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The Next America

Author : Paul Taylor
Publisher : PublicAffairs
ISBN 13 : 1610396685
Total Pages : 290 pages
Book Rating : 4.6/5 (13 download)

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Book Synopsis The Next America by : Paul Taylor

Download or read book The Next America written by Paul Taylor and published by PublicAffairs. This book was released on 2016-01-26 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: The America of the near future will look nothing like the America of the recent past. America is in the throes of a demographic overhaul. Huge generation gaps have opened up in our political and social values, our economic well-being, our family structure, our racial and ethnic identity, our gender norms, our religious affiliation, and our technology use. Today's Millennials -- well-educated, tech savvy, underemployed twenty-somethings -- are at risk of becoming the first generation in American history to have a lower standard of living than their parents. Meantime, more than 10,000 Baby Boomers are retiring every single day, most of them not as well prepared financially as they'd hoped. This graying of our population has helped polarize our politics, put stresses on our social safety net, and presented our elected leaders with a daunting challenge: How to keep faith with the old without bankrupting the young and starving the future. Every aspect of our demography is being fundamentally transformed. By mid-century, the population of the United States will be majority non-white and our median age will edge above 40 -- both unprecedented milestones. But other rapidly-aging economic powers like China, Germany, and Japan will have populations that are much older. With our heavy immigration flows, the US is poised to remain relatively young. If we can get our spending priorities and generational equities in order, we can keep our economy second to none. But doing so means we have to rebalance the social compact that binds young and old. In tomorrow's world, yesterday's math will not add up. Drawing on Pew Research Center's extensive archive of public opinion surveys and demographic data, The Next America is a rich portrait of where we are as a nation and where we're headed -- toward a future marked by the most striking social, racial, and economic shifts the country has seen in a century.

Why Americans Hate Politics

Author : E.J. Dionne
Publisher : Simon and Schuster
ISBN 13 : 9780743265737
Total Pages : 436 pages
Book Rating : 4.2/5 (657 download)

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Book Synopsis Why Americans Hate Politics by : E.J. Dionne

Download or read book Why Americans Hate Politics written by E.J. Dionne and published by Simon and Schuster. This book was released on 2004-06 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of our shrewdest political observers traces thirty years of volatile political history and finds that on point after point, liberals and conservatives are framing issues as a series of "false choices," making it impossible for politicians to solve problems, and alienating voters in the process.

Forgotten Americans

Author : Isabel Sawhill
Publisher : Yale University Press
ISBN 13 : 0300241062
Total Pages : 268 pages
Book Rating : 4.3/5 (2 download)

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Book Synopsis Forgotten Americans by : Isabel Sawhill

Download or read book Forgotten Americans written by Isabel Sawhill and published by Yale University Press. This book was released on 2018-09-25 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: A sobering account of a disenfranchised American working class and important policy solutions to the nation’s economic inequalities One of the country’s leading scholars on economics and social policy, Isabel Sawhill addresses the enormous divisions in American society—economic, cultural, and political—and what might be done to bridge them. Widening inequality and the loss of jobs to trade and technology has left a significant portion of the American workforce disenfranchised and skeptical of governments and corporations alike. And yet both have a role to play in improving the country for all. Sawhill argues for a policy agenda based on mainstream values, such as family, education, and work. While many have lost faith in government programs designed to help them, there are still trusted institutions on both the local and federal level that can deliver better job opportunities and higher wages to those who have been left behind. At the same time, the private sector needs to reexamine how it trains and rewards employees. This book provides a clear-headed and middle-way path to a better-functioning society in which personal responsibility is honored and inclusive capitalism and more broadly shared growth are once more the norm.

The Future of the Public's Health in the 21st Century

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309133181
Total Pages : 536 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Future of the Public's Health in the 21st Century by : Institute of Medicine

Download or read book The Future of the Public's Health in the 21st Century written by Institute of Medicine and published by National Academies Press. This book was released on 2003-02-01 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

The Political Determinants of Health

Author : Daniel E. Dawes
Publisher : Johns Hopkins University Press
ISBN 13 : 1421437899
Total Pages : 241 pages
Book Rating : 4.4/5 (214 download)

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Book Synopsis The Political Determinants of Health by : Daniel E. Dawes

Download or read book The Political Determinants of Health written by Daniel E. Dawes and published by Johns Hopkins University Press. This book was released on 2020-03-24 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: How do policy and politics influence the social conditions that generate health outcomes? Reduced life expectancy, worsening health outcomes, health inequity, and declining health care options—these are now realities for most Americans. However, in a country of more than 325 million people, addressing everyone's issues is challenging. How can we effect beneficial change for everyone so we all can thrive? What is the great equalizer? In this book, Daniel E. Dawes argues that political determinants of health create the social drivers—including poor environmental conditions, inadequate transportation, unsafe neighborhoods, and lack of healthy food options—that affect all other dynamics of health. By understanding these determinants, their origins, and their impact on the equitable distribution of opportunities and resources, we will be better equipped to develop and implement actionable solutions to close the health gap. Dawes draws on his firsthand experience helping to shape major federal policies, including the Affordable Care Act, to describe the history of efforts to address the political determinants that have resulted in health inequities. Taking us further upstream to the underlying source of the causes of inequities, Dawes examines the political decisions that lead to our social conditions, makes the social determinants of health more accessible, and provides a playbook for how we can address them effectively. A thought-provoking and evocative account that considers both the policies we think of as "health policy" and those that we don't, The Political Determinants of Health provides a novel, multidisciplinary framework for addressing the systemic barriers preventing the United States from becoming the healthiest nation in the world.

U.S. Health in International Perspective

Author : National Research Council
Publisher : National Academies Press
ISBN 13 : 0309264146
Total Pages : 421 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis U.S. Health in International Perspective by : National Research Council

Download or read book U.S. Health in International Perspective written by National Research Council and published by National Academies Press. This book was released on 2013-04-12 with total page 421 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.

The Politics Industry

Author : Katherine M. Gehl
Publisher : Harvard Business Press
ISBN 13 : 1633699242
Total Pages : 331 pages
Book Rating : 4.6/5 (336 download)

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Book Synopsis The Politics Industry by : Katherine M. Gehl

Download or read book The Politics Industry written by Katherine M. Gehl and published by Harvard Business Press. This book was released on 2020-06-23 with total page 331 pages. Available in PDF, EPUB and Kindle. Book excerpt: Leading political innovation activist Katherine Gehl and world-renowned business strategist Michael Porter bring fresh perspective, deep scholarship, and a real and actionable solution, Final Five Voting, to the grand challenge of our broken political and democratic system. Final Five Voting has already been adopted in Alaska and is being advanced in states across the country. The truth is, the American political system is working exactly how it is designed to work, and it isn't designed or optimized today to work for us—for ordinary citizens. Most people believe that our political system is a public institution with high-minded principles and impartial rules derived from the Constitution. In reality, it has become a private industry dominated by a textbook duopoly—the Democrats and the Republicans—and plagued and perverted by unhealthy competition between the players. Tragically, it has therefore become incapable of delivering solutions to America's key economic and social challenges. In fact, there's virtually no connection between our political leaders solving problems and getting reelected. In The Politics Industry, business leader and path-breaking political innovator Katherine Gehl and world-renowned business strategist Michael Porter take a radical new approach. They ingeniously apply the tools of business analysis—and Porter's distinctive Five Forces framework—to show how the political system functions just as every other competitive industry does, and how the duopoly has led to the devastating outcomes we see today. Using this competition lens, Gehl and Porter identify the most powerful lever for change—a strategy comprised of a clear set of choices in two key areas: how our elections work and how we make our laws. Their bracing assessment and practical recommendations cut through the endless debate about various proposed fixes, such as term limits and campaign finance reform. The result: true political innovation. The Politics Industry is an original and completely nonpartisan guide that will open your eyes to the true dynamics and profound challenges of the American political system and provide real solutions for reshaping the system for the benefit of all. THE INSTITUTE FOR POLITICAL INNOVATION The authors will donate all royalties from the sale of this book to the Institute for Political Innovation.

Asian American Political Participation

Author : Janelle S. Wong
Publisher : Russell Sage Foundation
ISBN 13 : 1610447557
Total Pages : 389 pages
Book Rating : 4.6/5 (14 download)

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Book Synopsis Asian American Political Participation by : Janelle S. Wong

Download or read book Asian American Political Participation written by Janelle S. Wong and published by Russell Sage Foundation. This book was released on 2011-10-01 with total page 389 pages. Available in PDF, EPUB and Kindle. Book excerpt: Asian Americans are a small percentage of the U.S. population, but their numbers are steadily rising—from less than a million in 1960 to more than 15 million today. They are also a remarkably diverse population—representing several ethnicities, religions, and languages—and they enjoy higher levels of education and income than any other U.S. racial group. Historically, socioeconomic status has been a reliable predictor of political behavior. So why has this fast-growing American population, which is doing so well economically, been so little engaged in the U.S. political system? Asian American Political Participation is the most comprehensive study to date of Asian American political behavior, including such key measures as voting, political donations, community organizing, and political protests. The book examines why some groups participate while others do not, why certain civic activities are deemed preferable to others, and why Asian socioeconomic advantage has so far not led to increased political clout. Asian American Political Participation is based on data from the authors’ groundbreaking 2008 National Asian American Survey of more than 5,000 Chinese, Indian, Vietnamese, Korean, Filipino, and Japanese Americans. The book shows that the motivations for and impediments to political participation are as diverse as the Asian American population. For example, native-born Asians have higher rates of political participation than their immigrant counterparts, particularly recent adult arrivals who were socialized outside of the United States. Protest activity is the exception, which tends to be higher among immigrants who maintain connections abroad and who engaged in such activity in their country of origin. Surprisingly, factors such as living in a new immigrant destination or in a city with an Asian American elected official do not seem to motivate political behavior—neither does ethnic group solidarity. Instead, hate crimes and racial victimization are the factors that most motivate Asian Americans to participate politically. Involvement in non-political activities such as civic and religious groups also bolsters political participation. Even among Asian groups, socioeconomic advantage does not necessarily translate into high levels of political participation. Chinese Americans, for example, have significantly higher levels of educational attainment than Japanese Americans, but Japanese Americans are far more likely to vote and make political contributions. And Vietnamese Americans, with the lowest levels of education and income, vote and engage in protest politics more than any other group. Lawmakers tend to favor the interests of groups who actively engage the political system, and groups who do not participate at high levels are likely to suffer political consequences in the future. Asian American Political Participation demonstrates that understanding Asian political behavior today can have significant repercussions for Asian American political influence tomorrow.

The Increasingly United States

Author : Daniel J. Hopkins
Publisher : University of Chicago Press
ISBN 13 : 022653040X
Total Pages : 307 pages
Book Rating : 4.2/5 (265 download)

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Book Synopsis The Increasingly United States by : Daniel J. Hopkins

Download or read book The Increasingly United States written by Daniel J. Hopkins and published by University of Chicago Press. This book was released on 2018-05-30 with total page 307 pages. Available in PDF, EPUB and Kindle. Book excerpt: In a campaign for state or local office these days, you’re as likely today to hear accusations that an opponent advanced Obamacare or supported Donald Trump as you are to hear about issues affecting the state or local community. This is because American political behavior has become substantially more nationalized. American voters are far more engaged with and knowledgeable about what’s happening in Washington, DC, than in similar messages whether they are in the South, the Northeast, or the Midwest. Gone are the days when all politics was local. With The Increasingly United States, Daniel J. Hopkins explores this trend and its implications for the American political system. The change is significant in part because it works against a key rationale of America’s federalist system, which was built on the assumption that citizens would be more strongly attached to their states and localities. It also has profound implications for how voters are represented. If voters are well informed about state politics, for example, the governor has an incentive to deliver what voters—or at least a pivotal segment of them—want. But if voters are likely to back the same party in gubernatorial as in presidential elections irrespective of the governor’s actions in office, governors may instead come to see their ambitions as tethered more closely to their status in the national party.

Global Trends 2040

Author : National Intelligence Council
Publisher : Cosimo Reports
ISBN 13 : 9781646794973
Total Pages : 158 pages
Book Rating : 4.7/5 (949 download)

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Book Synopsis Global Trends 2040 by : National Intelligence Council

Download or read book Global Trends 2040 written by National Intelligence Council and published by Cosimo Reports. This book was released on 2021-03 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The ongoing COVID-19 pandemic marks the most significant, singular global disruption since World War II, with health, economic, political, and security implications that will ripple for years to come." -Global Trends 2040 (2021) Global Trends 2040-A More Contested World (2021), released by the US National Intelligence Council, is the latest report in its series of reports starting in 1997 about megatrends and the world's future. This report, strongly influenced by the COVID-19 pandemic, paints a bleak picture of the future and describes a contested, fragmented and turbulent world. It specifically discusses the four main trends that will shape tomorrow's world: - Demographics-by 2040, 1.4 billion people will be added mostly in Africa and South Asia. - Economics-increased government debt and concentrated economic power will escalate problems for the poor and middleclass. - Climate-a hotter world will increase water, food, and health insecurity. - Technology-the emergence of new technologies could both solve and cause problems for human life. Students of trends, policymakers, entrepreneurs, academics, journalists and anyone eager for a glimpse into the next decades, will find this report, with colored graphs, essential reading.

White-Collar Government

Author : Nicholas Carnes
Publisher : University of Chicago Press
ISBN 13 : 022608728X
Total Pages : 201 pages
Book Rating : 4.2/5 (26 download)

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Book Synopsis White-Collar Government by : Nicholas Carnes

Download or read book White-Collar Government written by Nicholas Carnes and published by University of Chicago Press. This book was released on 2013-11-05 with total page 201 pages. Available in PDF, EPUB and Kindle. Book excerpt: Eight of the last twelve presidents were millionaires when they took office. Millionaires have a majority on the Supreme Court, and they also make up majorities in Congress, where a background in business or law is the norm and the average member has spent less than two percent of his or her adult life in a working-class job. Why is it that most politicians in America are so much better off than the people who elect them— and does the social class divide between citizens and their representatives matter? With White-Collar Government, Nicholas Carnes answers this question with a resounding—and disturbing—yes. Legislators’ socioeconomic backgrounds, he shows, have a profound impact on both how they view the issues and the choices they make in office. Scant representation from among the working class almost guarantees that the policymaking process will be skewed toward outcomes that favor the upper class. It matters that the wealthiest Americans set the tax rates for the wealthy, that white-collar professionals choose the minimum wage for blue-collar workers, and that people who have always had health insurance decide whether or not to help those without. And while there is no one cause for this crisis of representation, Carnes shows that the problem does not stem from a lack of qualified candidates from among the working class. The solution, he argues, must involve a variety of changes, from the equalization of campaign funding to a shift in the types of candidates the parties support. If we want a government for the people, we have to start working toward a government that is truly by the people. White-Collar Government challenges long-held notions about the causes of political inequality in the United States and speaks to enduring questions about representation and political accountability.

Communities in Action

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309452961
Total Pages : 583 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Communities in Action by : National Academies of Sciences, Engineering, and Medicine

Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Politics and Population Control

Author : Kathleen A. Tobin
Publisher : Greenwood
ISBN 13 :
Total Pages : 194 pages
Book Rating : 4.:/5 (321 download)

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Book Synopsis Politics and Population Control by : Kathleen A. Tobin

Download or read book Politics and Population Control written by Kathleen A. Tobin and published by Greenwood. This book was released on 2004-09-30 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: Providing a comprehensive collection of documents, this book covers a variety of perspectives on population control from the mid-18th c. to the present.

Political Demography

Author : Jack A. Goldstone
Publisher : Oxford University Press, USA
ISBN 13 : 0199945969
Total Pages : 344 pages
Book Rating : 4.1/5 (999 download)

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Book Synopsis Political Demography by : Jack A. Goldstone

Download or read book Political Demography written by Jack A. Goldstone and published by Oxford University Press, USA. This book was released on 2012-08-16 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: The field of political demography - the politics of population change - is dramatically underrepresented in political science. At a time when demographic changes - aging in the rich world, youth bulges in the developing world, ethnic and religious shifts, migration, and urbanization - are waxing as never before, this neglect is especially glaring and starkly contrasts with the enormous interest coming from policymakers and the media. "Ten years ago, [demography] was hardly on the radar screen," remarks Richard Jackson and Neil Howe of the Center for Strategic and International Studies, two contributors to this volume. "Today," they continue, "it dominates almost any discussion of America's long-term fiscal, economic, or foreign-policy direction." Demography is the most predictable of the social sciences: children born in the last five years will be the new workers, voters, soldiers, and potential insurgents of 2025 and the political elites of the 2050s. Whether in the West or the developing world, political scientists urgently need to understand the tectonics of demography in order to grasp the full context of today's political developments. This book begins to fill the gap from a global and historical perspective and with the hope that scholars and policymakers will take its insights on board to develop enlightened policies for our collective future.

How America Lost Its Mind

Author : Thomas E. Patterson
Publisher : University of Oklahoma Press
ISBN 13 : 0806165685
Total Pages : 227 pages
Book Rating : 4.8/5 (61 download)

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Book Synopsis How America Lost Its Mind by : Thomas E. Patterson

Download or read book How America Lost Its Mind written by Thomas E. Patterson and published by University of Oklahoma Press. This book was released on 2019-10-03 with total page 227 pages. Available in PDF, EPUB and Kindle. Book excerpt: Americans are losing touch with reality. On virtually every issue, from climate change to immigration, tens of millions of Americans have opinions and beliefs wildly at odds with fact, rendering them unable to think sensibly about politics. In How America Lost Its Mind, Thomas E. Patterson explains the rise of a world of “alternative facts” and the slow-motion cultural and political calamity unfolding around us. We don’t have to search far for the forces that are misleading us and tearing us apart: politicians for whom division is a strategy; talk show hosts who have made an industry of outrage; news outlets that wield conflict as a marketing tool; and partisan organizations and foreign agents who spew disinformation to advance a cause, make a buck, or simply amuse themselves. The consequences are severe. How America Lost Its Mind maps a political landscape convulsed with distrust, gridlock, brinksmanship, petty feuding, and deceptive messaging. As dire as this picture is, and as unlikely as immediate relief might be, Patterson sees a way forward and underscores its urgency. A call to action, his book encourages us to wrest institutional power from ideologues and disruptors and entrust it to sensible citizens and leaders, to restore our commitment to mutual tolerance and restraint, to cleanse the Internet of fake news and disinformation, and to demand a steady supply of trustworthy and relevant information from our news sources. As philosopher Hannah Arendt wrote decades ago, the rise of demagogues is abetted by “people for whom the distinction between fact and fiction, true and false, no longer exists.” In How America Lost Its Mind, Thomas E. Patterson makes a passionate case for fully and fiercely engaging on the side of truth and mutual respect in our present arms race between fact and fake, unity and division, civility and incivility.

World Population Policies

Author : John F. May
Publisher : Springer Science & Business Media
ISBN 13 : 9400728360
Total Pages : 361 pages
Book Rating : 4.4/5 (7 download)

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Book Synopsis World Population Policies by : John F. May

Download or read book World Population Policies written by John F. May and published by Springer Science & Business Media. This book was released on 2012-03-30 with total page 361 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines the history behind the formulation, implementation, and evaluation of population policies in the more developed, the less developed, and the least developed countries from 1950 until today, as well as their future prospects. It links population policies with the theories of the demographic, epidemiological, and migratory transitions. It begins by summarizing the demographic situation around the world, with an emphasis on population policies and their underlying theories. Then, it reviews the early efforts to reduce mortality and fertility in the developing countries. This is followed by a description of the internationalization of the debate on population issues and the transformation of these programs into more formal population policies, particularly in the developing countries. The book reviews also the situation of the developed countries and their specific challenges – sub-replacement fertility, population aging, and immigration – and examines the effectiveness of population policies. It also explores the way forward and future prospects for population policies over the next decades. The book provides numerous concrete examples from all over the world, and show how population policies are actually implemented and what have been their successes as well as their constraints. Above all, the book highlights the importance of understanding underlying demographic trends when assessing the development prospects of any country. The book is recommended for not only demographers, social scientists, and policymakers but also economists and political scientists who are interested in social and demographic change around the world. Demography students and researchers who are interested in applying knowledge on population trends and prospects in designing and evaluating public policies will find this an invaluable reference work.

The Future of Public Health

Author : Committee for the Study of the Future of Public Health
Publisher : National Academies Press
ISBN 13 : 0309581907
Total Pages : 240 pages
Book Rating : 4.3/5 (95 download)

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Book Synopsis The Future of Public Health by : Committee for the Study of the Future of Public Health

Download or read book The Future of Public Health written by Committee for the Study of the Future of Public Health and published by National Academies Press. This book was released on 1988-01-15 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.