Paul Jesilow - Böcker

The last three decades of the twentieth century brought relentless waves of death squads, political kidnappings, and other traumas to the people of Guatemala. Many people fled the country to escape the violence. Yet, at the same moment, a popular movement for justice brought together unlikely bands of behind-the-scenes heroes, blurring ethnic, geographic, and even class lines. The Quiet Revolutionaries is drawn from interviews conducted by Frank Afflitto in the early 1990s with more than eighty survivors of the state-sanctioned violence. Gathered under frequently life-threatening circumstances, the observations and recollections of these inspiring men and women form a unique perspective on collective efforts to produce change in politics, law, and public consciousness. Examined from a variety of perspectives, from sociological to historical, their stories form a rich ethnography. While it is still too soon to tell whether stable, long-term democracy will prevail in Guatemala, the successes of these fascinating individuals provide a unique understanding of revolutionary resistance.

In this explosive expose of our health care system, Paul Jesilow, Henry N. Pontell, and Gilbert Geis uncover the dark side of physician practice. Using interviews with doctors and federal, state, and private officials and extensive investigation of case files, they tell the stories of doctors who profit from abortions on women who aren't pregnant, of needless surgery, overcharging for services, and excessive testing. How can doctors, recipients of a sacred trust and sworn to the Hippocratic Oath, violate Medicaid so egregiously? The authors trace patterns of abuse to the program's inauguration in the mid 1960s, when government authorities, not individual patients, were entrusted with responsibility for payments. Determining fees and regulating treatment also became the job of government agencies, thus limiting the doctors' traditional role. Physicians continue to disagree with Medicare and Medicaid policies that infringe on their autonomy and judgment. The medical profession has not accepted the gravity or extent of some members' illegal behavior, and individual doctors continue to blame violations on subordinates and patients.In the meantime, program guidelines have grown more confusing, hamstringing efforts to detect, apprehend, and prosecute Medicaid defrauders. Failure to institute a coherent policy for fraud control in the medical benefit program has allowed self-serving and greedy practitioners to violate the law with impunity. Prescription for Profit is a shocking revelation of abuse within a once-hallowed profession. It is a book that every doctor, and every patient, needs to read this year.