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Affordable Excellence Cover

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Affordable Excellence

The Singapore Healthcare Story

William A. Haseltine

This is the story of the Singapore healthcare system: how it works, how it is financed, its history, where it is going, and what lessons it may hold for national health systems around the world. Singapore ranks sixth in the world in healthcare outcomes, yet spends proportionally less on healthcare than any other high-income country. This is the first book to set out a comprehensive system-level description of healthcare in Singapore, with a view to understanding what can be learned from its unique system design and development path.

The lessons from Singapore will be of interest to those currently planning the future of healthcare in emerging economies, as well as those engaged in the urgent debates on healthcare in the wealthier countries faced with serious long-term challenges in healthcare financing. Policymakers, legislators, public health officials responsible for healthcare systems planning, finance and operations, as well as those working on healthcare issues in universities and think tanks should understand how the Singapore system works to achieve affordable excellence.

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Afghan Lessons

Culture, Diplomacy, and Counterinsurgency

translated by Angela Arnone. Fernando Gentilini

Fernando Gentilini served nearly two years as the civilian representative of NATO in Afghanistan, running a counterinsurgency campaign in the wartorn nation. Afghan Lessons is the fascinating story of his mission, a firsthand view of Afghanistan through a kaleidoscope. He explores Afghan history, literature, tradition, and culture to understand some of the most basic questions of Western involvement: What is the purpose? What does an international presence mean, and how can it help?

Highlights from Afghan Lessons

"This is a book about different worlds, different realities. The reality of everyday life in an unreal world. People that need to be looked after, jobs that need to be done, a country that needs to be restored, all from within the necessary confines of an armed camp. And this in the middle of another reality, which we do not understand, full of things forgotten under decades of war. The keys to this reality lie in the past, perhaps lost." —from the Foreword by Robert Cooper

"To tempt me to explore their country, the Afghans kept repeating that there were three different Afghanistans: 'The first is the one you Westerners imagine; another coincides with the city of Kabul; the third is the country of remote provinces, far away from the cities, and of the three, this is the only real Afghanistan.'"

"'There can be no development without security and no security without development.' ... Everyone said it over and over again, both the civilians and the military, but depending on whether it was said by the former or the latter, the emphasis was placed on the first or second part of the slogan. In all honesty this seemingly obvious concept concealed two contrasting ways of seeing things."

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Africa’s Deadliest Conflict

Media Coverage of the Humanitarian Disaster in the Congo and the United Nations Response, 1997–2008

Africa’s Deadliest Conflict deals with the complex intersection of the legacy of post-colonial history—a humanitarian crisis of epic proportions—and changing norms of international intervention associated with the idea of human security and the responsibility to protect (R2P). It attempts to explain why, despite a softening of norms related to the sanctity of state sovereignty, the international community dealt so ineffectively with a brutal conflict in the Democratic Republic of the Congo, which between 1997 and 2011 claimed an estimated 5.5 million. In particular, the book focuses on the role of mass media in creating a will to intervene, a role considered by many to be the key to prodding a reluctant international community to action.

Included in the book are a primer on Congolese history, a review of United Nations peacekeeping missions in the Congo, and a detailed examination of both US television news and New York Times coverage of the Congo from 1997 through 2008. Separate conclusions are offered with respect to peacekeeping in the Age of R2P and on the role of mass media in both promoting and inhibiting robust international responses to large-scale humanitarian crises.

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Against the Tide

Household Structure, Opportunities, and Outcomes among White and Minority Youth

Carolyn J. Hill, Harry J. Holzer, and Henry Chen

Hill, Holzer, and Chen examine the effects of household structure on youth and young adults and how these effects might have contributed to the negative trends in outcomes observed for young minorities over time.

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Agents of Change

Strategy and Tactics for Social Innovation

Sanderijn Cels, Jorrit de Jong, and Frans Nauta

While governments around the world struggle to maintain service levels amid fiscal crises, social innovators are improving social outcomes for citizens by changing the system from within. In Agents of Change, three cutting-edge thinkers and entrepreneurs present case studies of social innovation that have led to significant social change. Drawing on original empirical research in the United States, Canada, Japan, Germany, Denmark, and the Netherlands, they examine how ordinary people accomplished extraordinary results.

Sanderijn Cels, Jorrit de Jong, and Frans Nauta offer lively illustrations and insightful interpretations of how innovators, social entrepreneurs, and change agents are dealing with powerful opponents, the burdens of bureaucracy, and the challenge of securing resources and support. This book will appeal to anyone who is intrigued by imaginative, cross-boundary thinking and transformative change. It will be of particular interest to those who want to know how exactly innovators pull it off. With practitioners, scholars, and students of public policy and management in mind, the authors dissect the strategies and tactics that social innovators employ to navigate the risky waters of their institutional environments.

Contents Part 1: Introduction: Chess Masters and Acrobats 1. Strategy and Tactics

2. Crafting the Case: The Art of Making a Start

3. Prompting Progress: The Art of Making Things Happen

4. Managing Meaning: The Art of Making Sense

Part 2: Front-Line Innovations 5. Under the Radar: Medical Informatics in Japan

6. Relentless Incrementalism: Financial Literacy Training for Newcomers in Canada

7. Join the Club! Alzheimer Cafés in the Netherlands

8. Just a Tool? Implementing the Vulnerability Index in New Orleans

Part 3: Innovations in Governance 9. The Sun Kings: Solar Energy in Germany

10. Change on Steroids: Public Education in New Orleans

11. The Value of Values: Higher Education in Virginia

12. A Window of Opportunity: Institutional Reform in Denmark

Conclusion: Innovating Strategically

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Aging Across the United States

Matching Needs to States' Differing Opportunities and Services

Charles Lockhart and Jean Giles-Sims

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All But Forgotten

Thomas Jefferson and the Development of Public Administration

Study of Thomas Jefferson’s legacy in public administration. Thomas Jefferson’s contributions to the development of administrative thought and practice in the United States have largely been overlooked in American history. His career in public service and his ideas concerning government and constitutional tradition have overshadowed his involvement with public administration. All But Forgotten explores this hidden contribution by investigating Jefferson’s two terms as president and the educational history of the University of Virginia, an institution whose early years were influenced by Jefferson’s theory and practice of administration. Throughout his later years, Jefferson developed a more comprehensive awareness of the effects of the political process on the administration of government, the theoretical and practical value of preserving constitutional tradition, and the constant need to connect contemporary public policy with the types of republican principles found in the Constitution. The end of Jefferson’s career is as important to the historical advancement of administrative theory and practice as the beginning is to political theory and democratic thought.

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America, Germany, and the Future of Europe

Gregory F. Treverton

Gregory Treverton reviews the significant episodes in Europe's history after World War II, emphasizing America's preoccupation with Europe and the decisive effect of U.S. foreign policy on European security and economic arrangements during the postwar years.

Originally published in 1993.

The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These paperback editions preserve the original texts of these important books while presenting them in durable paperback editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

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America's Asia

Racial Form and American Literature, 1893-1945

Colleen Lye

What explains the perception of Asians both as economic exemplars and as threats? America's Asia explores a discursive tradition that affiliates the East with modern efficiency, in contrast to more familiar primitivist forms of Orientalism. Colleen Lye traces the American stereotype of Asians as a "model minority" or a "yellow peril"--two aspects of what she calls "Asiatic racial form"-- to emergent responses to globalization beginning in California in the late nineteenth century, when industrialization proceeded in tandem with the nation's neocolonial expansion beyond its continental frontier.

From Progressive efforts to regulate corporate monopoly to New Deal contentions with the crisis of the Great Depression, a particular racial mode of social redress explains why turn-of-the-century radicals and reformers united around Asian exclusion and why Japanese American internment during World War II was a liberal initiative.

In Lye's reconstructed archive of Asian American racialization, literary naturalism and its conventions of representing capitalist abstraction provide key historiographical evidence. Arguing for the profound influence of literature on policymaking, America's Asia examines the relationship between Jack London and leading Progressive George Kennan on U.S.-Japan relations, Frank Norris and AFL leader Samuel Gompers on cheap immigrant labor, Pearl S. Buck and journalist Edgar Snow on the Popular Front in China, and John Steinbeck and left intellectual Carey McWilliams on Japanese American internment. Lye's materialist approach to the construction of race succeeds in locating racialization as part of a wider ideological pattern and in distinguishing between its different, and sometimes opposing, historical effects.

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America's Poor and the Great Recession

Kristin S. Seefeldt and John D. Graham. Foreword by Tavis Smiley

Millions have entered poverty as a result of the Great Recession's terrible toll of long-term unemployment. Kristin Seefeldt and John D. Graham examine recent trends in poverty and assess the performance of America’s "safety net" programs. They consider likely scenarios for future developments and conclude that the well-being of low-income Americans, particularly the working poor, the near poor, and the new poor, is at substantial risk despite economic recovery.

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