Health care delivery in the United States is an enormously complex enterprise, and its $1.6 trillion annual expenditures involve a host of competing interests. While arguably the nation offers among the most technologically advanced medical care in the world, the American system consistently under performs relative to its resources. Gaps in financing and service delivery pose major barriers to improving health, reducing disparities, achieving universal insurance coverage, enhancing quality, controlling costs, and meeting the needs of patients and families.
Bringing together twenty-five of the nation’s leading experts in health care policy and public health, this book provides a much-needed perspective on how our health care system evolved, why we face the challenges that we do, and why reform is so difficult to achieve. The essays tackle tough issues including: socioeconomic disadvantage, tobacco, obesity, gun violence, insurance gaps, the rationing of services, the power of special interests, medical errors, and the nursing shortage.
Linking the nation’s health problems to larger political, cultural, and philosophical contexts, Policy Challenges in Modern Health Care offers a compelling look at where we stand and where we need to be headed.
Previously unpublished writings by and about Kenneth Burke plus essays by such Burkean luminaries as Wayne C. Booth, William H. Rueckert, Robert Wess, Thomas Carmichael, and Michael Feehan make the publication of Unending Conversations a significant event in the field of Burke studies and in the wider field of literary criticism and theory.
Editors Greig Henderson and David Cratis Williams have divided their material into three parts: “Dialectics of Expression, Communication, and Transcendence,” “Criticism, Symbolicity, and Tropology,” and “Transcendence and the Theological Motive.”
In the first part, Williams’s textual introduction and Rueckert’s essay analyze the genesis and composition of Burke’s A Symbolic of Motives and Poetics, Dramatistically Considered. Henderson opens part two by showing how these two essays’ concerns with literary form hearken back to Burke’s first book of criticism, Counter-Statement.
Thomas Carmichael discusses Burke’s relationship to thinkers such as Paul de Man, Jacques Derrida, Stanley Fish, Fredric Jameson, Jean-François Lyotard, and Richard Rorty. Wess analyzes the relation between Burke’s dramatistic pentad of act, agent, scene, agency, and purpose and his four master tropes—metaphor, metonymy, synecdoche, and irony.
In the third part, Booth mines his unpublished correspondence with Burke to demonstrate that Burke is a coy theologian. Michael Feehan discusses Burke’s revelation in a 1983 interview that rather than rebounding from a naive kind of Marxism in Permanence and Change, he was rebounding from what he had “learned as a Christian Scientist.”
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