Premise And The Promise

American health care is at a crossroads. Health spending reached $3.5 trillion in 2017. Yet more than 27 million people remain uninsured. And it's unclear if all that spending is buying higher-quality care. Patients, doctors, insurers, and the government acknowledge that the healthcare status quo is unsustainable. America's last attempt at health reform -- Obamacare -- didn't work. Nearly a decade after its passage in 2010, Democrats are calling for a government takeover of the nation's healthcare system -- Medicare for All. The idea's supporters assert that health care is a right. They promise generous, universal, high-quality care to all Americans, with no referrals, copays, deductibles, or coinsurance. With a sales pitch like that, it's no wonder that seven in ten people now support Medicare for All. Doctors, especially young ones, are coming around to the idea of single-payer, too. Democrats, led by the progressive wing of the party, hope to capitalize on this enthusiasm. In 2017, they introduced companion legislation in the House and Senate that would establish Medicare for All. They have already promised to do the same when the next Congress convenes in 2019. More than 70 House Democrats have joined a new Medicare for All Caucus. Senator Bernie Sanders is effectively already on the presidential campaign trail, making his case for single-payer. If Democrats take the White House and Senate in 2020, and hold onto the House, a Medicare for All bill could be among the first pieces of legislation presented to the new president for a signature. In this book, Sally C. Pipes, a Canadian native, will make the case against Medicare for All. She'll explain why health care is not a right -- and how progressives pressing for single-payer are making a litany of promises they can't possibly keep. Evidence from government-run systems in Canada, the United Kingdom, and other developed countries proves that single-payer forces patients to withstand long waits for poor care at high cost. First, she'll unpack the Medicare for All plans under consideration in Congress. She'll explain how radical they truly are. Medicare for All will not save $5 trillion, as some of its proponents claim. It will cost about $32 trillion over 10 years, according to analyses from the Urban Institute and the Mercatus Center. It will outlaw private health insurance. It will raise taxes by trillions of dollars. It will cut pay for doctors to the rates paid by Medicare and thereby exacerbate our nation's shortage of physicians. And it will ration care. Then, Sally will detail the horrors of single-payer. She'll start in Canada, whose single-payer system most closely resembles the one progressives have in mind for the United States. Analyses of the government-run systems in the United Kingdom and a few other developed countries will follow, with particular focus on the problems that these systems pose for patients and doctors. To substantiate her indictment of single-payer, Sally will marshal both quantitative and qualitative evidence. She'll highlight how Americans fare better than their peers in Canada and the United Kingdom on the health outcomes that are directly linked to the quality of a healthcare system, including survival rates for patients with cancer and cardiovascular issues. She'll also explain why the health outcomes where the United States performs poorly relative to other nations, like infant mortality and life expectancy, tell us little about our healthcare system. Sally will pepper her text with heart-wrenching stories of the human costs of single-payer -- of people who were injured, were forced to remain in pain, or even died because their government-run healthcare system delayed or denied care. Too often, evangelists for free markets limit their arguments to facts and statistics -- and fail to appeal to the public's emotions. Sally will feature the stories of individuals and families who have been victims of single-payer systems. These vignettes will help drive home the truth about single-payer -- and why it must not come to the United States. She'll conclude with her vision for delivering the affordable, accessible, quality care the American people are looking for.

"Poetry does not impose, it exposes itself," wrote Paul Celan. Werner Hamacher's investigations into crucial texts of philosophical and literary modernity show that Celan's apothegm is also valid for the structure of understanding and for language in general. In Premises Hamacher demonstrates that the promise of a subject position is not only unavoidable--and thus operates as a structural imperative--but is also unattainable and therefore by necessity open to possibilities other than that defined as "position," to redefinitions and unexpected transformations of the merely thetical act. Proceeding along the lines of both philosophical argument and critical reading, Hamacher presents the fullest account of the vast disruption in the theories and ethics of positional and propositional acts--a disruption first exposed by Kant's analysis of the minimal requirements for linguistic and practical action. Focusing on the double trait of every premise--that it is promised but never attained--Hamacher analyzes nine decisive themes, topics, and texts of modernity: the hermeneutic circle in Schleiermacher and Heidegger, the structure of ethical commands in Kant, Nietzsche's genealogy of moral terms and his exploration of the aporias of singularity, the irony of reading in de Man, the parabasis of positing acts in Fichte and Schlegel, Kleist's disruption of narrative representation, the gesture of naming in Benjamin and Kafka, and the incisive caesura that Paul Celan inserts into temporal and linguistic reversals. There is no book that so fully brings the issues of both critical philosophy and critical literature into reach. Reviews "Werner Hamacher's Premises is the heir and successor to the most important theoretical and critical work done in American departments of comparative literature from the 1960s through the 1980s. Yet, Premises is no more a work of literary scholarship than one of philosophical submission to philosophy. With the gesture that is genuinely called post-structural, which is the suspicion and suspension of every code, the book's act of freedom is freedom to read and write language tout court." --Timothy Bahti, University of Michigan "Hamacher's project can be described as the retracing of the epistemological ground upon which the modern conception of the literary was erected. It is quite clear to me that there is nothing presently available to rival this book." --Wlad Godzich, University of Geneva

This title was first published in 2000: The author is a legal and moral philosopher who has applied the insight and methods of Wittgenstein to a range of topics in constitutional law, criminal law and theories of justice. This collection offers his most important and influential essays, together with an introductory essay which reviews and develops his contribution to legal and moral philosophy.

The North American Free Trade Agreement (NAFTA) is a milestone in the affairs of the continent and in international trade. The first formal arrangement of any kind between Canada, the United States, and Mexico, it is also the first trade pact including countries of such disproportionate power and levels of development. For Canada and Mexico the agr

Are you standing on the promises or just sitting on the premises? Do you claim and embrace and celebrate the great promises of God that are underscored again and again in the Bible? Or do you sit lifelessly and listlessly on the remote edges of the church, responding halfheartedly to its message? In this new edition of his inspiring book, James W. Moore awakens us with these questions and reminds us of the awesome promises of God that are found in the Bible. On page after page of the Scriptures, God gives us generous and gracious promises that we can claim and rely on. The author shows that when we fail to lean on God and trust in these promises, we open ourselves to many frustrating, embarrassing, even painful experiences. Yet when we truly “stand on the promises,” we discover the richness and fullness that God intended for our lives. This new edition of the book includes a study guide.