For two decades, Dr. Danielle Ofri has cared for patients at Bellevue, the oldest public hospital in the country and a crossroads for the world's cultures. In Medicine in Translation , she introduces us, in vivid, moving portraits, to the patients she has known. They have braved language barriers, religious and racial divides, and the emotional and practical difficulties of exile in order to access quality health care. Sharing their journeys with them over the years, Danielle has witnessed some of their best and worst moments, and come to admire their resilience and courageous spirit. Danielle introduces us to her patients: Samuel Nwanko, who was brutally attacked by a Nigerian cult in his homeland and is attempting to create a new life in America; Jade Collier, an Aussie who refuses to let a small thing like a wheelchair keep her from being a homegrown ambassador to New York City; Julia Barquero, a Guatemalan woman who migrated to the States to save her disabled son but cannot obtain the lifesaving heart transplant she needs because she is undocumented. We meet a young Muslim woman threatened at knifepoint for wearing her veil, and the spitfire Señora Estrella, one of Danielle's many Spanish-speaking patients, whose torrent of words helps seal Danielle's resolve to improve her own Spanish, an essential skill in today's urban hospitals. And so she, her husband, and their two young children and seventy-five-pound dog relocate to Costa Rica, where they discover potholes the size of their New York City apartment, a casual absence of street signs or even street names, tangy green-skinned limon dulce dangling in the playground, and sudden rains surging over the craggy edges of roadside ditches. Ultimately, Danielle experiences being a patient in a foreign country when she gives birth to their third child, a "Costarricense" girl. With controversy over immigrants in our society escalating, and debate surrounding health-care reform becoming increasingly urgent, Ofri's riveting stories about her patients could not be more timely. Living and dying in the foreign country we call home, they have much to teach us about the American way, in sickness and in health.

A simple, straightforward, and foolproof proposal for universal health insurance from a noted economist. The shocking statistic is that forty-seven million Americans have no health insurance. When uninsured Americans go to the emergency room for treatment, however, they do receive care, and a bill. Many hospitals now require uninsured patients to put their treatment on a credit card which can saddle a low-income household with unpayably high balances that can lead to personal bankruptcy. Why don't these people just buy health insurance? Because the cost of coverage that doesn't come through an employer is more than many low- and middle-income households make in a year. Meanwhile, rising healthcare costs for employees are driving many businesses under. As for government-supplied health care, ever higher costs and added benefits (for example, Part D, Medicare's new prescription drug coverage) make both Medicare and Medicaid impossible to sustain fiscally; benefits grow faster than the national per-capita income. It's obvious the system is broken. What can we do? In The Healthcare Fix , economist Laurence Kotlikoff proposes a simple, straightforward approach to the problem that would create one system that works for everyone and secure America's fiscal and economic future. Kotlikoff's proposed Medical Security System is not the "socialized medicine" so feared by Republicans and libertarians; it's a plan for universal health insurance. Because everyone would be insured, it's also a plan for universal healthcare. Participants -- including all who are currently uninsured, all Medicaid and Medicare recipients, and all with private or employer-supplied insurance -- would receive annual vouchers for health insurance, the amount of which would be based on their current medical condition. Insurance companies would willingly accept people with health problems because their vouchers would be higher. And the government could control costs by establishing the values of the vouchers so that benefit growth no longer outstrips growth of the nation's per capita income. It's a "single-payer" plan, but a single payer for insurance. The American healthcare industry would remain competitive, innovative, strong, and private. Kotlikoff's plan is strong medicine for America's healthcare crisis, but brilliant in its simplicity. Its provisions can fit on a postcard and Kotlikoff provides one, ready to be copied and mailed to your representative in Congress.

In this volume, the nation's leading advisors on health policy and financing appraise America's ailing healthcare system and suggest reasonable approaches to its rehabilitation. Each chapter confronts a major challenge to the country's health security, from runaway costs and uneven quality of care to declining levels of insurance coverage, medical bankruptcy, and the growing enthusiasm for health plans that put patients in charge of risk and cost. Bringing the latest research to bear on these issues, contributors diagnose the problems of our present system and offer treatments grounded in extensive experience. Free of bias and rhetoric, Health at Risk is an invaluable tool for those who are concerned with the current state of healthcare and are eager to effect change.