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An inspiring story of doctors who changed the health care of an African nationDr. Dilan Ellegala arrives in Tanzania, shocked to find the entire country has just three brain surgeons for its population of forty-two million. Haydom Lutheran Hospital lacks even the most basic surgical tools, not even a saw to open a patient's skull. Here, people with head injuries or brain tumors heal on their own or die. When confronted with a villager suffering from a severe head trauma, Dilan buys a tree saw from a farmer, sterilizes it, and then uses it to save the man's life.Yet Dilan realizes that there are far too many neurosurgery patients for one person to save, and of course he will soon be leaving Tanzania. He needs to teach someone his skills. He identifies a potential student in Emmanuel Mayegga, a stubborn assistant medical officer who grew up in a mud hut. Though Mayegga has no medical degree, Dilan sees that Mayegga has the dexterity, intelligence, and determination to do brain surgery. Over six months, he teaches Mayegga how to remove tumors and treat hydrocephalus. And then, perhaps more important, Dilan teaches Mayegga how to pass on his newfound skills. Mayegga teaches a second Tanzanian, who teaches a third. It's a case of teach-a-man-to-fish meets brain surgery.As he guides these Tanzanians to do things they never thought possible, Dilan challenges the Western medical establishment to do more than send vacationing doctors on short-term medical missions. He discovers solutions that could transform health care for two billion people across the world.A Surgeon in the Village is the incredible and riveting account of one man's push to ';train-forward'to change our approach to aid and medical training before more lives are needlessly lost. His story is a testament to the transformational power of teaching and the ever-present potential for change. As many as seventeen million people die every year because of a shortage of surgeons, more than die from AIDS, malaria, and tuberculosis combined. Dilan Ellegala and other visionaries are boldly proposing ways of saving lives.
A generation before Brown v. Board of Education struck down America's ';separate but equal' doctrine, one Chinese family and an eccentric Mississippi lawyer fought for desegregation in one of the greatest legal battles never told.On September 15, 1924, Martha Lum and her older sister Berda were barred from attending middle school in Rosedale, Mississippi. The girls were Chinese American and considered by the school to be ';colored'; the school was for whites. This event would lead to the first US Supreme Court case to challenge the constitutionality of racial segregation in Southern public schools, an astonishing thirty years before the landmark Brown v. Board of Education decision.Unearthing one of the greatest stories never told, journalist Adrienne Berard recounts how three unlikely heroes sought to shape a new South. A poor immigrant from southern China, Jeu Gong Lum came to America with the hope of a better future for his family. Unassuming yet boldly determined, his daughter Martha would inhabit that future and become the face of the fight to integrate schools. Earl Brewer, their lawyer and staunch ally, was once a millionaire and governor of Mississippi. When he took the family's case, Brewer was both bankrupt and a political pariaha man with nothing left to lose.By confronting the ';separate but equal' doctrine, the Lum family fought for the right to educate Chinese Americans in the white schools of the Jim Crow South. Using their groundbreaking lawsuit as a compass, Berard depicts the complicated condition of racial otherness in rural Southern society.In a sweeping narrative that is both epic and intimate, Water Tossing Boulders evokes a time and place previously defined by black and white, a time and place that, until now, has never been viewed through the eyes of a forgotten third race. In vivid prose, the Mississippi Delta, an empire of cotton and a bastion of slavery, is reimagined to reveal the experiences of a lost immigrant community. Through extensive research in historical documents and family correspondence, Berard illuminates a vital, forgotten chapter of America's past and uncovers the powerful journey of an oppressed people in their struggle for equality.
How charter schools have taken hold in three cities—and why parents, teachers, and community members are fighting backCharter schools once promised a path towards educational equity, but as the authors of this powerful volume show, market-driven education reforms have instead boldly reestablished a tiered public school system that segregates students by race and class. Examining the rise of charters in New Orleans, Chicago, and New York, authors Raynard Sanders, David Stovall, and Terrenda White show how charters—private institutions, usually set in poor or working-class African American and Latinx communities—promote competition instead of collaboration and are driven chiefly by financial interests. Sanders, Stovall, and White also reveal how corporate charters position themselves as “public” to secure tax money but exploit their private status to hide data about enrollment and salaries, using misleading information to promote false narratives of student success.In addition to showing how charter school expansion can deprive students of a quality education, the authors document several other lasting consequences of charter school expansion: • the displacement of experienced African American teachers • the rise of a rigid, militarized pedagogy such as SLANT • the purposeful starvation of district schools • and the loss of community control and oversight A revealing and illuminating look at one of the greatest threats to public education, Twenty-First-Century Jim Crow Schools explores how charter schools have shaped the educational landscape and why parents, teachers, and community members are fighting back.
An optimistic book for Americans who are asking, in the wake of Trump's victory, What do we do now? The answer: We need to organize and fight to protect and expand our democracy.Americans are distraught as tightly held economic and political power drowns out their voices and values. Legendary Diet for a Small Planet author Frances Moore Lappe and organizer-scholar Adam Eichen offer a fresh, surprising response to this core crisis. This intergenerational duo opens with an essential truth: It's not the magnitude of a challenge that crushes the human spirit. It's feeling powerlessin this case, fearing that to stand up for democracy is futile. It's not, Lappe and Eichen argue. With riveting stories and little-known evidence, they demystify how we got here, exposing the well-orchestrated effort that has robbed Americans of their rightful power. But at the heart of this unique book are solutions. Even in this divisive time, Americans are uniting across causes and ideologies to create a ';canopy of hope' the authors call the Democracy Movement. In this invigorating ';movement of movements,' millions of Americans are leaving despair behind as they push for and achieve historic change. The movement and democracy itself are vital to us as citizens and fulfill human needsfor power, meaning, and connectionessential to our thriving. In this timely and necessary book, Lappe and Eichen offer proof that courage is contagious in the daring fight for democracy.
Essays on Latinx and Caribbean identity and on globalization by renowned women writers, including Julia Alvarez, Edwidge Danticat, and Jamaica KincaidWomen Writing Resistance: Essays on Latin America and the Caribbean gathers the voices of sixteen acclaimed writer-activists for a one-of-a-kind collection. Through poetry and essays, writers from the Anglophone, Hispanic, and Francophone Caribbean, including Puertorriqueas and Cubanas, grapple with their hybrid American political identities. Gloria Anzalda, the founder of Chicana queer theory; Rigoberta Mench, the first Indigenous person to win a Nobel Peace Prize; and Michelle Cliff, a searing and poignant chronicler of colonialism and racism, among many others, highlight how women can collaborate across class, race, and nationality to lead a new wave of resistance against neoliberalism, patriarchy, state terrorism, and white supremacy.
The People vs. Big Oilhow a working-class company town harnessed the power of local politics to reclaim their communityHome to one of the largest oil refineries in the state, Richmond, California, was once a typical company town, dominated by Chevron. This largely nonwhite, working-class city of one hundred thousand suffered from poverty, pollution, and poorly funded public services. It had one of the highest homicide rates per capita in the country and a jobless rate twice the national average.But in 2012, when veteran labor reporter Steve Early moved from New England to Richmond, he discovered a city struggling to remake itself. In Refinery Town, Early chronicles the fifteen years of successful community organizing that raised the local minimum wage, defeated a casino development project, challenged home foreclosures and evictions, and sought fair taxation of Big Oil. Here we meet a dynamic cast of charactersfrom ninety-four-year-old Betty Reid Soskin, the country's oldest full-time national park ranger and witness to Richmond's complex history; to Gayle McLaughlin, the Green mayor who challenged Chevron and won; to police chief Chris Magnus, who brought community policing to Richmond and is now one of America's leading public safety reformers. Part urban history, part call to action, Refinery Town shows how concerned citizens can harness the power of local politics to reclaim their community and make municipal government a source of much-needed policy innovation.
A new edition of Childress's hilarious, uncompromising novel about African American domestic workers, featuring a foreword by Roxane GayFirst published in Paul Robeson's newspaper, Freedom, and composed of a series of conversations between Mildred, a black domestic, and her friend Marge, Like One of the Family is a wry, incisive portrait of working women in Harlem in the 1950's. Rippling with satire and humor, Mildred's outspoken accounts vividly capture her white employers' complacency and condescensionand their startled reactions to a maid who speaks her mind and refuses to exchange dignity for pay.Upon publication the book sparked a critique of working conditions, laying the groundwork for the contemporary domestic worker movement. Although she was critically praised, Childress's uncompromising politics and unflinching depictions of racism, classism, and sexism relegated her to the fringe of American literature. Like One of the Family has been long overlooked, but this new edition, featuring a foreword by best-selling author Roxane Gay, will introduce Childress to a new generation.
How the hidden trade in our sensitive medical information became a multibillion-dollar business, but has done little to improve our health-care outcomesHidden to consumers, patient medical data has become a multibillion-dollar worldwide trade industry between our health-care providers, drug companies, and a complex web of middlemen. This great medical-data bazaar sells copies of the prescription you recently filled, your hospital records, insurance claims, blood-test results, and more, stripped of your name but possibly with identifiers such as year of birth, gender, and doctor. As computing grows ever more sophisticated, patient dossiers become increasingly vulnerable to reidentification and the possibility of being targeted by identity thieves or hackers.Paradoxically, comprehensive electronic files for patient treatmentthe reason medical data exists in the first placeremain an elusive goal. Even today, patients or their doctors rarely have easy access to comprehensive records that could improve care. In the evolution of medical data, the instinct for profit has outstripped patient needs. This book tells the human, behind-the-scenes story of how such a system evolved internationally.It begins with New York advertising man Ludwig Wolfgang Frohlich, who founded IMS Health, the world's dominant health-data miner, in the 1950s. IMS Health now gathers patient medical data from more than 45 billion transactions annually from 780,000 data feeds in more than 100 countries. Our Bodies, Our Data uncovers some of Frohlich's hidden past and follows the story of what happened in the following decades. This is both a story about medicine and medical practice, and about big business and maximizing profits, and the places these meet, places most patients would like to believe are off-limits.Our Bodies, Our Data seeks to spark debate on how we can best balance the promise big data offers to advance medicine and improve lives while preserving the rights and interests of every patient. We, the public, deserve a say in this discussion. After all, it's our data.
Following the death of her father, journalist and hospice volunteer Ann Neumann sets out to examine what it means to die well in the United States.When Ann Neumann's father was diagnosed with non-Hodgkin's lymphoma, she left her job and moved back to her hometown of Lancaster, Pennsylvania. She became his full-time caregivercooking, cleaning, and administering medications. When her father died, she was undone by the experience, by grief and the visceral quality of dying. Neumann struggled to put her life back in order and found herself haunted by a question: Was her father's death a good death?The way we talk about dying and the way we actually die are two very different things, she discovered, and many of us are shielded from what death actually looks like. To gain a better understanding, Neumann became a hospice volunteer and set out to discover what a good death is today. She attended conferences, academic lectures, and grief sessions in church basements. She went to Montana to talk with the attorney who successfully argued for the legalization of aid in dying, and to Scranton, Pennsylvania, to listen to ';pro-life' groups who believe the removal of feeding tubes from some patients is tantamount to murder. Above all, she listened to the stories of those who were close to death.What Neumann found is that death in contemporary America is much more complicated than we think. Medical technologies and increased life expectancies have changed the very definition of medical death. And although death is our common fate, it is also a divisive issue that we all experience differently. What constitutes a good death is unique to each of us, depending on our age, race, economic status, culture, and beliefs. What's more, differing concepts of choice, autonomy, and consent make death a contested landscape, governed by social, medical, legal, and religious systems.In these pages, Neumann brings us intimate portraits of the nurses, patients, bishops, bioethicists, and activists who are shaping the way we die. The Good Death presents a fearless examination of how we approach death, and how those of us close to dying loved ones live in death's wake.
How interracial love and marriage changed history, and may soon alter the landscape of American politics.Loving beyond boundaries is a radical act that is changing America. When Mildred and Richard Loving wed in 1958, they were ripped from their shared bed and taken to court. Their crime: miscegenation, punished by exile from their home state of Virginia. The resulting landmark decision of Loving v. Virginia ended bans on interracial marriage and remains a signature casethe first to use the words ';white supremacy' to describe such racism.Drawing from the earliest chapters in US history, legal scholar Sheryll Cashin reveals the enduring legacy of America's original sin, tracing how we transformed from a country without an entrenched construction of race to a nation where one drop of nonwhite blood merited exclusion from full citizenship. In vivid detail, she illustrates how the idea of whiteness was created by the planter class of yesterday and is reinforced by today's power-hungry dog-whistlers to divide struggling whites and people of color, ensuring plutocracy and undermining the common good.Cashin argues that over the course of the last four centuries there have been ';ardent integrators' and that those people are today contributing to the emergence of a class of ';culturally dexterous' Americans. In the fifty years since the Lovings won their case, approval for interracial marriage rose from 4 percent to 87 percent. Cashin speculates that rising rates of interracial intimacyincluding cross-racial adoption, romance, and friendshipcombined with immigration, demographic, and generational change, will create an ascendant coalition of culturally dexterous whites and people of color.Loving is both a history of white supremacy and a hopeful treatise on the future of race relations in America, challenging the notion that trickle-down progressive politics is our only hope for a more inclusive society. Accessible and sharp, Cashin reanimates the possibility of a future where interracial understanding serves as a catalyst of a social revolution ending not in artificial color blindness but in a culture where acceptance and difference are celebrated.
A young Muslim leader's memoir of his struggles to forge an American Muslim identityHaroon Moghul was thrust into the spotlight after 9/11, becoming an undergraduate leader at New York University's Islamic Center forced into appearances everywhere: on TV, before interfaith audiences, in print. Moghul was becoming a prominent voice for American Muslims even as he struggled with his relationship to Islam. In high school he was barely a believer and entirely convinced he was going to hell. He sometimes drank. He didn't pray regularly. All he wanted was a girlfriend.But as he discovered, it wasn't so easy to leave religion behind. To be true to himself, he needed to forge a unique American Muslim identity that reflected his beliefs and personality. How to Be a Muslim reveals a young man coping with the crushing pressure of a world that fears Muslims, struggling with his faith and searching for intellectual forebears, and suffering the onset of bipolar disorder. This is the story of the second-generation immigrant, of what it's like to lose yourself between cultures and how to pick up the pieces.
An eye-opening account of how and why evangelical Christian ministries are flourishing in prisons across the United StatesIt is by now well known that the United States' incarceration rate is the highest in the world. What is not broadly understood is how cash-strapped and overcrowded state and federal prisons are increasingly relying on religious organizations to provide educational and mental health services and to help maintain order. And these religious organizations are overwhelmingly run by nondenominational Protestant Christians who see prisoners as captive audiences.Some twenty thousand of these Evangelical Christian volunteers now run educational programs in over three hundred US prisons, jails, and detention centers. Prison seminary programs are flourishing in states as diverse as Texas and Tennessee, California and Illinois, and almost half of the federal prisons operate or are developing faith-based residential programs. Tanya Erzen gained inside access to many of these programs, spending time with prisoners, wardens, and members of faith-based ministries in six states, at both male and female penitentiaries, to better understand both the nature of these ministries and their effects. What she discovered raises questions about how these ministries and the people who live in prison grapple with the meaning of punishment and redemption, as well as what legal and ethical issues emerge when conservative Christians are the main and sometimes only outside forces in a prison system that no longer offers even the pretense of rehabilitation. Yet Erzen also shows how prison ministries make undeniably positive impacts on the lives of many prisoners: men and women who have no hope of ever leaving prison can achieve personal growth, a sense of community, and a degree of liberation within the confines of their cells.With both empathy and a critical eye, God in Captivity grapples with the questions of how faith-based programs serve the punitive regime of the prison, becoming a method of control behind bars even as prisoners use them as a lifeline for self-transformation and dignity.
A moving and surprisingly funny memoir about finding the right balance between anger and compassion';Why aren't you angry?' people often asked Martin Moran after he told his story of how he came to forgive the man who sexually abused him as a boy. At first, the question pissed him off. Then, it began to haunt him. Why didn't he have more anger? Why had he never sought redress for the crime committed against him? Was his fury hidden, buried? Was he not man enough? Here he was, an adult in mid-life, with an established acting career, a husband. A life. And yet the question of rage began to obsess him.As the narrative jumps from dream to memory to theory, from Colorado to New York to Johannesburg, Moran takes us along on his quest to understand the role of rage in our lives. Translating for an asylum seeker and survivor of torture, he wonders how the man is not consumed with the wrong done him, only to shortly thereafter find himself in a wild confrontation with his fuming stepmother at his father's funeral. He admires a pedestrian's furious put-down of a careless driver, and then, observing with a group of sex therapists at an S&M dungeon, he finds himself unexpectedly moved by the intimacy of the interchanges. Hiking the Rockies with his troubled younger brother, he's confronted by the anger and the love that seem to exist simultaneously and in equal measure between them.With each encounter, we move more deeply into the human complexities at the heart of this book: into how we wrong and are wronged, how we seek redress but also forgiveness, how we yearn to mend what we think broken in us and liberate ourselves from what's past. It is in this landscape of old wounds and complicated loves that Moran shows us how rage may meet compassion and our traumas unexpectedly open us to the humanity of others.
Why Social Security is not only sustainable but should be substantially expandedSocial Security is bankrupting us. It's outdated. It's a Ponzi scheme. It's stealing from young people. These are some of the biggest myths and lies about one of the most successful programs in our nation's history. Three-quarters of Americans depend heavily on Social Security in their elderly years and nearly half would be living in poverty without it. But as important and popular as it is, Social Security has become a political football. A well-financed campaignsupported by conservatives, special interest groups, and even leading Democratshas lobbied for cuts and significant ';entitlement reform,' falsely proclaiming that Social Security is going broke. Policy expert Steven Hill argues that Social Security should not only be defended, it should be substantially expanded. Here he proposes how we can double the monthly benefit and how to pay for it by closing many of the tax loopholes and deductions that disproportionately favor the wealthy few.
A funny, candid, and original coming-of-age story told through sugar addictionShe doesn't drink or do drugs, but like millions of other Americans, Lisa Kotin has a substance abuse problem. Kotin is addicted to sugar. My Confection is a darkly funny and candid memoir of where sugar took this teenage mime when she left her San Francisco Bay Area home in pursuit of artistic greatness. From the strict macrobiotic house where she is kicked out for smuggling Snickers, to her early days of Overeaters Anonymous meetings where she is bewildered by the idea of submitting to a higher power, to the stylish shrink who suggests she figure out how many minutes of tennis equal the calories in one jelly donut, to the men she unwraps and consumes like cheap chocolate bars, Kotin careens from romantic disasters to caloric catastrophes. Original and surprisingly affecting, this portrait of a sugar addict has nothing to do with losing weight or getting fit but rather with coming out of the (sugar) closet, finding allies who understand, and learning how to live healthfully, in spite of her compulsion.
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