The Best Health Care System in the World

Every once in a while I light on Fareed Zakaria, GPS. As is often the case, I don't find him the best tracking system. Last night, he delved into health care, claiming that the US still holds the edge in medical technology innovation, and that Scandanavian countries "ride on the back" of America. I'm not exactly sure what he meant by this, other than Scandanavian countries wouldn't be providing their fantastic health care without American innovation.

It struck me as a rather lame argument, especially when reading this assessment of the FDA, which often lags behind in approving innovative drugs that have profound consequences on health care. We also know that countries like Japan, which don't have hang ups with stem cell research, have clearly seized the advantage in this regard, thanks to the ban the Bush administration placed on stem cell research for the better part of a decade.

It is certainly true that the US spends more on health care per capita than any other country in the world. Yet, according to the World Health Organization, it doesn't have much to show for it. WHO consistently ranks the US far down the list of countries when it comes to providing quality health care. Yet, it seems many Americans still have this illusion that the United States has the best health care system in the world. PBS once again tried to put American health care in perspective.

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Team of Rivals Reading Group

''Team of Rivals" is also an America ''coming-of-age" saga. Lincoln, Seward, Chase et al. are sketched as being part of a ''restless generation," born when Founding Fathers occupied the White House and the Louisiana Purchase netted nearly 530 million new acres to be explored. The Western Expansion motto of this burgeoning generation, in fact, was cleverly captured in two lines of Stephen Vincent Benet's verse: ''The stream uncrossed, the promise still untried / The metal sleeping in the mountainside." None of the protagonists in ''Team of Rivals" hailed from the Deep South or Great Plains. _______________________________ From a review by Douglas Brinkley, 2005

The Triangle Shirtwaist Factory Fire

Welcome to this month's reading group selection. David Von Drehle mentions The Melting Pot , a play by Israel Zangwill, that premiered on Broadway in 1908. At that time theater was accessible to a broad section of the public, not the exclusive domain it has become over the decades. Zangwill carried a hopeful message that America was a place where old hatreds and prejudices were pointless, and that in this new country immigrants would find a more open society. I suppose the reference was more an ironic one for Von Drehle, as he notes the racial and ethnic hatreds were on display everywhere, and at best Zangwill's play helped persons forget for a moment how deep these divides ran. Nevertheless, "the melting pot" made its way into the American lexicon, even if New York could best be describing as a boiling cauldron in the early twentieth century. Triangle: The Fire That Changed America takes a broad view of events that led up the notorious fire, not...

The People Debate the Constitution

As Pauline Maier describes in Ratification , there was no easy road in getting the Constitution ratified. After 10 years of living together as a loosely knit confederation, a few forward thinking men decided that the Articles of Confederation no longer worked and it was time to forge a Constitution. Washington would not go until he could be assured something would come of the convention and that there would be an august body of gentlemen to carry the changes through. But, ultimately Maier describes it was the people who would determine the fate of the new Constitution. This is a reading group for Ratification: The People Debate the Constitution 1787-1788 . The book has been well received by fellow historians like Jack Rakove , among others. Maier has drawn from a wealth of research piecing together a story that tells the arduous battle in getting the Constitution ratified. A battle no less significant than that Americans fought for independence.

Dispatches from Vilnius

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