The firsthand pandemic experiences of rural health-care providers—who were already burdened when COVID-19 hit—raise questions about the future of public health and health-care delivery. This volume comprises the COVID-19 pandemic experiences of Appalachian health-care workers, including frontline providers, administrators, and educators. The combined narrative reveals how governmental and corporate policies exacerbated the region’s injustices, stymied response efforts, and increased the death toll. Beginning with an overview of the SARS-CoV-2 virus and its impact on the body, the essays in the book’s first section provide background material and contextualize the subsequent explosion of telemedicine, the pandemic’s impact on medical education, and its relationship to systemic racism and related disparities in mental health treatment. Next, first-person narratives from diverse perspectives recount the pandemic’s layered stresses, including the scramble for ventilators, masks, and other personal protective equipment the neighbors, friends, and family members who flouted public-health mandates, convinced that COVID-19 was a hoax the added burden the virus leveled on patients whose health was already compromised by cancer, diabetes, or addiction the acute ways the pandemic’s arrival exacerbated interpersonal and systemic racism that Black and other health-care workers of color bear not only the battle against the virus but also the growing suspicion and even physical abuse from patients convinced that doctors and nurses were trying to kill them These visceral, personal experiences of how Appalachian health-care workers responded to the pandemic amid the nation’s deeply polarized political discourse will shape the historical record of this “unprecedented time” and provide a glimpse into the future of rural medicine. Contributors: Lucas Aidukaitis, Clay Anderson, Tammy Bannister, Alli Delp, Lynn Elliott, Monika Holbein, Laura Hungerford, Nikki King, Brittany Landore, Jeffrey J. LeBoeuf, Sojourner Nightingale, Beth O’Connor, Rakesh Patel, Mildred E. Perreault, Melanie B. Richards, Tara Smith, Kathy Osborne Still, Darla Timbo, Kathy Hsu Wibberly

Masks have been a ubiquitous and oft-politicized aspect of the COVID-19 pandemic. Years of painstakingly organized pre-pandemic planning documents led public health experts to initially discourage the use of masks, or even insinuate that they could lead to increased rates of spread. Yet seemingly in a matter of days in spring 2020, leading infectious disease scientists and organizations reversed their previous positions and recommended masking as the key tool to slow the spread of COVID and dramatically reduce infections. Unmasked tells the story of how effective or ineffective masks and mask mandate policies were in impacting the trajectory of the pandemic throughout the world. Author Ian Miller covers the earliest days of the pandemic, from experts such as Dr. Anthony Fauci contradicting their previous statements and recommending masks as the most important policy intervention against the spread of COVID, to the months afterward as many locations around the globe mandated masks in nearly all public settings. With easy-to-understand charts and visual aids, along with detailed, clear explanations of the dramatic shift in policy and expectations, Unmasked makes the data-driven case that masks might not have achieved the goals that Fauci and other public health experts created.

An inspiring true story about losing your place, finding your purpose, and building a community one book at a time. Wendy Welch and her husband had always dreamed of owning a bookstore, so when they left their high-octane jobs for a simpler life in an Appalachian coal town, they seized an unexpected opportunity to pursue thier dream. The only problems? A declining U.S. economy, a small town with no industry, and the advent of the e-book. They also had no idea how to run a bookstore. Against all odds, but with optimism, the help of their Virginian mountain community, and an abiding love for books, they succeeded in establishing more than a thriving business - they built a community. The Little Bookstore of Big Stone Gap is the little bookstore that could: how two people, two cats, two dogs, and thirty-eight thousand books helped a small town find its heart. It is a story about people and books, and how together they create community.

Chaos. Frustration. Compassion. Desperation. Hope. These are the five words that author Wendy Welch says best summarize the state of foster care in the coalfields of Appalachia. Her assessment is based on interviews with more than sixty social workers, parents, and children who have gone through "the system." The riveting stories in Fall or Fly tell what foster care is like, from the inside out. In depictions of foster care and adoption, stories tend to cluster at the dark or light ends of the spectrum, rather than telling the day-to-day successes and failures of families working to create themselves. Who raises other people's children? Why? What's money got to do with it when the love on offer feels so real? And how does the particular setting of Appalachia--itself so frequently oversimplified or stereotyped--influence the way these questions play out? In Fall or Fly, Welch invites people bound by a code of silence to open up and to share their experiences. Less inspiration than a call to caring awareness, this pioneering work of storytelling journalism explores how love, compassion, money, and fear intermingle in what can only be described as a marketplace for our nation's greatest asset.

A New York Times bestseller/Washington Post Notable Book of 2017/NPR Best Books of 2017/Wall Street Journal Best Books of 2017 "This book will serve as the definitive guide to the past and future of health care in America.”—Siddhartha Mukherjee, Pulitzer Prize-winning author of The Emperor of All Maladies and The Gene At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system - and offers practical solutions to its myriad problems. In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast? Breaking down this monolithic business into the individual industries—the hospitals, doctors, insurance companies, and drug manufacturers—that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn't just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.

The science behind wearing a mask to stop the spread of Coronavirus, from a top expert in the field. In America, the debate over whether or not masks should be worn to prevent the spread of COVID-19 has become enmeshed with political affiliation, views on religious and personal freedoms, and conflicting media reports on the benefits and dangers of facial coverings. But now, several months into this pandemic, what does science say? What have we learned from international case studies? Dr. Hashimoto, the chief medical officer who oversees the Workplace Health and Wellness division at Mass General Brigham, a Harvard Medical School affiliated healthcare system, presents the current research, making the case that wearing masks in public is a key part of saving lives and bringing this pandemic to a halt. Citing specific examples of situations where infected individuals wore masks versus ones who didn't and how that changed the outcome, as well as population-based studies in individual states and by country, and the undeniable effect that universal masking had on Mass Brigham Hospital's staff of 75,000, Dr. Hashimoto offers a clear and compelling argument for the benefits of masking. In addition, he explains the complementary roles of social distancing, washing hands, coronavirus testing, and face shields, and a thorough exploration of what kinds of masks are most effective at stopping the spread of viruses and how they should be fitted and worn. He addresses safety concerns and medical misconceptions about mask wearing, why the CDC didn't recommend universal mask wearing at the beginning of the pandemic, and how employers can promote mask wearing in their workplaces. Don't wear a mask just because someone told you to. Find out the real reasons for masking and understand the science for yourself.