Primary care has come into the limelight with the passage of the Patient Protection and Affordable Care Act, the unchecked and unsustainable rise in American health care expenditures, and the crest of Baby Boomers who are now Medicare-eligible and entering the most health care–intensive period of their lives. Yet how much is really known about primary care? What Matters in Medicine: Lessons from a Life in Primary Care is a look at the past, present, and future of general practice, which is not only the predecessor to the modern primary care movement, but its foundation. Through memoir and conversation, Dr. David Loxterkamp reflects on the heroes and role models who drew him to family medicine and on his many years in family practice in a rural Maine community, and provides a prescription for change in the way that doctors and patients approach their shared contract for good health and a happy life. This book will be useful to those on both sides of primary care, doctors and patients alike.

The vital debates on government today are concerned with its social role, its participation in the economy, and its redistributive responsibilities. These functions, not defined in the Constitution, reflect the evolution of society and its values and the powerful but jerky hand of the political process.

For more than a decade, Pulitzer Prize-winning Chicago Tribune architecture critic Blair Kamin has been writing fiery, intelligent essays on the state of contemporary architecture. His subjects range from high-rises to highways, parks to public housing, Frank Lloyd Wright to Frank Gehry. Why Architecture Matters collects the best of Kamin's acclaimed columns, offering both a look at America's foremost architectural city and a taste of Kamin's penetrating, witty style of critique.

Once they accept a job, most Americans have little control over their work environments. In Worker Participation, John Pencavel examines some of those rare workplaces where employees both own and manage the companies they work for: the plywood cooperatives and forest worker cooperatives of the Pacific Northwest. Rather than relying on abstract theories, Pencavel reviews the actual experiences of these two groups of worker co-ops. He focuses on how worker-owned companies perform when compared to more traditional firms and whether companies operate more efficiently when workers determine how they are run. He also looks at the long-term viability of these enterprises and why they are so unusual. Most businesses are constantly caught in the battle over whether to use the firm's profits to pay labor or to increase capital. Worker cooperatives provide an appealing case study because the interests of labor and capital are aligned. If individuals have a role in setting goals, they should have an added incentive to help meet those goals, and productivity should benefit. On the other hand, observers have long argued that, since any single employee in a co-op reaps only a small benefit from working hard, workers may shirk work, and productivity can flag. Furthermore, co-ops often have difficulty raising capital, since they are constrained by how much money the workers have, and banks are often reluctant to lend them money. Using some fifteen years of data on forty mills in Washington State, Pencavel examines how worker co-ops really function. He assesses the practical problems of running a workplace where every employee is a boss. He looks at worker productivity, on-the-job injuries and financial risks facing owner-workers. He considers whether co-ops are inherently unstable and if they are plagued by infighting among the many worker-owners. Although many of the co-ops he studied have closed or been replaced by conventional businesses, Pencavel judges them to have been a success. Despite the risks inherent in such operations, allowing workers to make the decisions that profoundly affect them produces many benefits, including workplace efficiency and increased job security. However, Pencavel concludes, if more Americans are to enjoy such a working arrangement, labor laws will have to be changed, participation encouraged, and a more vigorous public debate about worker participation must take place. This book provides an excellent place to start the discussion.

"A powerful, often heart-wrenching collection of essays tackling the history of the American South."  —Kirkus Reviews
 
In Written in the Sky: Lessons of a Southern Daughter, Patricia Foster presents a double portrait of place and family, a book of deeply personal essays that interrogate the legacy of racial tensions in the South, the constriction of caste and gender, and the ways race, class, and white privilege are entwined in her family story. After interviewing girls at Booker T. Washington High School in Tuskegee, Alabama, visiting the National Memorial for Peace and Justice in Montgomery, Alabama, and exploring Africatown in Plateau, Alabama, Patricia Foster was moved to reflect on the racial scars and crossroads in her southern past as well as to reckon with the intimate places of her own wounding and grief.

The story of place, she discovers, emerges not only from family histories and cultural traditions but also from wrestling with a culture’s irreconcilable ideas: the hard push to determine what matters. What matters to her are the shadow stories beneath our mythologies, the complicated and radiant narratives that must be excavated and reckoned with, stories that have no neat or binary resolution, stories full of luminous moments and riveting facts, and stories where the secrets hide. Written in the Sky presents the best of nonfiction storytelling: searingly honest portraits, dramatic encounters, and lyrical narratives that will interest teachers and students as well as social justice advocates, policymakers, and readers compelled by stories of awakening and the white-hot beauty of language.