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A history of aging in the United States and an innovative blueprint for revolutionizing care for older adults from Northwell Health, New York’s largest health care system. The New York Times described Dr. Robert Butler as “the man who saw old age anew.” In his 1975 book Why Survive: Being Old in America, Butler argued that for far too many people old age was “a period of quiet despair . . . and muted rage” and he set out to mitigate it. Nearly five decades since he penned his book, a devoted band of brilliant physicians and others in the healthcare field have realized at least a portion of Butler’s dream: to recognize and alleviate suffering among the aging. The Aging Revolution ...
The National Research Council (NRC) recently conducted several projects concerning urban poverty, racial disparities, and opportunities to change metropolitan areas in ways that have positive effects on residents' well-being. In reports such as Governance and Opportunity in Metropolitan America (1999), place, space, and neighborhood have become important lenses through which to understand the factors affecting opportunity and well-being. After the publication of Governance and Opportunity, the Office of the Assistant Secretary for Planning and Evaluation (ASPE) of the U.S. Department of Health and Human Services became interested in what insights research focused on place might offer in terms of improving the conditions of vulnerable families-a population about whom ASPE is particularly concerned. Because of its interest in the topic, ASPE provided generous support to the NRC to hold a workshop on the importance of place and to produce a report based on the findings of the workshop. This report, Equality of Opportunity and the Importance of Place, is the culmination of the NRC's work on behalf of ASPE.
Since FDR, the US healthcare system has been mired in politics and policy. All the while it has only increased in complexity and cost. Today half of all personal bankruptcies are attributable to healthcare costs. Many community hospitals are barely getting by with single digit profit margins. With a system teetering on the edge of a systemic crisis, we need to turn to a brand-new approach to rescue the US healthcare system.
"Over the past thirty years, there has been a dramatic shift in the way the legal system approaches family disputes. Traditionally, family disputes were resolved through an 'adversary' system: opposing parties appealed to a judge who determined which party was at fault and how the marital assets - including the children - should be divided. Now, many family courts are opting for a 'problem-solving' model in which courts attempt to restructure families by resolving both legal and nonlegal issues. At the same time, American families have changed dramatically. Divorce rates have slowed, while the number of children born and raised outside of marriage has increased sharply. Grandparents and same...
According to the Census Bureau, in 2003 more than 43 million Americans lacked health insurance. Being uninsured is associated with a range of adverse health, social, and economic consequences for individuals and their families, for the health care systems in their communities, and for the nation as a whole. This report is the sixth and final report in a series by the Committee on the Consequences of Uninsurance, intended to synthesize what is known about these consequences and communicate the extent and urgency of the issue to the public. Insuring America's Health recommends principles related to universality, continuity of coverage, affordability to individuals and society, and quality of care to guide health insurance reform. These principles are based on the evidence reviewed in the committee's previous five reports and on new analyses of past and present federal, state, and local efforts to reduce uninsurance. The report also demonstrates how those principles can be used to assess policy options. The committee does not recommend a specific coverage strategy. Rather, it shows how various approaches could extend coverage and achieve certain of the committee's principles.
Reports the complete results of the United States' most comprehensive representative survey of sexual practices in the general adult population.
The American fixation with marriage, so prevalent in today's debates over marriage for same-sex couples, owes much of its intensity to a small group of reformers who introduced Americans to marriage counseling in the 1930s. Today, millions of couples seek help to save their marriages each year. Over the intervening decades, marriage counseling has powerfully promoted the idea that successful marriages are essential to both individuals' and the nation's well-being. Rebecca Davis reveals how couples and counselors transformed the ideal of the perfect marriage as they debated sexuality, childcare, mobility, wage earning, and autonomy, exposing both the fissures and aspirations of American socie...
Provides statistical information on the worldwide population of people 65 years old or older.