In Unmanageable Care, anthropologist Jessica M. Mulligan goes to work at an HMO and records what it’s really like to manage care. Set at a health insurance company dubbed Acme, this book chronicles how the privatization of the health care system in Puerto Rico transformed the experience of accessing and providing care on the island. Through interviews and participant observation, the book explores the everyday contexts in which market reforms were enacted. It follows privatization into the compliance department of a managed care organization, through the visits of federal auditors to a health plan, and into the homes of health plan members who recount their experiences navigating the new managed care system. In the 1990s and early 2000s, policymakers in Puerto Rico sold off most of the island’s public health facilities and enrolled the poor, elderly and disabled into for-profit managed care plans. These reforms were supposed to promote efficiency, cost-effectiveness, and high quality care. Despite the optimistic promises of market-based reforms, the system became more expensive, not more efficient; patients rarely behaved as the expected health-maximizing information processing consumers; and care became more chaotic and difficult to access. Citizens continued to look to the state to provide health services for the poor, disabled, and elderly. This book argues that pro-market reforms failed to deliver on many of their promises. The health care system in Puerto Rico was dramatically transformed, just not according to plan.
A soup-to-nuts overview of just what it takes to successfully design, develop and manage an online game. Learn from the top two online game developers through the real-world successes and mistakes not known to others. There are Case studies from 10+ industry leaders, including Raph Koster, J. Baron, R. Bartle, D. Schubert, A. Macris, and more! Covers all types of online games: Retail Hybrids, Persistent Worlds, and console games. Developing Online Games provides insight into designing, developing and managing online games that is available nowhere else. Online game programming guru Jessica Mulligan and seasoned exec Bridgette Patrovsky provide insights into the industry that will allow others entering this market to avoid the mistakes of the past. In addition to their own experiences, the authors provide interviews, insight and anecdotes from over twenty of the most well-known and experienced online game insiders. The book includes case studies of the successes and failures of today's most well-known online games. There is also a special section for senior executives on how to budget an online game and how to assemble the right development and management teams. The book ends with a look at the future of online gaming: not only online console gaming (Xbox Online, Playstation 2), but the emerging mobile device game market (cell phones, wireless, PDA).
In the 1990s, the newly elected statehood party reinvented the healthcare system using a managed care model in Puerto Rico. In a period of two years, the government sold off public hospitals, closed local health centers and enrolled eligible beneficiaries with private insurance companies. The reformers sought to modernize the practices of providers, produce healthier and more health savvy Puerto Ricans, and rationalize health care delivery through corporate management techniques.
Mystery writer and amateur sleuth Jessica Fletcher visits Moscow as part of a United States publishing group to help Russia succeed as a democracy. But the poisoning of a Russian publisher, who possessed information which could topple the government in power, places her in a dangerous situation. Jess turns to the American Embassy for help, only to discover that the United States government is involved...
In Unmanageable Care, anthropologist Jessica M. Mulligan goes to work at an HMO and records what it’s really like to manage care. Set at a health insurance company dubbed Acme, this book chronicles how the privatization of the health care system in Puerto Rico transformed the experience of accessing and providing care on the island. Through interviews and participant observation, the book explores the everyday contexts in which market reforms were enacted. It follows privatization into the compliance department of a managed care organization, through the visits of federal auditors to a health plan, and into the homes of health plan members who recount their experiences navigating the new managed care system. In the 1990s and early 2000s, policymakers in Puerto Rico sold off most of the island’s public health facilities and enrolled the poor, elderly and disabled into for-profit managed care plans. These reforms were supposed to promote efficiency, cost-effectiveness, and high quality care. Despite the optimistic promises of market-based reforms, the system became more expensive, not more efficient; patients rarely behaved as the expected health-maximizing information processing consumers; and care became more chaotic and difficult to access. Citizens continued to look to the state to provide health services for the poor, disabled, and elderly. This book argues that pro-market reforms failed to deliver on many of their promises. The health care system in Puerto Rico was dramatically transformed, just not according to plan.
The Affordable Care Act’s impact on coverage, access to care, and systematic exclusion in our health care system The Affordable Care Act set off an unprecedented wave of health insurance enrollment as the most sweeping overhaul of the U.S. health insurance system since 1965. In the years since its enactment, some 20 million uninsured Americans gained access to coverage. And yet, the law remained unpopular and politically vulnerable. While the ACA extended social protections to some groups, its implementation was troubled and the act itself created new forms of exclusion. Access to affordable coverage options were highly segmented by state of residence, income, and citizenship status. Unequal Coverage documents the everyday experiences of individuals and families across the U.S. as they attempted to access coverage and care in the five years following the passage of the ACA.It argues that while the Affordable Care Act succeeded in expanding access to care, it did so unevenly, ultimately also generating inequality and stratification. The volume investigates the outcomes of the ACA in communities throughout the country and provides up-close, intimate portraits of individuals and groups trying to access and provide health care for both the newly insured and those who remain uncovered. The contributors use the ACA as a lens to examine more broadly how social welfare policies in a multiracial and multiethnic democracy purport to be inclusive while simultaneously embracing certain kinds of exclusions. Unequal Coverage concludes with an examination of the Affordable Care Act’s uncertain legacy under the new Presidential administration and considers what the future may hold for the American health care system. The book illustrates lessons learned and reveals how the law became a flashpoint for battles over inequality, fairness, and the role of government. More books on the health care debate
Mystery writer and amateur sleuth Jessica Fletcher visits Moscow as part of a United States publishing group to help Russia succeed as a democracy. But the poisoning of a Russian publisher, who possessed information which could topple the government in power, places her in a dangerous situation. Jess turns to the American Embassy for help, only to discover that the United States government is involved...
The Rough Guide to Film is a bold new guide to cinema. Arranged by director, it covers the top moguls, mavericks and studio stalwarts of every era, genre and region, in addition to lots of lesser-known names. With each film placed in the context of its director’s career, the guide reviews thousands of the greatest movies ever made, with lists highlighting where to start, arranged by genre and by region. You’ll find profiles of over eight hundred directors, from Hollywood legends Alfred Hitchcock and John Huston to contemporary favourites like Steven Soderbergh and Martin Scorsese and cult names such as David Lynch and Richard Linklater. The guide is packed with great cinema from around the globe, including French New Wave, German giants, Iranian innovators and the best of East Asia, from Akira Kurosawa to Wong Kar-Wai and John Woo. With overviews of all major movements and genres, feature boxes on partnerships between directors and key actors, and cinematographers and composers, this is your essential guide to a world of cinema.
A soup-to-nuts overview of just what it takes to successfully design, develop and manage an online game. Learn from the top two online game developers through the real-world successes and mistakes not known to others. There are Case studies from 10+ industry leaders, including Raph Koster, J. Baron, R. Bartle, D. Schubert, A. Macris, and more! Covers all types of online games: Retail Hybrids, Persistent Worlds, and console games. Developing Online Games provides insight into designing, developing and managing online games that is available nowhere else. Online game programming guru Jessica Mulligan and seasoned exec Bridgette Patrovsky provide insights into the industry that will allow others entering this market to avoid the mistakes of the past. In addition to their own experiences, the authors provide interviews, insight and anecdotes from over twenty of the most well-known and experienced online game insiders. The book includes case studies of the successes and failures of today's most well-known online games. There is also a special section for senior executives on how to budget an online game and how to assemble the right development and management teams. The book ends with a look at the future of online gaming: not only online console gaming (Xbox Online, Playstation 2), but the emerging mobile device game market (cell phones, wireless, PDA).
Taking up a social constructionist position, this book illustrates the social and cultural construction of autism as made visible in everyday, educational, institutional and historical discourses, alongside a careful consideration of the bodily and material realities of embodied differences. The authors highlight the economic consequences of a disabling culture, and explore how autism fits within broader arguments related to normality, abnormality and stigma. To do this, they provide a theoretically and historically grounded discussion of autism—one designed to layer and complicate the discussions that surround autism and disability in schools, health clinics, and society writ large. In addition, they locate this discussion across two contexts – the US and the UK – and draw upon empirical examples to illustrate the key points. Located at the intersection of critical disability studies and discourse studies, the book offers a critical reframing of autism and childhood mental health disorders more generally.
Genes, which are carried on chromosomes, are the basic physical and functional units of heredity. Genes are specific sequences of bases that encode instructions on how to make proteins. Although genes get a lot of attention, it's the proteins that perform most life functions and even make up the majority of cellular structures. When genes are altered so that the encoded proteins are unable to carry out their normal functions, genetic disorders can result. Gene therapy is an experimental treatment that involves introducing genetic material into a person's cells to fight disease. Gene therapy is being studied in clinical trials for many different types of cancer and for numerous other diseases. This new book presents the latest research in the field from around the world.
A fascinating history of motion pictures through the lens of the Academy Awards, the Best Picture winners, and the box-office contenders. In Best Pick: A Journey through Film History and the Academy Awards, John Dorney, Jessica Regan, and Tom Salinsky provide a captivating decade-by-decade exploration of the Oscars. For each decade, they examine the making of classic films, trends and innovations in cinema, behind-the-scenes scandals at the awards ceremony, and who won and why. Twenty films are reviewed in-depth, alongside ten detailed “making-of” accounts and capsule reviews of every single Best Picture winner in history. In addition, each Best Picture winner is carefully scrutinized to answer the ultimate question: “Did the Academy get it right?” Full of wonderful stories, cogent analysis, and fascinating insights, Best Pick is a witty and enthralling look at the people, politics, movies, and trends that have shaped our cinematic world.
London is said to be the glittering jewel of society, a world unto itself—but to Julia Elliston it is a city of shadows. Her life is swiftly dissolving into scandal. And in Victorian society, even a whisper of scandal—substantiated or not—can be the death of a young woman’s reputation. Now under the watchful eye of Lord Roy Pierson, one of most influential men in England, Julia begrudgingly accepts his protection. But Chance Macy’s power is far-reaching as well, and he is eager to assert his claim over her. Thrust into society as the Emerald Heiress, Julia is the toast of London, a celebrated curiosity. But in reality she’s trapped between the clutches of two powerful men. Aided only by a gentleman whose intentions she prays she can trust, Julia must finally take control of her own fate—but outwitting one’s foe rarely goes according to plan.
This book investigates the effects of foreign language anxiety (FLA) on young language learners, using as a basis for observation the early childhood English education industry in South Korea that has arisen as a result of English fever. The authors combine existing knowledge on the topic of FLA together with original research on FLA in young language learners to fill a large gap in knowledge with regards to this understudied and distinct group of learners. The book includes suggestions for alleviating FLA and encouraging foreign language enjoyment, which can be implemented by parents, teachers and policymakers and which will ultimately facilitate more effective language learning and support children’s psychosocial wellbeing.
Having finally discovered the truth of her birthright, Julia Elliston is determined to outwit Chance Macy at his own game. Holding a secret he’d kill to keep, however, is proving more difficult than she imagined. Just when Julia thinks she’s managed to untangle herself from Macy’s clutches, he changes tactics with a risky ploy. As the scandal of the century breaks loose, drawing rooms all over London whisper what so far newspapers have not dared to print: Macy’s lost bride is none other than Lord Pierson’s daughter—and one of the most controversial cases of marital law ever seen comes before Victorian courts. Though Julia knows Macy’s version of events is another masterful manipulation, public opinion is swaying in his favor. Caught in a web of deceit and lies, armed only with a fledgling faith, Julia must face her fiercest trial yet.
Rescued by a playboy… ER nurse Megan Erickson needs all the support she can get after a broken engagement and becoming a mother to her brother's young children.The attention of ER physician Jonas Taylor, with his rootless existence and a playboy's reputation, is the last thing she needs. When an accident in ER has serious implications for Megan, Jonas reveals himself as her knight in shining armor. Megan would love to rest permanently on this rock and seek passion in his arms — if only she could persuade this restless rescuer to stay and claim this family for his own….
This book examines the changing digital geographies of the Anthropocene. It analyses how technologies are providing new opportunities for communication and connection, while simultaneously deepening existing problems associated with isolation, global inequity and environmental harm. By offering a reading of digital technologies as ‘more-than-real’, the author argues that the productive and destructive possibilities of digital geographies are changing important aspects of human and non-human worlds. Like the more-than-human notion and how it emphasises interconnections of humans and non-humans in the world, the more-than-real inverts the diminishing that accompanies use of the terms ‘virtual’ and ‘immaterial’ as applied to digital spaces. Digital geographies are fluid, amorphous spaces made of contradictory possibilities in this Anthropocene moment. By sharing experiences of people involved in trying to improve digital geographies, this book offers stories of hope and possibility alongside stories of grief and despair. The more-than-real concept can help us understand such work – by feminists, digital rights activists, disability rights activists, environmentalists and more. Drawing on case studies from around the world, this book will appeal to academics, university students, and activists who are keen to learn from other people’s efforts to change digital geographies, and who also seek to remake digital geographies.
Mackellan Kirby, professor of Ancient Religious Studies, with some ongoing connection to the British SAS, is enjoying retirement in Ireland, when he discovers an anomaly in the Dead Sea Scroll he has been entrusted with translating. Always ready to solve any mystery, he enlists the aid of his American niece and nephew. Their search takes them to the cathedral of Santiago de Compostela, in northern Spain, the goal of thousands of pilgrims every year. But their holiday jaunt immediately turns deadly when other factions become interested in their search. The artifact they recover, in the cellars of the cathedral, brings together writings from the first century A.D. about a charismatic leader who escaped from Judaea with his wife Mary; the story of the eleventh century bishop entrusted with the construction of the cathedral; and the truth of the Conspiracy of St. James--a cover-up of a secret so significant that its exposure could rock the modern Christian church to its knees. If only Kirby and his young relatives live long enough.
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