“Do we want to perpetuate a Jim Crow health system?” A brilliant, idealistic physician named Jean Cowsert asked that question in Alabama in 1966. Her answer was no—and soon after, she died under suspicious circumstances. Unearthing the truth of Cowsert’s life and death is a central concern of David Barton Smith’s Malicious Intent. Unearthing the grim history of our health care system is another. Race-related disparities in American death rates, exacerbated once again by the COVID-19 pandemic, have persisted since the birth of the modern US medical system a century ago. A unique but perpetually unequal history has prevented the United States from providing the kind of health care assurances that are taken for granted in other industrialized nations. The underlying story is one of political, medical, and bureaucratic machinations, all motivated by a deliberate Jim Crow systemic design. In Malicious Intent, David Barton Smith traces the Jean Cowsert story and the cold case of her death as a through line to explain the construction and fulfillment of an unequal health care system that would rather sacrifice many than provide for Black Americans. Cowsert’s suspicious death came at a key moment in the struggle for universal health care in the wealthiest country on earth. Malicious Intent is a history of those failed efforts and a story of selective amnesia about one doctor’s death and the movement she fought for.
In less than four months, beginning with a staff of five, an obscure office buried deep within the federal bureaucracy transformed the nation's hospitals from our most racially and economically segregated institutions into our most integrated. These powerful private institutions, which had for a half century selectively served people on the basis of race and wealth, began equally caring for all on the basis of need. The book draws the reader into the struggles of the unsung heroes of the transformation, black medical leaders whose stubborn courage helped shape the larger civil rights movement. They demanded an end to federal subsidization of discrimination in the form of Medicare payments to hospitals that embraced the "separate but equal" creed that shaped American life during the Jim Crow era. Faced with this pressure, the Kennedy and Johnson Administrations tried to play a cautious chess game, but that game led to perhaps the biggest gamble in the history of domestic policy. Leaders secretly recruited volunteer federal employees to serve as inspectors, and an invisible army of hospital workers and civil rights activists to work as agents, making it impossible for hospitals to get Medicare dollars with mere paper compliance. These triumphs did not come without casualties, yet the story offers lessons and hope for realizing this transformational dream. This book is the recipient of the Norman L. and Roselea J. Goldberg Prize from Vanderbilt University Press for the best book in the area of medicine.
TThe recent growth of "assisted living" facilities and programs has shaken the foundations of the system of long-term care for the elderly in the United States. Fueled by consumer frustrations with the available options, notably nursing homes, the assisted living model emerged during the 1990s to promise shelter, health care, control of one's own life, less government involvement, and a "real home." But how well have the advocates and developers of assisted living delivered on such promises? And what are the model's implications for public policy and the future of caregiving? In Reinventing Care, David Barton Smith offers brilliant insights into those questions by examining the realities of assisted living in New York City. Encompassing the largest, most concentrated population of elderly in the United States, New York spends more per person caring for its seniors than any other urban center. Yet, while the size of the city's care system boggles the mind, it nevertheless contains the same elements that exist in other metropolitan areas and thus provides valuable lessons for the nation as a whole. Smith's study draws on twenty-five years of research, including hundreds of interviews and visits to representative facilities. He provides a succinct overview of how care is presently organized for New York's aging population and traces the history of the system up to the present. Among the key issues he addresses are the role of market forces and government regulation, the impact of class differences on access to quality care, and the ways in which perceptions of community affect the creation and management of assisted living programs. At the heart of the book are ten fascinating case studies, half of them focused on private-pay facilities and the other half on public-pay institutions. While finding that the actualities of assisted living rarely match the rhetoric of its proponents, Smith sees much to admire in its goals. He suggests tactics and strategies--such as promoting family- and community-based models of assisted living and adopting a standard of licensure for certain facilities--that could point the way to a better future.
Václav Havel (1936–2011), the famous Czech dissident, intellectual, and playwright, was there when half a million people came to Wenceslas Square to demand an end to Communism in 1989. Many came to hear him call for a free Czechoslovakia, for democratic elections, and for a return to Europe. The demonstrators roared when he spoke. “Havel to the castle,” they chanted— meaning Havel for president. And a few weeks later, Havel became a most unusual president. He was sometimes misunderstood and not always popular, but by the time of his death in 2011, the world recognized Havel as one of the most prominent figures of the twentieth century. In this intimate and sweeping portrayal of Havel, David Gilbreath Barton reveals the eccentricities of the last president of Czechoslovakia, and the first president of the Czech Republic.
The road to sustainable forest management and stewardship has been debated for decades. Some advocate for governmental control and oversight. Some say that the only way to stem the tide of deforestation is to place as many tracts as possible under strict protection. Caught in the middle of this debate, forest inhabitants of the developing world struggle to balance the extraction of precarious livelihoods from forests while responding to increasing pressures from national governments, international institutions, and their own perceptions of environmental decline to protect biodiversity, restore forests, and mitigate climate change. Mexico presents a unique case in which much of the nation’s forests were placed as commons in the hands of communities, who, with state support and their own entrepreneurial vigor, created community forest enterprises (CFEs). David Barton Bray, who has spent more than thirty years engaged with and researching Mexican community forestry, shows that this reform has transformed forest management in that country at a scale and level of maturity unmatched anywhere else in the world. For decades Mexico has been conducting a de facto large-scale experiment in the design of a national social-ecological system (SES) focused on community forests. What happens when you give subsistence communities rights over forests, as well as training, organizational support, equipment, and financial capital? Do the communities destroy the forest in the name of economic development, or do they manage them sustainably, generating current income while maintaining intergenerational value as a resource for their children? Bray shares the scientific and social evidence that can now begin to answer these questions. This is an invaluable resource for students, researchers, and the interested public on the future of global forest resilience and the possibilities for a good Anthropocene.
Combining current research with the authors’ trademark insight and analysis, U-Turn gives readers a unique view of the moral and spiritual condition of Americans and provides specific insights into how we can turn our nation around
Do you feel like you are living in a paradox? Do the Christians you know seem to enjoy their relationship with the Lord while you labor over the details of faith? If this sounds like you, it may be time for a change. Your relationship with God should not be a stress factor in your life, as you become closer to your friends and fellow worshippers, you will see that many of them are struggling as well. The best way to combat these unwarranted feelings of pressure, obligation, and confusion is to engage in a lifetime of Bible study. Immersing yourself in the Word will serve to calm, clarify, and rekindle a healing relationship with God. One by one the obstacles in the way of a smooth Christian journey will begin to even out. Join Dr. David Barton on a lifetime's journey of reconciling an intellectual resolution and a living solution. Over a lifetime of learning, searching and maturing, Dr. Barton found the true relief of shouldering The Lesser Yoke, and now that joyous burden can be your salvation as well.
America is at a crisis point, and its future depends on you. In This Precarious Moment, Dr. Jim Garlow and evangelical political activist David Barton offer practical solutions to the six problems that plague our nation: racial strife, a massive immigration disaster, failure to understand Israel’s role in the world, how to reach millennials for Christ, a misunderstanding of the government’s role in religion and culture, and a church that has capitulated to culture. Thankfully, there are steps we can take. Join Garlow and Barton as they equip Christians with the knowledge they need to take on today’s challenges during this precarious moment in American history.
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