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Fault Lines of Care

Author: Carina Heckert

Publisher: Rutgers University Press

Published: 2018-06

Total Pages: 205

ISBN-13: 0813586933

The HIV epidemic in Bolivia has received little attention on a global scale in light of the country’s low HIV prevalence rate. However, by profiling the largest city in this land-locked Latin American country, Carina Heckert shows how global health-funded HIV care programs at times clash with local realities, which can have catastrophic effects for people living with HIV who must rely on global health resources to survive. These ethnographic insights, as a result, can be applied to AIDS programs across the globe. In Fault Lines of Care, Heckert provides a detailed examination of the effects of global health and governmental policy decisions on the everyday lives of people living with HIV in Santa Cruz. She focuses on the gendered dynamics that play a role in the development and implementation of HIV care programs and shows how decisions made from above impact what happens on the ground.

Home Care Fault Lines

Author: Cynthia J. Cranford

Publisher: Cornell University Press

Published: 2020-06-15

Total Pages: 237

ISBN-13: 1501749285

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In this revealing look at home care, Cynthia J. Cranford illustrates how elderly and disabled people and the immigrant women workers who assist them in daily activities develop meaningful relationships even when their different ages, abilities, races, nationalities, and socioeconomic backgrounds generate tension. As Cranford shows, workers can experience devaluation within racialized and gendered class hierarchies, which shapes their pursuit of security. Cranford analyzes the tensions, alliances, and compromises between security for workers and flexibility for elderly and disabled people, and she argues that workers and recipients negotiate flexibility and security within intersecting inequalities in varying ways depending on multiple interacting dynamics. What comes through from Cranford's analysis is the need for deeply democratic alliances across multiple axes of inequality. To support both flexible care and secure work, she argues for an intimate community unionism that advocates for universal state funding, designs culturally sensitive labor market intermediaries run by workers and recipients to help people find jobs or workers, and addresses everyday tensions in home workplaces.

Fault Lines

Author: Karl Pillemer, Ph.D.

Publisher: Penguin

Published: 2022-11-01

Total Pages: 289

ISBN-13: 0593539133

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Real solutions to a hidden epidemic: family estrangement. Estrangement from a family member is one of the most painful life experiences. It is devastating not only to the individuals directly involved--collateral damage can extend upward, downward, and across generations, More than 65 million Americans suffer such rifts, yet little guidance exists on how to cope with and overcome them. In this book, Karl Pillemer combines the advice of people who have successfully reconciled with powerful insights from social science research. The result is a unique guide to mending fractured families. Fault Lines shares for the first time findings from Dr. Pillemer's ten-year groundbreaking Cornell Reconciliation Project, based on the first national survey on estrangement; rich, in-depth interviews with hundreds of people who have experienced it; and insights from leading family researchers and therapists. He assures people who are estranged, and those who care about them, that they are not alone and that fissures can be bridged. Through the wisdom of people who have "been there," Fault Lines shows how healing is possible through clear steps that people can use right away in their own families. It addresses such questions as: How do rifts begin? What makes estrangement so painful? Why is it so often triggered by a single event? Are you ready to reconcile? How can you overcome past hurts to build a new future with a relative? Tackling a subject that is achingly familiar to almost everyone, especially in an era when powerful outside forces such as technology and mobility are lessening family cohesion, Dr. Pillemer combines dramatic stories, science-based guidance, and practical repair tools to help people find the path to reconciliation.

Cultural Fault Lines in Healthcare

Author: Michael C. Brannigan

Publisher: Lexington Books

Published: 2012

Total Pages: 119

ISBN-13: 0739149679

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Healthcare in the U.S. faces two interpenetrating certainties. First, with over 66 racial and ethnic groupings, our "American Mosaic" of worldviews and values unavoidably generates clashes in hospitals and clinics. Second, our public increasingly mistrusts our healthcare system and delivery. One certainty fuels the other. Conflicts in the clinical encounter, particularly with patients from other cultures, often challenge dominant assumptions of morally appropriate principles and behavior. In turn, lack of understanding, misinterpretation, stereotyping, and outright discrimination result in poor health outcomes, compounding further mistrust. To address these cultural fault lines, healthcare institutions have initiated efforts to ensure "cultural competence." Yet, these efforts become institutional window-dressing without tackling deeper issues, issues having to do with attitudes, understanding, and, most importantly, ways we communicate with patients. These deeper issues reflect a fundamental, original fault line: the ever-widening gap between serving our own interests while disregarding the concerns of more vulnerable patients, those on the margins, those Others who remain disenfranchised because they are Other. This book examines this and how we must become the voice for these Others whose vulnerability and suffering are palpable. The author argues that, as a vital and necessary condition for cultural competency, we must learn to cultivate the virtue of Presence - of genuinely being there with our patients. Cultural competency is less a matter of acquiring knowledge of other cultures. Cultural competency demands as a prerequisite for all patients, not just for those who seem different, genuine embodied Presence. Genuine, interpersonal, embodied presence is especially crucial in our screen-centric and Facebook world where interaction is mediated through technologies rather than through authentic face-to-face engagement. This is sadly apparent in healthcare, where we have replaced interpersonal care with technological intervention. Indeed, we are all potential patients. When we become ill, we too will most likely assume roles of vulnerability. We too may feel as invisible as those on the margins. These are not armchair reflections. Brannigan's incisive analysis comes from his scholarship in healthcare and intercultural ethics, along with his longstanding clinical experience in numerous healthcare settings with patients, their families, and healthcare professionals.

Fault Lines of Care

Author: Carina Heckert

Publisher: Rutgers University Press

Published: 2018-06-01

Total Pages: 0

ISBN-13: 9780813586908

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Fault Line

Author: C. Desir

Publisher: Simon and Schuster

Published: 2013-10-15

Total Pages: 179

ISBN-13: 1442460741

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In a single night, Ani’s life was torn to shreds—and Ben struggles with the weight of trying to fix the unfixable in this heartbreaking and edgy debut novel. Ben could date anyone he wants, but he only has eyes for the new girl—sarcastic, free-spirited Ani. Luckily for Ben, Ani wants him, too. She’s everything Ben could ever imagine. Everything he could ever want. But that all changes after the party. The one Ben misses. The one Ani goes to alone. Now Ani isn’t the girl she used to be, and Ben can’t sort out the truth from the lies. What really happened, and who is to blame? Ben wants to help Ani, but the more she pushes him away, the more he wonders if there’s anything he can do to save the girl he loves in this powerful, gut-wrenching debut novel.

Fault Lines

Author: Meena Alexander

Publisher: Feminist Press at CUNY

Published: 2020-11-17

Total Pages: 297

ISBN-13: 1558612823

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In this evocative memoir, an acclaimed Indian poet explores writing, memory, and place in a post-9/11 world. Passionate, fierce, and lyrical, Fault Lines follows one woman’s evolution as a writer at home—and in exile—across continents and cultures. Meena Alexander was born into a privileged childhood in India and grew into a turbulent adolescence in the Sudan, before moving to England and then New York City. With poetic insight and devastating honesty, Alexander explores how trauma and recovery shaped the entire landscape of her memory: of her family, her writing process, and her very self. This new edition, published on the two-year anniversary of Alexander's passing in 2018, will feature a commemorative afterword celebrating her legacy. "Alexander's writing is imbued with a poetic grace shot through with an inner violence, like a shimmering piece of two-toned silk." —Ms. Magazine "Evocative and moving." —Publishers Weekly “One of the most important literary voices in South Asian American writing and American letters broadly writ, Meena Alexander’s close examination of exile and migration lays bare the heart of a poet.” —Rajiv Mohabir, author of The Cowherd’s Son

Fault Lines

Author: Anne Rivers Siddons

Publisher: Harper Collins

Published: 1995

Total Pages: 372

ISBN-13: 0061093343

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Approaching exhaustion after years of caring for her family, Merrit Fowler joins her daughter and sister in California, where an earthquake brings them closer together.

Fault Lines

Author: Raghuram G. Rajan

Publisher: Princeton University Press

Published: 2011-08-08

Total Pages: 283

ISBN-13: 1400839807

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From an economist who warned of the global financial crisis, a new warning about the continuing peril to the world economy Raghuram Rajan was one of the few economists who warned of the global financial crisis before it hit. Now, as the world struggles to recover, it's tempting to blame what happened on just a few greedy bankers who took irrational risks and left the rest of us to foot the bill. In Fault Lines, Rajan argues that serious flaws in the economy are also to blame, and warns that a potentially more devastating crisis awaits us if they aren't fixed. Rajan shows how the individual choices that collectively brought about the economic meltdown—made by bankers, government officials, and ordinary homeowners—were rational responses to a flawed global financial order in which the incentives to take on risk are incredibly out of step with the dangers those risks pose. He traces the deepening fault lines in a world overly dependent on the indebted American consumer to power global economic growth and stave off global downturns. He exposes a system where America's growing inequality and thin social safety net create tremendous political pressure to encourage easy credit and keep job creation robust, no matter what the consequences to the economy's long-term health; and where the U.S. financial sector, with its skewed incentives, is the critical but unstable link between an overstimulated America and an underconsuming world. In Fault Lines, Rajan demonstrates how unequal access to education and health care in the United States puts us all in deeper financial peril, even as the economic choices of countries like Germany, Japan, and China place an undue burden on America to get its policies right. He outlines the hard choices we need to make to ensure a more stable world economy and restore lasting prosperity.

Catastrophic Care

Author: David Goldhill

Publisher: Vintage

Published: 2013-01-08

Total Pages: 386

ISBN-13: 0307961559

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A visionary investigation that will change the way we think about health care: how and why it is failing, why expanding coverage will actually make things worse, and how our health care can be transformed into a transparent, affordable, successful system. In 2007, David Goldhill’s father died from infections acquired in a hospital, one of more than two hundred thousand avoidable deaths per year caused by medical error. The bill was enormous—and Medicare paid it. These circumstances left Goldhill angry and determined to understand how world-class technology and personnel could coexist with such carelessness—and how a business that failed so miserably could be paid in full. Catastrophic Care is the eye-opening result. Blending personal anecdotes and extensive research, Goldhill presents us with cogent, biting analysis that challenges the basic preconceptions that have shaped our thinking for decades. Contrasting the Island of health care with the Mainland of our economy, he demonstrates that high costs, excess medicine, terrible service, and medical error are the inevitable consequences of our insurance-based system. He explains why policy efforts to fix these problems have invariably produced perverse results, and how the new Affordable Care Act is more likely to deepen than to solve these issues. Goldhill steps outside the incremental and wonkish debates to question the conventional wisdom blinding us to more fundamental issues. He proposes a comprehensive new way, where the customer (the patient) is first—a system focused on health and maintaining it, a system strong and vibrant enough for our future. If you think health care is interesting only to institutes and politicians, think again: Catastrophic Care is surprising, engaging, and brimming with insights born of questions nobody has thought to ask. Above all it is a book of new ideas that can transform the way we understand a subject we often take for granted.