The direct-to-consumer business model has transformed how people seek out goods and services from music to mortgages. So what happens now that the revolution has come for healthcare? While consumers have begun to insist on healthcare that is as convenient and personalized as nearly every other good or service they purchase, most healthcare provider organizations, physicians, and insurance companies remain woefully unprepared to meet this demand. Choice Matters is the healthcare sector's guide to understanding and delivering the brand of consumer-centered care that is an imperative for the Zocdoc age. Drawing on the authors' diverse backgrounds in medicine, business, and public policy, this practically-oriented resource offers an on-the-ground introduction for clinicians and managers to better understand: Â- The differences between healthcare and other consumer-driven markets Â- What factors are most important for consumers in seeking care providers Â- How consumers make decisions about healthcare Â- The system-wide effects of increased consumer choice in healthcare Â- The important distinction between patients and consumers By celebrating the possibilities inherent to consumer-centered healthcare, Choice Matters offers a refreshing, empirically informed take on how healthcare in the United States can flourish, not wither, in the new economy.

A leader in decision-making research reveals how choices are designed—and why it’s so important to understand their inner workings Every time we make a choice, our minds go through an elaborate process most of us never even notice. We’re influenced by subtle aspects of the way the choice is presented that often make the difference between a good decision and a bad one. How do we overcome the common faults in our decision-making and enable better choices in any situation? The answer lies in more conscious and intentional decision design. Going well beyond the familiar concepts of nudges and defaults, The Elements of Choice offers a comprehensive, systematic guide to creating effective choice architectures, the environments in which we make decisions. The designers of decisions need to consider all the elements involved in presenting a choice: how many options to offer, how to present those options, how to account for our natural cognitive shortcuts, and much more. These levers are unappreciated and we’re often unaware of just how much they influence our reasoning every day. Eric J. Johnson is the lead researcher behind some of the most well-known and cited research on decision-making. He draws on his original studies and extensive work in business and public policy and synthesizes the latest research in the field to reveal how the structure of choices affects outcomes. We are all choice architects, for ourselves and for others. Whether you’re helping students choose the right school, helping patients pick the best health insurance plan, or deciding how to invest for your own retirement, this book provides the tools you need to guide anyone to the decision that’s right for them.

Sterilization remains one of the most popular forms of fertility control in the world, but it has received little acknowledgment for decreasing birthrates on account of its dubious use as a means of population control, especially in developing countries. In Matters of Choice, Iris Lopez presents a comprehensive analysis of the dichotomous views that have portrayed sterilization either as part of a coercive program of population control or as a means of voluntary, even liberating, fertility control by individual women. Drawing upon her twenty-five years of research on sterilized Puerto Rican women from five different families in Brooklyn, Lopez untangles the interplay between how women make fertility decisions and their social, economic, cultural, and historical constraints. Weaving together the voices of these women, she covers the history of sterilization and eugenics, societal pressures to have fewer children, a lack of adequate health care, patterns of gender inequality, and misinformation provided by doctors and family members. Lopez makes a stirring case for a model of reproductive freedom, taking readers beyond victim/agent debates to consider a broader definition of reproductive rights within a feminist anthropological context.

Rarely does success or failure result from one choice, or one lucky break, but rather the quality of your life is determined by the multitude of small choices that you make on a regular basis. To create a rich and meaningful life you need to honour your essential nature, know what motivates and challenges you and what your raw potential is. If you choose to develop your raw potential and share your gifts with others you find your true purpose. Who you are today is a result of the conscious and unconscious decisions you made about yourself up to now. Who you will be tomorrow is still undecided. Every time you act on a choice which empowers you, you reinforce the belief that you can have what you want, and your life begins to change. It's not what happens to you that determines how you feel and what you can do or have. It's the daily choices that you act upon. This book is a practical map for making every day choices which determine the quality of your life.

The New York Times–bestselling author’s historical saga of a family of healers—from Dark Ages London to Civil War America to modern-day Boston. In The Physician, an orphan in eleventh-century London, Robert Cole, becomes a fast-talking swindler. As he matures, his strange gift—an acute sensitivity to impending death—never leaves him, and he yearns to become a healer. Arab madrassas are the only authentic medical schools, and he makes his perilous way to Persia. Christians are barred from Muslim schools, but by claiming he is a Jew, he studies under the world’s most renowned physician, Avicenna. Cole’s journey and love for a woman who must struggle against her only rival—medicine—make The Physician a riveting modern classic. In Shaman, Dr. Robert Judson Cole, nineteenth-century descendent of the first Robert Cole, travels from his ravaged Scottish homeland, through the operating rooms of antebellum Boston, to the cabins of frontier Illinois. In the wilderness he befriends the starving remnants of the Sauk tribe, who have fled their reservation. In the process, he absorbs their culture and learns native remedies that enrich his classical medical education. He marries a remarkable settler woman he had saved from illness. The Cole family is drawn into the bloody vortex of the Civil War, and their determination to survive in the midst of wilderness and violence will stay with the reader long after the final page. In Matters of Choice, Roberta Jeanne d’Arc Cole is the latest first-born descendant of Dr. Robert Cole. Favored to be named associate chief of medicine at a Boston hospital, she is married to a surgeon and owns a trophy residence in Cambridge as well as a summer house. But everything melts away. Her gender and her work at an abortion clinic cost her the hospital appointment. Her marriage fails. Crushed, she goes to her farmhouse in western Massachusetts, thinking to sell it, and finds an unexpected life. How she continues to fight for every woman’s right to choose, while acknowledging her own ticking clock and maternal yearning, makes this prize-winning third story of the Cole trilogy relevant and unforgettable.

Political Choice Matters investigates the extent to which class and religion influence party choice in contemporary democracies. Rather than the commonly-assumed process in which a weakening of social boundaries leads to declining social divisions in political preferences, this book's primary message is that the supply of choices by parties influences the extent of such divisions: hence, political choice matters. Combining overtime, cross-national data, and multi-level research designs the authors show how policy and programmatic positions adopted by parties provide voters with choice sets that accentuate or diminish the strength of political cleavages. The book gives central place to the positions of political parties on left-right, economically redistributive and morally conservative versus social liberal dimensions. Evidence on these positions is obtained primarily from the Comparative Manifesto Project, with a chapter dedicated to elaborating and validating the various implementations of this uniquely valuable source of evidence on party positions. The primary empirical focus includes case studies of 11 Western, Southern, and Central European societies as well as 'anglo-democracies' including Britain, USA, Canada, and Australia. These detailed analyses of election studies ranging in some cases from the post-war period until the early part of the 21st century are augmented by a pooled cross-national and overtime analysis of 15 Western democracies using a unique, combined dataset of 188 national surveys. The authors show that although there has been some overtime decline in the strength of association between social class and party choice, this is far smaller than the amount of change in the relationship occurring as a result of party movements on questions of inequality and redistribution. The strength of the religiosity cleavage is also influenced by changes in party positions on moral issues - changes that can be understood as a strategic response to a process of secularization that has weakened the electoral viability of parties deriving support from appeals to religious values.

Studies of the influence of class and religion on politics often point to their gradual decline as a result of social change. Backed up by extensive evidence from 11 case studies and a 15-country pooled analysis, the editors argue instead that the supply of choices by parties influences the extent of class divisions: political choice matters.