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ONE NATION, UNINSURED

WHY THE U.S. HAS NO NATIONAL HEALTH INSURANCE

A strongly argued account that provides useful ammunition for anyone seeking to effect change in a medical system that...

Every one of the Western industrialized powers guarantees its citizens comprehensive coverage for essential health care—except the United States. Sociologist Quadagno (The Color of Welfare, 1994) ably explores the logic behind this appalling fact.

It’s a complex question, as Quadagno allows: Amortization and other risk-analysis models mingle with myriad underwriting plans and the plain high cost of medical care to make comprehensive health care a maddeningly elusive goal. And then, of course, the powers that be don’t want it. It is for those reasons, but not those reasons alone, that so many Americans lack basic coverage—and their numbers are larger by far than the official count of 45 million in 2003, “because many more people are uninsured for some period over any two-year time span.” The poor are almost always uninsured, except under the most generalized of plans; in a two-year span, nearly 60 percent of non-elderly Hispanics were also uninsured, as against 43 percent of African-Americans and 23 percent of whites. Part of the problem is that minorities are less likely than whites to have jobs that offer health care benefits. But attempts to include all Americans in a national plan have been stymied for more than a century. Heroes are few and villains many here. When Franklin Roosevelt attempted to include health insurance in the 1935 Social Security Act, the American Medical Association successfully argued that it “smacked of socialism and communism and might incite revolution.” When Harry Truman and Dwight Eisenhower attempted health care reforms during their administrations, they met much the same opposition, this time with the strong backing of the insurance industry. And, as Quadagno relates, the present administration is indisposed toward any reform that would threaten the status quo, period, even as the average annual cost of a family policy in 2003 rose to $9,068.

A strongly argued account that provides useful ammunition for anyone seeking to effect change in a medical system that willfully excludes so many who so need it.

Pub Date: April 1, 2005

ISBN: 0-19-516039-8

Page Count: 304

Publisher: Oxford Univ.

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: Feb. 15, 2005

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THE CULTURE MAP

BREAKING THROUGH THE INVISIBLE BOUNDARIES OF GLOBAL BUSINESS

These are not hard and fast rules, but Meyer delivers important reading for those engaged in international business.

A helpful guide to working effectively with people from other cultures.

“The sad truth is that the vast majority of managers who conduct business internationally have little understanding about how culture is impacting their work,” writes Meyer, a professor at INSEAD, an international business school. Yet they face a wider array of work styles than ever before in dealing with clients, suppliers and colleagues from around the world. When is it best to speak or stay quiet? What is the role of the leader in the room? When working with foreign business people, failing to take cultural differences into account can lead to frustration, misunderstanding or worse. Based on research and her experiences teaching cross-cultural behaviors to executive students, the author examines a handful of key areas. Among others, they include communicating (Anglo-Saxons are explicit; Asians communicate implicitly, requiring listeners to read between the lines), developing a sense of trust (Brazilians do it over long lunches), and decision-making (Germans rely on consensus, Americans on one decider). In each area, the author provides a “culture map scale” that positions behaviors in more than 20 countries along a continuum, allowing readers to anticipate the preferences of individuals from a particular country: Do they like direct or indirect negative feedback? Are they rigid or flexible regarding deadlines? Do they favor verbal or written commitments? And so on. Meyer discusses managers who have faced perplexing situations, such as knowledgeable team members who fail to speak up in meetings or Indians who offer a puzzling half-shake, half-nod of the head. Cultural differences—not personality quirks—are the motivating factors behind many behavioral styles. Depending on our cultures, we understand the world in a particular way, find certain arguments persuasive or lacking merit, and consider some ways of making decisions or measuring time natural and others quite strange.

These are not hard and fast rules, but Meyer delivers important reading for those engaged in international business.

Pub Date: May 27, 2014

ISBN: 978-1-61039-250-1

Page Count: 288

Publisher: PublicAffairs

Review Posted Online: April 15, 2014

Kirkus Reviews Issue: May 1, 2014

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GOOD ECONOMICS FOR HARD TIMES

Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.

“Quality of life means more than just consumption”: Two MIT economists urge that a smarter, more politically aware economics be brought to bear on social issues.

It’s no secret, write Banerjee and Duflo (co-authors: Poor Economics: A Radical Rethinking of the Way To Fight Global Poverty, 2011), that “we seem to have fallen on hard times.” Immigration, trade, inequality, and taxation problems present themselves daily, and they seem to be intractable. Economics can be put to use in figuring out these big-issue questions. Data can be adduced, for example, to answer the question of whether immigration tends to suppress wages. The answer: “There is no evidence low-skilled migration to rich countries drives wage and employment down for the natives.” In fact, it opens up opportunities for those natives by freeing them to look for better work. The problem becomes thornier when it comes to the matter of free trade; as the authors observe, “left-behind people live in left-behind places,” which explains why regional poverty descended on Appalachia when so many manufacturing jobs left for China in the age of globalism, leaving behind not just left-behind people but also people ripe for exploitation by nationalist politicians. The authors add, interestingly, that the same thing occurred in parts of Germany, Spain, and Norway that fell victim to the “China shock.” In what they call a “slightly technical aside,” they build a case for addressing trade issues not with trade wars but with consumption taxes: “It makes no sense to ask agricultural workers to lose their jobs just so steelworkers can keep theirs, which is what tariffs accomplish.” Policymakers might want to consider such counsel, especially when it is coupled with the observation that free trade benefits workers in poor countries but punishes workers in rich ones.

Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.

Pub Date: Nov. 12, 2019

ISBN: 978-1-61039-950-0

Page Count: 432

Publisher: PublicAffairs

Review Posted Online: Aug. 28, 2019

Kirkus Reviews Issue: Sept. 15, 2019

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