A State At Any Cost

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A State at Any Cost

Author : Tom Segev
Publisher : Farrar, Straus and Giroux
ISBN 13 : 1429951842
Total Pages : 816 pages
Book Rating : 4.4/5 (299 download)

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Book Synopsis A State at Any Cost by : Tom Segev

Download or read book A State at Any Cost written by Tom Segev and published by Farrar, Straus and Giroux. This book was released on 2019-09-24 with total page 816 pages. Available in PDF, EPUB and Kindle. Book excerpt: 2019 National Jewish Book Award Finalist "[A] fascinating biography . . . a masterly portrait of a titanic yet unfulfilled man . . . this is a gripping study of power, and the loneliness of power." —The Economist As the founder of Israel, David Ben-Gurion long ago secured his reputation as a leading figure of the twentieth century. Determined from an early age to create a Jewish state, he thereupon took control of the Zionist movement, declared Israel’s independence, and navigated his country through wars, controversies and remarkable achievements. And yet Ben-Gurion remains an enigma—he could be driven and imperious, or quizzical and confounding. In this definitive biography, Israel’s leading journalist-historian Tom Segev uses large amounts of previously unreleased archival material to give an original, nuanced account, transcending the myths and legends that have accreted around the man. Segev’s probing biography ranges from the villages of Poland to Manhattan libraries, London hotels, and the hills of Palestine, and shows us Ben-Gurion’s relentless activity across six decades. Along the way, Segev reveals for the first time Ben-Gurion’s secret negotiations with the British on the eve of Israel’s independence, his willingness to countenance the forced transfer of Arab neighbors, his relative indifference to Jerusalem, and his occasional “nutty moments”—from UFO sightings to plans for Israel to acquire territory in South America. Segev also reveals that Ben-Gurion first heard about the Holocaust from a Palestinian Arab acquaintance, and explores his tempestuous private life, including the testimony of four former lovers. The result is a full and startling portrait of a man who sought a state “at any cost”—at times through risk-taking, violence, and unpredictability, and at other times through compromise, moderation, and reason. Segev’s Ben-Gurion is neither a saint nor a villain but rather a historical actor who belongs in the company of Lenin or Churchill—a twentieth-century leader whose iron will and complex temperament left a complex and contentious legacy that we still reckon with today.

Seeing Like a State

Author : James C. Scott
Publisher : Yale University Press
ISBN 13 : 0300252986
Total Pages : 462 pages
Book Rating : 4.3/5 (2 download)

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Book Synopsis Seeing Like a State by : James C. Scott

Download or read book Seeing Like a State written by James C. Scott and published by Yale University Press. This book was released on 2020-03-17 with total page 462 pages. Available in PDF, EPUB and Kindle. Book excerpt: “One of the most profound and illuminating studies of this century to have been published in recent decades.”—John Gray, New York Times Book Review Hailed as “a magisterial critique of top-down social planning” by the New York Times, this essential work analyzes disasters from Russia to Tanzania to uncover why states so often fail—sometimes catastrophically—in grand efforts to engineer their society or their environment, and uncovers the conditions common to all such planning disasters. “Beautifully written, this book calls into sharp relief the nature of the world we now inhabit.”—New Yorker “A tour de force.”— Charles Tilly, Columbia University

Present at the Creation: My Years in the State Department

Author : Dean Acheson
Publisher : W. W. Norton & Company
ISBN 13 : 1324064609
Total Pages : 858 pages
Book Rating : 4.3/5 (24 download)

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Book Synopsis Present at the Creation: My Years in the State Department by : Dean Acheson

Download or read book Present at the Creation: My Years in the State Department written by Dean Acheson and published by W. W. Norton & Company. This book was released on 1987-09-17 with total page 858 pages. Available in PDF, EPUB and Kindle. Book excerpt: Winner of the Pulitzer Prize With deft portraits of many world figures, Dean Acheson analyzes the processes of policy making, the necessity for decision, and the role of power and initiative in matters of state. Acheson (1893–1971) was not only present at the creation of the postwar world, he was one of its chief architects. He joined the Department of State in 1941 as Assistant Secretary of State for Economic Affairs and, with brief intermissions, was continuously involved until 1953, when he left office as Secretary of State at the end of the Truman years. Throughout that time Acheson's was one of the most influential minds and strongest wills at work. It was a period that included World War II, the reconstruction of Europe, the Korean War, the development of nuclear power, the formation of the United Nations and NATO. It involved him at close quarters with a cast that starred Truman, Roosevelt, Churchill, de Gaulle, Marshall, MacArthur, Eisenhower, Attlee, Eden Bevin, Schuman, Dulles, de Gasperi, Adenauer, Yoshida, Vishinsky, and Molotov.

The Ethnic Cleansing of Palestine

Author : Ilan Pappe
Publisher : Simon and Schuster
ISBN 13 : 1780740565
Total Pages : 428 pages
Book Rating : 4.7/5 (87 download)

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Book Synopsis The Ethnic Cleansing of Palestine by : Ilan Pappe

Download or read book The Ethnic Cleansing of Palestine written by Ilan Pappe and published by Simon and Schuster. This book was released on 2007-09-01 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book that is providing a storm of controversy, from ‘Israel’s bravest historian’ (John Pilger) Renowned Israeli historian, Ilan Pappe's groundbreaking work on the formation of the State of Israel. 'Along with the late Edward Said, Ilan Pappe is the most eloquent writer of Palestinian history.' NEW STATESMAN Between 1947 and 1949, over 400 Palestinian villages were deliberately destroyed, civilians were massacred and around a million men, women, and children were expelled from their homes at gunpoint. Denied for almost six decades, had it happened today it could only have been called 'ethnic cleansing'. Decisively debunking the myth that the Palestinian population left of their own accord in the course of this war, Ilan Pappe offers impressive archival evidence to demonstrate that, from its very inception, a central plank in Israel’s founding ideology was the forcible removal of the indigenous population. Indispensable for anyone interested in the current crisis in the Middle East. *** 'Ilan Pappe is Israel's bravest, most principled, most incisive historian.' JOHN PILGER 'Pappe has opened up an important new line of inquiry into the vast and fateful subject of the Palestinian refugees. His book is rewarding in other ways. It has at times an elegiac, even sentimental, character, recalling the lost, obliterated life of the Palestinian Arabs and imagining or regretting what Pappe believes could have been a better land of Palestine.' TIMES LITERARY SUPPLEMENT 'A major intervention in an argument that will, and must, continue. There's no hope of lasting Middle East peace while the ghosts of 1948 still walk.' INDEPENDENT

State Building

Author : Francis Fukuyama
Publisher : Profile Books
ISBN 13 : 1847653774
Total Pages : 102 pages
Book Rating : 4.8/5 (476 download)

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Book Synopsis State Building by : Francis Fukuyama

Download or read book State Building written by Francis Fukuyama and published by Profile Books. This book was released on 2017-06-15 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt: Weak or failed states - where no government is in control - are the source of many of the world's most serious problems, from poverty, AIDS and drugs to terrorism. What can be done to help? The problem of weak states and the need for state-building has existed for many years, but it has been urgent since September 11 and Afghanistan and Iraq. The formation of proper public institutions, such as an honest police force, uncorrupted courts, functioning schools and medical services and a strong civil service, is fraught with difficulties. We know how to help with resources, people and technology across borders, but state building requires methods that are not easily transported. The ability to create healthy states from nothing has suddenly risen to the top of the world agenda. State building has become a crucial matter of global security. In this hugely important book, Francis Fukuyama explains the concept of state-building and discusses the problems and causes of state weakness and its national and international effects.

One Country

Author : Ali Abunimah
Publisher : Metropolitan Books
ISBN 13 : 1429936843
Total Pages : 248 pages
Book Rating : 4.4/5 (299 download)

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Book Synopsis One Country by : Ali Abunimah

Download or read book One Country written by Ali Abunimah and published by Metropolitan Books. This book was released on 2007-08-21 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: A provocative approach to the Israeli-Palestinian conflict—one state for two peoples—that is sure to touch nerves on all sides The Israeli-Palestinian war has been called the world's most intractable conflict. It is by now a commonplace that the only way to end the violence is to divide the territory in two, and all efforts at a resolution have come down to haggling over who gets what: Will Israel hand over 90 percent of the West Bank or only 60 percent? Will a Palestinian state include any part of Jerusalem? Clear-eyed, sharply reasoned, and compassionate, One Country proposes a radical alternative: to revive an old and neglected idea of one state shared by two peoples. Ali Abunimah shows how the two are by now so intertwined—geographically and economically—that separation cannot lead to the security Israelis need or the rights Palestinians must have. He reveals the bankruptcy of the two-state approach, takes on the objections and taboos that stand in the way of a binational solution, and demonstrates that sharing the territory will bring benefits for all. The absence of other workable options has only lead to ever greater extremism; it is time, Abunimah suggests, for Palestinians and Israelis to imagine a different future and a different relationship.

The Israel Lobby and U.S. Foreign Policy

Author : John J. Mearsheimer
Publisher : Farrar, Straus and Giroux
ISBN 13 : 9781429932820
Total Pages : 496 pages
Book Rating : 4.9/5 (328 download)

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Book Synopsis The Israel Lobby and U.S. Foreign Policy by : John J. Mearsheimer

Download or read book The Israel Lobby and U.S. Foreign Policy written by John J. Mearsheimer and published by Farrar, Straus and Giroux. This book was released on 2007-09-04 with total page 496 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Israel Lobby," by John J. Mearsheimer of the University of Chicago and Stephen M. Walt of Harvard's John F. Kennedy School of Government, was one of the most controversial articles in recent memory. Originally published in the London Review of Books in March 2006, it provoked both howls of outrage and cheers of gratitude for challenging what had been a taboo issue in America: the impact of the Israel lobby on U.S. foreign policy. Now in a work of major importance, Mearsheimer and Walt deepen and expand their argument and confront recent developments in Lebanon and Iran. They describe the remarkable level of material and diplomatic support that the United States provides to Israel and argues that this support cannot be fully explained on either strategic or moral grounds. This exceptional relationship is due largely to the political influence of a loose coalition of individuals and organizations that actively work to shape U.S. foreign policy in a pro-Israel direction. Mearsheimer and Walt provocatively contend that the lobby has a far-reaching impact on America's posture throughout the Middle East—in Iraq, Iran, Lebanon, and toward the Israeli-Palestinian conflict—and the policies it has encouraged are in neither America's national interest nor Israel's long-term interest. The lobby's influence also affects America's relationship with important allies and increases dangers that all states face from global jihadist terror. Writing in The New York Review of Books, Michael Massing declared, "Not since Foreign Affairs magazine published Samuel Huntington's ‘The Clash of Civilizations?' in 1993 has an academic essay detonated with such force." The publication of The Israel Lobby and U.S. Foreign Policy is certain to widen the debate and to be one of the most talked-about books in foreign policy.

Rise and Kill First

Author : Ronen Bergman
Publisher : Random House Trade Paperbacks
ISBN 13 : 0812982118
Total Pages : 818 pages
Book Rating : 4.8/5 (129 download)

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Book Synopsis Rise and Kill First by : Ronen Bergman

Download or read book Rise and Kill First written by Ronen Bergman and published by Random House Trade Paperbacks. This book was released on 2019-07-09 with total page 818 pages. Available in PDF, EPUB and Kindle. Book excerpt: NEW YORK TIMES BESTSELLER • The first definitive history of the Mossad, Shin Bet, and the IDF’s targeted killing programs, hailed by The New York Times as “an exceptional work, a humane book about an incendiary subject.” WINNER OF THE NATIONAL JEWISH BOOK AWARD IN HISTORY NAMED ONE OF THE TEN BEST BOOKS OF THE YEAR BY JENNIFER SZALAI, THE NEW YORK TIMES NAMED ONE OF THE BEST BOOKS OF THE YEAR BY The Economist • The New York Times Book Review • BBC History Magazine • Mother Jones • Kirkus Reviews The Talmud says: “If someone comes to kill you, rise up and kill him first.” This instinct to take every measure, even the most aggressive, to defend the Jewish people is hardwired into Israel’s DNA. From the very beginning of its statehood in 1948, protecting the nation from harm has been the responsibility of its intelligence community and armed services, and there is one weapon in their vast arsenal that they have relied upon to thwart the most serious threats: Targeted assassinations have been used countless times, on enemies large and small, sometimes in response to attacks against the Israeli people and sometimes preemptively. In this page-turning, eye-opening book, journalist and military analyst Ronen Bergman—praised by David Remnick as “arguably [Israel’s] best investigative reporter”—offers a riveting inside account of the targeted killing programs: their successes, their failures, and the moral and political price exacted on the men and women who approved and carried out the missions. Bergman has gained the exceedingly rare cooperation of many current and former members of the Israeli government, including Prime Ministers Shimon Peres, Ehud Barak, Ariel Sharon, and Benjamin Netanyahu, as well as high-level figures in the country’s military and intelligence services: the IDF (Israel Defense Forces), the Mossad (the world’s most feared intelligence agency), Caesarea (a “Mossad within the Mossad” that carries out attacks on the highest-value targets), and the Shin Bet (an internal security service that implemented the largest targeted assassination campaign ever, in order to stop what had once appeared to be unstoppable: suicide terrorism). Including never-before-reported, behind-the-curtain accounts of key operations, and based on hundreds of on-the-record interviews and thousands of files to which Bergman has gotten exclusive access over his decades of reporting, Rise and Kill First brings us deep into the heart of Israel’s most secret activities. Bergman traces, from statehood to the present, the gripping events and thorny ethical questions underlying Israel’s targeted killing campaign, which has shaped the Israeli nation, the Middle East, and the entire world. “A remarkable feat of fearless and responsible reporting . . . important, timely, and informative.”—John le Carré

The Sum of Us

Author : Heather McGhee
Publisher : One World
ISBN 13 : 0525509577
Total Pages : 450 pages
Book Rating : 4.5/5 (255 download)

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Book Synopsis The Sum of Us by : Heather McGhee

Download or read book The Sum of Us written by Heather McGhee and published by One World. This book was released on 2021-02-16 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: NEW YORK TIMES BESTSELLER • LONGLISTED FOR THE NATIONAL BOOK AWARD • One of today’s most insightful and influential thinkers offers a powerful exploration of inequality and the lesson that generations of Americans have failed to learn: Racism has a cost for everyone—not just for people of color. WINNER OF THE PORCHLIGHT BUSINESS BOOK AWARD • ONE OF THE BEST BOOKS OF THE YEAR: Time, The Washington Post, St. Louis Post-Dispatch, Ms. magazine, BookRiot, Library Journal “This is the book I’ve been waiting for.”—Ibram X. Kendi, #1 New York Times bestselling author of How to Be an Antiracist Look for the author’s new podcast, The Sum of Us, based on this book! Heather McGhee’s specialty is the American economy—and the mystery of why it so often fails the American public. From the financial crisis of 2008 to rising student debt to collapsing public infrastructure, she found a root problem: racism in our politics and policymaking. But not just in the most obvious indignities for people of color. Racism has costs for white people, too. It is the common denominator of our most vexing public problems, the core dysfunction of our democracy and constitutive of the spiritual and moral crises that grip us all. But how did this happen? And is there a way out? McGhee embarks on a deeply personal journey across the country from Maine to Mississippi to California, tallying what we lose when we buy into the zero-sum paradigm—the idea that progress for some of us must come at the expense of others. Along the way, she meets white people who confide in her about losing their homes, their dreams, and their shot at better jobs to the toxic mix of American racism and greed. This is the story of how public goods in this country—from parks and pools to functioning schools—have become private luxuries; of how unions collapsed, wages stagnated, and inequality increased; and of how this country, unique among the world’s advanced economies, has thwarted universal healthcare. But in unlikely places of worship and work, McGhee finds proof of what she calls the Solidarity Dividend: the benefits we gain when people come together across race to accomplish what we simply can’t do on our own. The Sum of Us is not only a brilliant analysis of how we arrived here but also a heartfelt message, delivered with startling empathy, from a black woman to a multiracial America. It leaves us with a new vision for a future in which we finally realize that life can be more than a zero-sum game. LONGLISTED FOR THE ANDREW CARNEGIE MEDAL

Alexander Hamilton

Author : Henry Cabot Lodge
Publisher : Boston : Houghton, Mifflin
ISBN 13 :
Total Pages : 348 pages
Book Rating : 4.R/5 (5 download)

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Book Synopsis Alexander Hamilton by : Henry Cabot Lodge

Download or read book Alexander Hamilton written by Henry Cabot Lodge and published by Boston : Houghton, Mifflin. This book was released on 1885 with total page 348 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Model Rules of Professional Conduct

Author : American Bar Association. House of Delegates
Publisher : American Bar Association
ISBN 13 : 9781590318737
Total Pages : 216 pages
Book Rating : 4.3/5 (187 download)

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Book Synopsis Model Rules of Professional Conduct by : American Bar Association. House of Delegates

Download or read book Model Rules of Professional Conduct written by American Bar Association. House of Delegates and published by American Bar Association. This book was released on 2007 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Model Rules of Professional Conduct provides an up-to-date resource for information on legal ethics. Federal, state and local courts in all jurisdictions look to the Rules for guidance in solving lawyer malpractice cases, disciplinary actions, disqualification issues, sanctions questions and much more. In this volume, black-letter Rules of Professional Conduct are followed by numbered Comments that explain each Rule's purpose and provide suggestions for its practical application. The Rules will help you identify proper conduct in a variety of given situations, review those instances where discretionary action is possible, and define the nature of the relationship between you and your clients, colleagues and the courts.

The Cost

Author : Maria Bartiromo
Publisher : Threshold Editions
ISBN 13 : 1982163984
Total Pages : 304 pages
Book Rating : 4.9/5 (821 download)

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Book Synopsis The Cost by : Maria Bartiromo

Download or read book The Cost written by Maria Bartiromo and published by Threshold Editions. This book was released on 2020-10-27 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: The world needs a strong America, and America needs an economic revival after the Coronavirus season of shutdowns. Can the playbook that resulted in the greatest job market in history put Americans back to work? From the first moments of his presidency, Donald J. Trump put US economic revival at the top of his agenda. Cutting red tape and slashing business tax rates made companies eager to locate in America again. A surge in corporate investment led to record numbers of US job openings. But there was also another force at work at the start of the Trump era, and it’s impossible to provide a fair accounting of Trump’s governance without noting the unique obstacles he’s faced. The President’s critics styled themselves “The Resistance,” as if they were confronting a tyrant at the head of an invading army rather than their duly elected President. Much of the media establishment regularly—and wrongly—accused him of betraying the country. Most disturbing was the resistance movement inside government, formed even before the 2016 election, which unleashed unprecedented surveillance against Donald Trump. The political and media warfare has never ended. Just as an impeachment case collapsed in the Senate earlier this year, the world was beginning to realize how large a threat the Chinese communist government had become—and what it had been hiding in Wuhan. The destruction caused by the coronavirus is the latest and greatest test for the Trump prosperity agenda. Once again the health and wealth of the world depend on US leadership for economic revival. This is the story of the man US voters chose to lead in 2016 and will soon consider to lead again.

The Narrow Corridor

Author : Daron Acemoglu
Publisher : Penguin Books
ISBN 13 : 0735224382
Total Pages : 594 pages
Book Rating : 4.7/5 (352 download)

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Book Synopsis The Narrow Corridor by : Daron Acemoglu

Download or read book The Narrow Corridor written by Daron Acemoglu and published by Penguin Books. This book was released on 2019 with total page 594 pages. Available in PDF, EPUB and Kindle. Book excerpt: How does history end? -- The Red Queen -- Will to power -- Economics outside the corridor -- Allegory of good government -- The European scissors -- Mandate of Heaven -- Broken Red Queen -- Devil in the details -- What's the matter with Ferguson? -- The paper leviathan -- Wahhab's children -- Red Queen out of control -- Into the corridor -- Living with the leviathan.

Prisoner B-3087

Author : Alan Gratz
Publisher : Scholastic Inc.
ISBN 13 : 0545520711
Total Pages : 190 pages
Book Rating : 4.5/5 (455 download)

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Book Synopsis Prisoner B-3087 by : Alan Gratz

Download or read book Prisoner B-3087 written by Alan Gratz and published by Scholastic Inc.. This book was released on 2013-03-01 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: From Alan Gratz, the #1 New York Times bestselling author of Refugee, comes this wrenching novel about one boy's struggle to survive ten concentration camps during the Holocaust. Based on the inspiring true life story of Jack Gruener. 10 concentration camps. 10 different places where you are starved, tortured, and worked mercilessly. It's something no one could imagine surviving. But it is what Yanek Gruener has to face. As a Jewish boy in 1930s Poland, Yanek is at the mercy of the Nazis who have taken over. Everything he has, and everyone he loves, have been snatched brutally from him. And then Yanek himself is taken prisoner -- his arm tattooed with the words PRISONER B-3087. He is forced from one nightmarish concentration camp to another, as World War II rages all around him. He encounters evil he could have never imagined, but also sees surprising glimpses of hope amid the horror. He just barely escapes death, only to confront it again seconds later. Can Yanek make it through the terror without losing his hope, his will -- and, most of all, his sense of who he really is inside? Based on an astonishing true story.

1967

Author : Tom Segev
Publisher : Metropolitan Books
ISBN 13 : 1429911670
Total Pages : 710 pages
Book Rating : 4.4/5 (299 download)

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Book Synopsis 1967 by : Tom Segev

Download or read book 1967 written by Tom Segev and published by Metropolitan Books. This book was released on 2007-05-29 with total page 710 pages. Available in PDF, EPUB and Kindle. Book excerpt: "A marvelous achievement . . . Anyone curious about the extraordinary six days of Arab-Israeli war will learn much from it."—The Economist Tom Segev's acclaimed works One Palestine, Complete and The Seventh Million overturned accepted views of the history of Israel. Now, in 1967—a number-one bestseller in Hebrew—he brings his masterful skills to the watershed year when six days of war reshaped the country and the entire region. Going far beyond a military account, Segev re-creates the crisis in Israel before 1967, showing how economic recession, a full grasp of the Holocaust's horrors, and the dire threats made by neighbor states combined to produce a climate of apocalypse. He depicts the country's bravado after its victory, the mood revealed in a popular joke in which one soldier says to his friend, "Let's take over Cairo"; the friend replies, "Then what shall we do in the afternoon?" Drawing on unpublished letters and diaries, as well as government memos and military records, Segev reconstructs an era of new possibilities and tragic missteps. He introduces the legendary figures—Moshe Dayan, Golda Meir, Gamal Abdul Nasser, and Lyndon Johnson—and an epic cast of soldiers, lobbyists, refugees, and settlers. He reveals as never before Israel's intimacy with the White House as well as the political rivalries that sabotaged any chance of peace. Above all, he challenges the view that the war was inevitable, showing that a series of disastrous miscalculations lie behind the bloodshed. A vibrant and original history, 1967 is sure to stand as the definitive account of that pivotal year.

The Age of Responsibility

Author : Yascha Mounk
Publisher : Harvard University Press
ISBN 13 : 0674978293
Total Pages : 288 pages
Book Rating : 4.6/5 (749 download)

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Book Synopsis The Age of Responsibility by : Yascha Mounk

Download or read book The Age of Responsibility written by Yascha Mounk and published by Harvard University Press. This book was released on 2017-05-09 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: Yascha Mounk shows why a focus on personal responsibility is wrong and counterproductive: it distracts us from the larger economic forces determining aggregate outcomes, ignores what we owe fellow citizens regardless of their choices, and blinds us to key values such as the desire to live in a society of equals. In this book he proposes a remedy.

To Err Is Human

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309068371
Total Pages : 312 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis To Err Is Human by : Institute of Medicine

Download or read book To Err Is Human written by Institute of Medicine and published by National Academies Press. This book was released on 2000-03-01 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine