Lesaca timothy (44 résultats)
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The Performance of Sovereignty: Psychological Life Inside the Japanese Occupation of the Philippines
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Paperback. Etat : new. Paperback. The Corner Drugstore: How America Is Losing Its Pharmacies and What That Means for Health, Community, and the American PromiseWhat happens when the place you go for medicine quietly disappears?For generations, the corner drugstore was more than a place to pick up prescriptions. It was one of the… last accessible doors into the health care system-a place where no appointment was needed, where questions could be asked freely, and where someone behind the counter often knew your name, your family, and your story. It was where medicine became personal.This book tells the story of how that institution is being lost-and why it matters far more than most Americans realize.Blending history, economics, and firsthand accounts, The Corner Drugstore reveals how community pharmacies evolved from small, trusted neighborhood fixtures into parts of a vast and increasingly fragile system. It traces the shift from local ownership and personal relationships to a complex web of insurers, pharmacy benefit managers (PBMs), and corporate chains that now control pricing, access, and survival.At the heart of the crisis is a simple but unsettling truth: pharmacies are expected to function as essential health care providers, yet they are paid like retail stores. Behind the counter, the math often doesn't work. Pharmacies can lose money filling prescriptions-even life-saving ones-while still being relied upon to vaccinate, counsel, and serve as frontline care providers.The result is a slow, nationwide retreat. Stores close. Neighborhoods are left without nearby access to medications. "Pharmacy deserts" spread across rural towns and urban communities alike, disproportionately affecting those who already face the greatest barriers to care.During COVID-19, the country briefly remembered what pharmacies are capable of. They became critical public health hubs, delivering millions of vaccines and tests when other systems were overwhelmed. But as the crisis faded, so did the recognition. The same pharmacies that carried the burden were returned to a system that makes survival increasingly difficult.Through vivid stories of independent pharmacists, struggling chains, and the patients who depend on them, this book shows the human cost behind the numbers. It reveals a system where care is local, but power is not-where decisions affecting entire communities are made far from the neighborhoods they impact.Yet this is not just a story of decline. It is also a question: what kind of health care system-and what kind of country-do we want?The Corner Drugstore challenges readers to rethink what pharmacies really are: not optional retail outlets, but essential infrastructure. It explores practical solutions, from reforming reimbursement systems to protecting access in underserved areas, and argues that preserving local pharmacy care is both possible and necessary.Timely, thought-provoking, and deeply human, this book is a call to recognize what is being lost before it is gone-and to decide whether it is worth saving. This item is printed on demand. Shipping may be from multiple locations in the US or from the UK, depending on stock availability.
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Paperback. Etat : new. Paperback. What Doctors See is a collection of 31 essays by psychiatrist Timothy Lesaca, MD, originally published in KevinMD and brought together here in a thematically organized volume.Drawing on more than four decades of clinical experience, Dr. Lesaca explores the realities that shape modern medicine be…yond the diagnosis itself. These essays examine the lived experience of illness, physician identity, moral injury, health care systems, insurance denials, artificial intelligence, pharmaceutical influence, telehealth, public trust, and the ethical responsibilities that arise when medicine is practiced within complex institutions.Written from the perspective of a physician still in active clinical practice, these essays are neither a textbook nor a policy manifesto. They are reflections on patients, physicians, and the often unseen forces that influence clinical judgment and the delivery of care.Together, they ask a simple but enduring question: What do doctors see when they look beyond disease?Thoughtful, humane, and grounded in everyday clinical experience, What Doctors See offers an inside view of modern medicine for physicians, health professionals, patients, caregivers, and anyone interested in the human side of health care. This item is printed on demand. Shipping may be from multiple locations in the US or from the UK, depending on stock availability.
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Paperback. Etat : new. Paperback. Modern medicine possesses extraordinary knowledge. It can diagnose earlier, treat more effectively, and extend lives once thought beyond saving. Yet knowledge alone does not guarantee care. Between what medicine knows and what patients receive stands a complex architecture of institutions, polic…ies, incentives, regulations, and decisions that shape who receives help, when they receive it, and what obstacles stand in the way.In The Hidden Architecture of Care, psychiatrist Timothy Lesaca, MD, examines the unseen structures that influence modern medicine and the human consequences when those structures lose sight of their purpose.Drawing on more than four decades of clinical experience, scholarship, and reflection, Dr. Lesaca explores the fragile space between patients and the systems designed to serve them. Through fourteen essays, he examines the moral dimensions of everyday medical encounters, the forces shaping access to care, the erosion of trust in institutions, and the consequences that emerge when systems fail the people who depend upon them.The book explores questions that extend beyond medicine: What happens when insurance coverage exists but care remains unreachable?What happens when administrative systems intended to control costs become barriers to treatment?What happens when communities lose hospitals, pharmacies lose stability, and geography determines access to care?What happens when evidence struggles to constrain power and institutions lose public trust?From physician-patient relationships to healthcare policy, from rural hospitals to presidential medicine, from medical ethics to institutional responsibility, The Hidden Architecture of Care examines how systems shape human lives-and why accountability cannot disappear simply because decisions become complex.At its core, this book is a reflection on responsibility. Institutions are necessary. Complexity is unavoidable. But every system remains a human creation, and every policy ultimately affects a person.The final measure of healthcare is not found in the elegance of its design.It is found in what happens to the person who stands before it, in need. This item is printed on demand. Shipping may be from multiple locations in the US or from the UK, depending on stock availability.
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Paperback. Etat : new. Paperback. Power is measured not only by those who exercise it, but by those who bear its consequences.The Moral Geography of Power brings together five historical narratives that explore courage, authority, leadership, and the human cost of decisions made far from those who must live with them.From the br…utal captivity of Ernest Gordon on the Burma Railway to Tommy Macpherson's hidden war with the French Resistance, from Orde Wingate's revolutionary military vision to Douglas MacArthur's promise to the Philippines, and finally to Britain's Cold War nuclear testing program, each story examines how history is experienced not only by commanders and governments but by ordinary men and women whose lives are shaped by their choices.Written by psychiatrist Timothy Lesaca, MD, these essays combine careful historical research with a thoughtful exploration of moral responsibility, resilience, institutional power, and memory. Rather than celebrating military campaigns alone, they ask enduring questions: What makes leadership legitimate? When does conviction become dangerous? Who carries the burden of promises made by others? What remains after war has ended?Richly researched and deeply human, The Moral Geography of Power is a compelling work of historical nonfiction for readers interested in World War II, military history, leadership, ethics, and the lasting consequences of power. This item is printed on demand. Shipping may be from multiple locations in the US or from the UK, depending on stock availability.
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Taschenbuch. Etat : Neu. nach der Bestellung gedruckt Neuware - Printed after ordering - Modern medicine possesses extraordinary knowledge. It can diagnose earlier, treat more effectively, and extend lives once thought beyond saving. Yet knowledge alone does not guarantee care. Between what medicine knows and what patients recei…ve stands a complex architecture of institutions, policies, incentives, regulations, and decisions that shape who receives help, when they receive it, and what obstacles stand in the way.In The Hidden Architecture of Care, psychiatrist Timothy Lesaca, MD, examines the unseen structures that influence modern medicine and the human consequences when those structures lose sight of their purpose.Drawing on more than four decades of clinical experience, scholarship, and reflection, Dr. Lesaca explores the fragile space between patients and the systems designed to serve them. Through fourteen essays, he examines the moral dimensions of everyday medical encounters, the forces shaping access to care, the erosion of trust in institutions, and the consequences that emerge when systems fail the people who depend upon them.The book explores questions that extend beyond medicine: What happens when insurance coverage exists but care remains unreachable What happens when administrative systems intended to control costs become barriers to treatment What happens when communities lose hospitals, pharmacies lose stability, and geography determines access to care What happens when evidence struggles to constrain power and institutions lose public trust From physician-patient relationships to healthcare policy, from rural hospitals to presidential medicine, from medical ethics to institutional responsibility, The Hidden Architecture of Care examines how systems shape human lives-and why accountability cannot disappear simply because decisions become complex.At its core, this book is a reflection on responsibility. Institutions are necessary. Complexity is unavoidable. But every system remains a human creation, and every policy ultimately affects a person.The final measure of healthcare is not found in the elegance of its design.It is found in what happens to the person who stands before it, in need.
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Taschenbuch. Etat : Neu. nach der Bestellung gedruckt Neuware - Printed after ordering - What Doctors See is a collection of 31 essays by psychiatrist Timothy Lesaca, MD, originally published in KevinMD and brought together here in a thematically organized volume.Drawing on more than four decades of clinical experience, Dr. Lesa…ca explores the realities that shape modern medicine beyond the diagnosis itself. These essays examine the lived experience of illness, physician identity, moral injury, health care systems, insurance denials, artificial intelligence, pharmaceutical influence, telehealth, public trust, and the ethical responsibilities that arise when medicine is practiced within complex institutions.Written from the perspective of a physician still in active clinical practice, these essays are neither a textbook nor a policy manifesto. They are reflections on patients, physicians, and the often unseen forces that influence clinical judgment and the delivery of care.Together, they ask a simple but enduring question: What do doctors see when they look beyond disease Thoughtful, humane, and grounded in everyday clinical experience, What Doctors See offers an inside view of modern medicine for physicians, health professionals, patients, caregivers, and anyone interested in the human side of health care.
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Paperback. Etat : new. Paperback. Black Water, Human Hands is a deeply researched and emotionally powerful examination of the Buffalo Creek flood of February 26, 1972-one of the deadliest and most preventable industrial disasters in American history. In the narrow coal hollows of Logan County, West Virginia, a coal-waste dam own…ed by the Pittston Coal Company collapsed after days of heavy rain, unleashing more than 130 million gallons of black water, slurry, and debris into the communities below. In a matter of minutes, entire towns were destroyed, hundreds of homes disappeared, and 125 people lost their lives. Thousands more were left injured, homeless, traumatized, and permanently changed.But this book argues that Buffalo Creek was never simply a natural disaster.Drawing from government investigations, legal testimony, engineering reports, archival records, psychological research, oral histories, and survivor accounts, Timothy Lesaca, MD reconstructs not only the events of that morning, but the larger system that made the catastrophe possible. The disaster emerged from decades of industrial practice in Appalachian coal country-an economy in which the benefits of extraction flowed outward while the risks remained concentrated in the communities nearest the mines. The flood was preceded by warnings, inspections, partial collapses, ignored engineering concerns, and repeated calls for emergency spillways that were never completed. Long before the dam failed, many people already feared what would happen if the water ever escaped.At the center of the book are the people who lived below the dam.Through the stories of families such as Arthur and Barbara Brunty, rescuers who searched the mud for neighbors, investigators who uncovered the truth, and survivors who struggled for years with grief and displacement, Black Water, Human Hands restores the human scale of a disaster too often reduced to statistics. Kitchens, churches, schools, front porches, and familiar roads disappeared beneath the floodwaters. Entire communities that had taken generations to build were erased in a single morning. The book examines not only the physical destruction, but also the psychological trauma that followed, including groundbreaking research into collective trauma conducted by psychiatrist Robert Jay Lifton and sociologist Kai Erikson, whose work at Buffalo Creek helped transform modern understanding of disaster psychology and community loss.The book also explores the legal and ethical aftermath of the flood. Survivors fought powerful corporate and political systems in an effort to force recognition of what had happened to them. Lawyers, engineers, psychiatrists, and investigators confronted difficult questions about negligence, accountability, mental suffering, and the limits of the American legal system when faced with catastrophe on such a scale. The phrase "act of God," used by the company in the aftermath, becomes a central moral question running throughout the narrative: what happens when institutions attempt to shift responsibility for human decisions onto nature itself?At the same time, the book is about more than Buffalo Creek alone. It is an examination of how modern societies distribute risk, conceal the geography of extraction, and normalize dangers borne disproportionately by vulnerable communities. Coal powered factories, railroads, steel production, electricity, and economic expansion across the nation, but the instability, waste, and environmental danger remained concentrated in places like Buffalo Creek. The hollow became a sacrifice zone for a prosperity enjoyed far beyond Appalachia. This item is printed on demand. Shipping may be from our Sydney, NSW warehouse or from our UK or US warehouse, depending on stock availability.
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Paperback. Etat : new. Paperback. The Corner Drugstore: How America Is Losing Its Pharmacies and What That Means for Health, Community, and the American PromiseWhat happens when the place you go for medicine quietly disappears?For generations, the corner drugstore was more than a place to pick up prescriptions. It was one of the… last accessible doors into the health care system-a place where no appointment was needed, where questions could be asked freely, and where someone behind the counter often knew your name, your family, and your story. It was where medicine became personal.This book tells the story of how that institution is being lost-and why it matters far more than most Americans realize.Blending history, economics, and firsthand accounts, The Corner Drugstore reveals how community pharmacies evolved from small, trusted neighborhood fixtures into parts of a vast and increasingly fragile system. It traces the shift from local ownership and personal relationships to a complex web of insurers, pharmacy benefit managers (PBMs), and corporate chains that now control pricing, access, and survival.At the heart of the crisis is a simple but unsettling truth: pharmacies are expected to function as essential health care providers, yet they are paid like retail stores. Behind the counter, the math often doesn't work. Pharmacies can lose money filling prescriptions-even life-saving ones-while still being relied upon to vaccinate, counsel, and serve as frontline care providers.The result is a slow, nationwide retreat. Stores close. Neighborhoods are left without nearby access to medications. "Pharmacy deserts" spread across rural towns and urban communities alike, disproportionately affecting those who already face the greatest barriers to care.During COVID-19, the country briefly remembered what pharmacies are capable of. They became critical public health hubs, delivering millions of vaccines and tests when other systems were overwhelmed. But as the crisis faded, so did the recognition. The same pharmacies that carried the burden were returned to a system that makes survival increasingly difficult.Through vivid stories of independent pharmacists, struggling chains, and the patients who depend on them, this book shows the human cost behind the numbers. It reveals a system where care is local, but power is not-where decisions affecting entire communities are made far from the neighborhoods they impact.Yet this is not just a story of decline. It is also a question: what kind of health care system-and what kind of country-do we want?The Corner Drugstore challenges readers to rethink what pharmacies really are: not optional retail outlets, but essential infrastructure. It explores practical solutions, from reforming reimbursement systems to protecting access in underserved areas, and argues that preserving local pharmacy care is both possible and necessary.Timely, thought-provoking, and deeply human, this book is a call to recognize what is being lost before it is gone-and to decide whether it is worth saving. This item is printed on demand. Shipping may be from our UK warehouse or from our Australian or US warehouses, depending on stock availability.
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Paperback. Etat : new. Paperback. The Performance of Sovereignty: Psychological Life Inside the Japanese Occupation of the Philippines examines the psychological and political realities of the Japanese occupation during World War II and the creation of the Japanese-sponsored Second Philippine Republic.Rather than focusing primar…ily on military campaigns, this book explores a deeper question: what happens when a society must publicly perform sovereignty while privately recognizing its limits?In 1943, amid war, censorship, scarcity, and occupation, Filipino officials drafted a constitution, inaugurated a president, and declared a republic. Courts functioned, ministries operated, and public ceremonies invoked independence and national unity. Yet Japanese military authority remained behind these institutions. The appearance of statehood existed alongside the reality of external control.Through this contradiction, the book explores the psychological life of occupation: the divide between public obedience and private belief, between political ritual and lived experience. Citizens navigated fear, accommodation, survival, guarded speech, and moral uncertainty while trying to endure daily life under constrained power.At the center of the narrative stands Jose P. Laurel, president of the Second Philippine Republic. Was he a collaborator, a pragmatist, or a leader attempting to preserve fragments of Filipino agency under impossible conditions? Rather than offering simple moral judgments, the book examines the burden of leadership inside compromised systems.Drawing from wartime records, political theory, and historical scholarship, The Performance of Sovereignty explores symbolic sovereignty, political ritual, constitutional legitimacy, collaboration and resistance, food shortages, inflation, and the psychological strain of living within contradictory structures of power.Written in an accessible yet reflective style, this work presents the occupation not only as a wartime episode, but as a broader meditation on sovereignty, legitimacy, institutional survival, and the human capacity to endure political contradiction. This item is printed on demand. Shipping may be from our Sydney, NSW warehouse or from our UK or US warehouse, depending on stock availability.
