How partisanship, polarization, and medical authority stand in the way of evidence-based medicine The U.S. medical system is touted as the most advanced in the world, yet many common treatments are not based on sound science. Unhealthy Politics sheds new light on why the government's response to this troubling situation has been so inadequate, and why efforts to improve the evidence base of U.S. medicine continue to cause so much political controversy. This critically important book paints a portrait of a medical industry with vast influence over which procedures and treatments get adopted, and a public burdened by the rising costs of health care yet fearful of going against "doctor's orders." Now with a new preface by the authors, Unhealthy Politics offers vital insights into the limits of science, expertise, and professionalism in American politics.
Leading political innovation activist Katherine Gehl and world-renowned business strategist Michael Porter bring fresh perspective, deep scholarship, and a real and actionable solution, Final Five Voting, to the grand challenge of our broken political and democratic system. Final Five Voting has already been adopted in Alaska and is being advanced in states across the country. The truth is, the American political system is working exactly how it is designed to work, and it isn't designed or optimized today to work for us—for ordinary citizens. Most people believe that our political system is a public institution with high-minded principles and impartial rules derived from the Constitution. In reality, it has become a private industry dominated by a textbook duopoly—the Democrats and the Republicans—and plagued and perverted by unhealthy competition between the players. Tragically, it has therefore become incapable of delivering solutions to America's key economic and social challenges. In fact, there's virtually no connection between our political leaders solving problems and getting reelected. In The Politics Industry, business leader and path-breaking political innovator Katherine Gehl and world-renowned business strategist Michael Porter take a radical new approach. They ingeniously apply the tools of business analysis—and Porter's distinctive Five Forces framework—to show how the political system functions just as every other competitive industry does, and how the duopoly has led to the devastating outcomes we see today. Using this competition lens, Gehl and Porter identify the most powerful lever for change—a strategy comprised of a clear set of choices in two key areas: how our elections work and how we make our laws. Their bracing assessment and practical recommendations cut through the endless debate about various proposed fixes, such as term limits and campaign finance reform. The result: true political innovation. The Politics Industry is an original and completely nonpartisan guide that will open your eyes to the true dynamics and profound challenges of the American political system and provide real solutions for reshaping the system for the benefit of all. THE INSTITUTE FOR POLITICAL INNOVATION The authors will donate all royalties from the sale of this book to the Institute for Political Innovation.
Governments fail to provide the public goods needed for development when its leaders knowingly and deliberately ignore sound technical advice or are unable to follow it, despite the best of intentions, because of political constraints. This report focuses on two forces—citizen engagement and transparency—that hold the key to solving government failures by shaping how political markets function. Citizens are not only queueing at voting booths, but are also taking to the streets and using diverse media to pressure, sanction and select the leaders who wield power within government, including by entering as contenders for leadership. This political engagement can function in highly nuanced ways within the same formal institutional context and across the political spectrum, from autocracies to democracies. Unhealthy political engagement, when leaders are selected and sanctioned on the basis of their provision of private benefits rather than public goods, gives rise to government failures. The solutions to these failures lie in fostering healthy political engagement within any institutional context, and not in circumventing or suppressing it. Transparency, which is citizen access to publicly available information about the actions of those in government, and the consequences of these actions, can play a crucial role by nourishing political engagement.
Vitality Politics focuses on a slow racial violence against African Americans through everyday, accumulative, contagious, and toxic attritions on health. The book engages with recent critical disability studies scholarship to recognize that debility, or the targeted maiming and distressing of Black populations, is a largely unacknowledged strategy of the U.S. liberal multicultural capitalist state. This politicization of biological health serves as an instrument for insisting on a racial state of exception in which African Americans’ own unhealthy habits and disease susceptibility justifies their legitimate suspension from full rights to social justice, economic opportunity, and political freedom and equality. The book brings together disability studies, Black Studies, and African American literary history as it highlights the urgent need and gives weight to a biopolitics of debilitation and medicalization to better understand how Black lives are made not to matter in our supposedly race-neutral multicultural democracy.
"The American Medical Association has played a key role during the past century in defining what health care is and how it is delivered in the United States. Now, as the nation tackles reform of the inefficient, costly, and often inaccessible health-care system that the AMA helped build, this powerful doctors' lobby once again is asserting its influence." "In The Serpent on the Staff, award-winning Chicago Sun-Times reporters Howard Wolinsky and Tom Brune present a critical dissection of the AMA, issue by issue, showing how the nation's best-known physicians organization has time and again acted more as protector of doctors' wealth than as guardian of the public's health. For the past decade Wolinsky has covered the AMA more aggressively than any other reporter in the country. In 1989 he teamed up with investigative reporter Brune to expose a financial scandal that led to the resignation of the AMA's chief executive." "Based on years of interviews and painstaking research into private and government files and internal AMA documents, The Serpent on the Staff reveals an array of disquieting decisions and public positions taken by the AMA: how it spends millions of dollars to influence politicians and sway public opinion to stall health-care reform; how it succeeded in turning Medicare into a financial windfall for doctors, and how it fights to keep it that way; how it delayed joining the crusade against smoking because of its long, close association with tobacco interests; how it attempts to block competing health professions, such as chiropractic and osteopathy in the past and nursing today; and how it fumbled the nation's public policy concerning AIDS." "As the AMA presses its public and backstage effort to shape health care at a time of historic reform that will affect generations to come, we owe it to ourselves to know where this organization really stands and whom it truly represents."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved
Do you feel like you're the only person at your office without an "I Voted!" sticker on Election Day? It turns out that you're far from alone - 100 million eligible U.S. voters never went to the polls in 2016. That's about 35 million more than voted for the winning presidential candidate. In this book, Christopher Freiman explains why these 100 million need not feel guilty. Why It's OK to Ignore Politics argues that you're under no obligation to be politically active. Freiman addresses new objections to political abstention as well as some old chestnuts ("But what if everyone stopped voting?"). He also synthesizes recent empirical work showing how our political motivations distort our choices and reasoning. Because participating in politics is not an effective way to do good, Freiman argues that we actually have a moral duty to disengage from politics and instead take direct action to make the world a better place. Key Features: Makes the case against a duty of political participation for a non-expert audience Presupposes no knowledge of philosophy or political science and is written in a style free of technical jargon Addresses the standard, much-repeated arguments for why one should vote (e.g., one shouldn't free ride on the efforts of others) Presents the growing literature on politically motivated reasoning in an accessible and entertaining way Covers a significant amount of new ground in the debate over a duty of political participation (e.g., whether participating absolves us of our complicity in state injustice) Challenges the increasingly popular argument from philosophers and economists that swing state voting is effective altruism Discusses the therapeutic benefits of ignoring politics--it's good for you, your relationships, and society as a whole.
Sodas are astonishing products. Little more than flavored sugar-water, these drinks cost practically nothing to produce or buy, yet have turned their makers--principally Coca-Cola and PepsiCo--into a multibillion-dollar industry with global recognition, distribution, and political power. Billed as "refreshing," "tasty," "crisp," and "the real thing," sodas also happen to be so well established to contribute to poor dental hygiene, higher calorie intake, obesity, and type-2 diabetes that the first line of defense against any of these conditions is to simply stop drinking them. Habitually drinking large volumes of soda not only harms individual health, but also burdens societies with runaway healthcare costs. So how did products containing absurdly inexpensive ingredients become multibillion dollar industries and international brand icons, while also having a devastating impact on public health? In Soda Politics, the 2016 James Beard Award for Writing & Literature Winner, Dr. Marion Nestle answers this question by detailing all of the ways that the soft drink industry works overtime to make drinking soda as common and accepted as drinking water, for adults and children. Dr. Nestle, a renowned food and nutrition policy expert and public health advocate, shows how sodas are principally miracles of advertising; Coca-Cola and PepsiCo spend billions of dollars each year to promote their sale to children, minorities, and low-income populations, in developing as well as industrialized nations. And once they have stimulated that demand, they leave no stone unturned to protect profits. That includes lobbying to prevent any measures that would discourage soda sales, strategically donating money to health organizations and researchers who can make the science about sodas appear confusing, and engaging in Corporate Social Responsibility (CSR) activities to create goodwill and silence critics. Soda Politics follows the money trail wherever it leads, revealing how hard Big Soda works to sell as much of their products as possible to an increasingly obese world. But Soda Politics does more than just diagnose a problem--it encourages readers to help find solutions. From Berkeley to Mexico City and beyond, advocates are successfully countering the relentless marketing, promotion, and political protection of sugary drinks. And their actions are having an impact--for all of the hardball and softball tactics the soft drink industry employs to maintain the status quo, soda consumption has been flat or falling for years. Health advocacy campaigns are now the single greatest threat to soda companies' profits. Soda Politics provides readers with the tools they need to keep up pressure on Big Soda in order to build healthier and more sustainable food systems.
Margaret Wilson has always lived a political life. From her days as a child growing up in the Waikato in a Catholic family attuned to fairness, an unlikely law student in the 1960s in a class with a few other women, and an emerging socialist feminist who read radical texts and attended women's conventions, her key concerns became cemented early: the rights of women and equality for all under the law. This is the story of one of New Zealand's most eminent political actors. A policy-focused campaigner, reluctant to join a political tribe and uncomfortable with the combative attitudes and personal jockeying that politics seemed to entail, Wilson nevertheless rose to become the president of the Labour Party during the turbulent mid-1980s. Going on to become a central, far-sighted, occasionally controversial minister in the Clark government, Wilson held significant roles as Attorney-General and Speaker of the House. Activism, Feminism, Politics and Parliament is a powerful analysis of political life in New Zealand over four decades. From pay equity to a home-grown Supreme Court, employment relations legislation to paid parental leave, the policies Wilson championed were based always in the long-held principles of a true conviction politician.
Part 1. Local Party Organizations and the Electoral Landscape. Introduction -- Local Parties and their Leaders -- What Do Local Party Chairs Do? -- Chairs and Candidates: Recruiting and Support -- Local Parties and Election Outcomes -- Part 2. How Chairs View Candidates. Introduction to Part 2 -- Money, Commitment, and Community Ties -- Candidate Gender -- Candidate Race and Ethnicity -- Candidates' Policy Dispositions -- Small Power.
How did we get into this mess? Every morning, many Americans ask this as, with a cringe, they pick up their phones and look to see what terrible thing President Trump has just said or done. Regardless of what he’s complaining about or whom he’s attacking, a second question comes hard on the heels of the first: How on earth do we get out of this? Alan Wolfe has an answer. In The Politics of Petulance he argues that the core of our problem isn’t Trump himself—it’s that we are mired in an age of political immaturity. That immaturity is not grounded in any one ideology, nor is it a function of age or education. It’s in an abdication of valuing the character of would-be leaders; it’s in a failure to acknowledge, even welcome the complexity of government and society; and it’s in a loss of the ability to be skeptical without being suspicious. In 2016, many Americans were offered tantalizingly simple answers to complicated problems, and, like children being offered a lunch of Pop Rocks and Coke, they reflexively—and mindlessly—accepted. The good news, such as it is, is that we’ve been here before. Wolfe reminds us that we know how to grow up and face down Trump and other demagogues. Wolfe reinvigorates the tradition of public engagement exemplified by midcentury intellectuals such as Richard Hofstadter, Reinhold Niebuhr, and Lionel Trilling—and he draws lessons from their battles with McCarthyism and conspiratorial paranoia. Wolfe mounts a powerful case that we can learn from them to forge a new path for political intervention today. Wolfe has been thinking and writing about American life and politics for decades. He sees this moment as one of real risk. But he’s not throwing up his hands; he’s bracing us. We’ve faced demagogues before. We can find the intellectual maturity to fight back. Yes we can.
