a persuasively argued and entertaining rallying cry for Americans who are tired of playing by the rules and paying for those who don't.
Keeping the economy strong will require addressing two distinct but related problems. Steadily rising federal debt makes it harder to grow our economy, boost our living standards, respond to wars or recessions, address social needs, and maintain our role as a global leader. At the same time, we have let critical investments lag and left many people behind even as overall prosperity has grown. In Fiscal Therapy, William Gale, a leading authority on how federal tax and budget policy affects the economy, provides a trenchant discussion of the challenges posed by the imbalances between spending and revenue. America is facing a gradual decline as debt accumulates and delay raises the costs of action. But there is hope: fiscal responsibility aligns with both conservative and liberal goals and citizens of all stripes can support the notion of making life better for our children and grandchildren. Gale provides a plan to make the economy and nation stronger, one that controls entitlement spending but preserves and enhances their anti-poverty and social insurance roles, increases public investments on human and physical capital, and raises and reforms taxes to pay for government services in a fair and efficient way. What is needed, he argues, is to balance today's needs against tomorrow's obligations. We face significant fiscal challenges but, if we are wise enough to seize our opportunities, we can strengthen our economy, increase opportunity, reduce inequality, and build better lives for our children and grandchildren. We do not have to kill popular programs or starve government. Indeed, one main goal of fiscal reform is to maintain the vital functions that government provides. We need to act responsibly, pay for the government we want, and shape that government in ways that serve us best.
This book explores the stigma of addiction and discusses ways to improve negative attitudes for better health outcomes. Written by experts in the field of addiction, the text takes a reader-friendly approach to the essentials of addiction stigma across settings and demographics. The authors reveal the challenges patients face in the spaces that should be the safest, including the home, the workplace, the justice system, and even the clinical community. The text aims to deliver tools to professionals who work with individuals with substance use disorders and lay persons seeking to combat stigma and promote recovery. The Stigma of Addiction is an excellent resource for psychiatrists, addiction medicine specialists, students across specialties, researchers, public health officials, and individuals with substance use disorders and their families.
The New York Times best-selling author and cohost of MSNBC's Morning Joe describes her own struggles with food and body image and offers insights from notable people in all fields to discuss their successes with food and diet.
Named a Best Book of the Year by The New Yorker and The Boston Globe An authoritative, illuminating, and deeply humane history of addiction—a phenomenon that remains baffling and deeply misunderstood despite having touched countless lives—by an addiction psychiatrist striving to understand his own family and himself “Carl Erik Fisher’s The Urge is the best-written and most incisive book I’ve read on the history of addiction. In the midst of an overdose crisis that grows worse by the hour and has vexed America for centuries, Fisher has given us the best prescription of all: understanding. He seamlessly blends a gripping historical narrative with memoir that doesn’t self-aggrandize; the result is a full-throated argument against blaming people with substance use disorder. The Urge is a propulsive tour de force that is as healing as it is enjoyable to read.” —Beth Macy, author of Dopesick Even after a decades-long opioid overdose crisis, intense controversy still rages over the fundamental nature of addiction and the best way to treat it. With uncommon empathy and erudition, Carl Erik Fisher draws on his own experience as a clinician, researcher, and alcoholic in recovery as he traces the history of a phenomenon that, centuries on, we hardly appear closer to understanding—let alone addressing effectively. As a psychiatrist-in-training fresh from medical school, Fisher was soon face-to-face with his own addiction crisis, one that nearly cost him everything. Desperate to make sense of the condition that had plagued his family for generations, he turned to the history of addiction, learning that the current quagmire is only the latest iteration of a centuries-old story: humans have struggled to define, treat, and control addictive behavior for most of recorded history, including well before the advent of modern science and medicine. A rich, sweeping account that probes not only medicine and science but also literature, religion, philosophy, and public policy, The Urge illuminates the extent to which the story of addiction has persistently reflected broader questions of what it means to be human and care for one another. Fisher introduces us to the people who have endeavored to address this complex condition through the ages: physicians and politicians, activists and artists, researchers and writers, and of course the legions of people who have struggled with their own addictions. He also examines the treatments and strategies that have produced hope and relief for many people with addiction, himself included. Only by reckoning with our history of addiction, he argues—our successes and our failures—can we light the way forward for those whose lives remain threatened by its hold. The Urge is at once an eye-opening history of ideas, a riveting personal story of addiction and recovery, and a clinician’s urgent call for a more expansive, nuanced, and compassionate view of one of society’s most intractable challenges.
The facts are plain: Social Security is headed for massive, unsustainable deficits in the next century. Politicians talk of a Social security "trust fund" but there are no hard assets in it--only government bonds. The reality is that Social Security is really a "pay as you go" system, with benefits to current retirees paid not out any saved trust funds but out of taxes on the payroll of today; s workforce. But what will happen when these employees retire; when, in less than fifteen years, the 76 million members of the baby boom generation -- the largest in our history -- stop paying in and start taking money out? And what can we as individuals and as citizens do now to prevent these catastrophic deficits. The crises towards which we are careening (by 2025, 1 American in 5 will be 65 or older and it will take an already overloaded 1.6 working Americans to support each retired person) will not only be felt personally by the many millions stranded with no savings and without benefits, but will shiver the country's economy as a whole as well as the world financial system. With courage, clarity and incontrovertible evidence, Peterson spells out this huge -- if politically unmentionable -- problem more clearly than ever before and tells us what we must do now for our personal survival and that of our children. According to recent polls, more young Americans believe in UFOs than think they will ever receive a Social Security check. Yet most Baby Boomers, as they approach retirement age, believe they will continue to live their present lifestyle in retirement -- without a fraction of the personal savings or pensions necessary to pay for the future they expect. This agingpopulation -- double today's load -- will depend on as few as 1.6 working Americans to support each retired person. Who will support this nation of Floridas? In this short, powerful book, Peter G. Peterson, one of American's top investment bankers and a leading critic of our entitlement policy, spells out in the clearest possible language, with unmistakable numbers and easy-to-read charts, the disaster that lies ahead if we continue to ignore our low saving rate, our ballooning federal deficits, and our enormous unfunded and unsustainable commitments to retirees. Peterson reveals what politicians are afraid to admit: trillions of dollars of promised benefits for which no funds have been provided. Shattering the myths surrounding this subject with hard facts and eye-opening views of the future, Peterson gives the most comprehensive and candid plan for a gradual, humane, fair, and realistic answer to the greatest challenge of the next century: transforming our political, economic, cultural, and social assumptions to adapt to the realities of the graying of America.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
America is being consumed by entitlement spending. This important issue is surveyed in America's Addiction to Entitlements: Not What the Governed Meant. Seventeeth- and eighteenth-century philosophers studied civilizations and governance. Their observations and studies gave tremendous insight into the nature of man. Following in the footsteps of these philosophers, founders of the United States of America forged a new governance model, where individual sovereignty and personal liberty enabled man a glimpse of his own potential if unabated by the tyranny and oppression of government. However, lib.
