American Industry

Life expectancy in the United States has recently fallen for three years in a row - a reversal not seen since 1918 or in any other wealthy nation in modern times. In the past two decades, deaths of despair from suicide, drug overdose, and alcoholism have risen dramatically, and now claim hundreds of thousands of American lives each year - and they're still rising. Case and Deaton, known for first sounding the alarm about deaths of despair, explain the overwhelming surge in these deaths and shed light on the social and economic forces that are making life harder for the working class.

Race for Profit uncovers how exploitative real estate practices continued well after housing discrimination was banned. The same racist structures and individuals remained intact after redlining's end, and close relationships between regulators and the industry created incentives to ignore improprieties. Meanwhile, new policies meant to encourage low-income homeownership created new methods to exploit Black homeowners.

In The Politics Industry, Katherine Gehl and Michael Porter ingeniously apply the tools of business analysis - and Porter's distinctive Five Forces framework - to show how the political system functions just as every other competitive industry does, and how the duopoly has led to the devastating outcomes we see today. Using this competition lens, Gehl and Porter identify the most powerful lever for change - a strategy comprised of a clear set of choices in two key areas: how our elections work and how we make our laws.

The definitive investigation and exposé of how some of the nation's largest corporations created and fueled the opioid crisis—from the Pulitzer Prize-winning Washington Post reporters who first uncovered the dimensions of the deluge of pain pills that ravaged the country and the complicity of a near-omnipotent drug cartel.

Peabody and Emmy Award–winning journalist Jane Marie expands on her popular podcast The Dream to expose the scourge of multilevel marketing schemes and how they have profited off the evisceration of the American working class.

With essays and manifestos by American Compass founder Oren Cass, New America cofounder Michael Lind, US Secretary of State Marco Rubio, former US trade representative Robert Lighthizer, National Affairs founding editor Yuval Levin, American Affairs founding editor Julius Krein, among others, The New Conservatives revitalizes the American conservative tradition, breaking from the GOP's free-market fundamentalism to promote the productive markets, supportive communities, and responsive politics that are the foundations of the nation's liberty and prosperity.

The first full-length biography of the Civil War surgeon who, over the course of the war’s bloodiest battles - from Antietam to Gettysburg - redefined military medicine.

Jonathan Letterman was an outpost medical officer serving in Indian country in the years before the Civil War, responsible for the care of just hundreds of men. But when he was appointed the chief medical officer for the Army of the Potomac, he revolutionized combat medicine over the course of four major battles - Antietam, Fredericksburg, Chancellorsville, and Gettysburg - that produced unprecedented numbers of casualties.

When three-month-old Lia Lee arrived at the county hospital emergency room in Merced, California, a chain of events was set in motion from which neither she nor her parents nor her doctors would ever recover. Lia's parents, Foua and Nao Kao, were part of a large Hmong community in Merced, refugees from the CIA-run "Quiet War" in Laos.

Every catastrophe has a beginning. For the opioid crisis in America, the seed was a drug called OxyContin. First hailed as a miracle drug for severe pain in the early 1990s, OxyContin went on to ignite a plague of addiction and death across America. Equal parts crime thriller, medical detective story and business exposé, Pain Killer is the origin story of the opioid crisis, a hard-hitting look at how a supposed wonder drug became the trigger for a national tragedy.

Rockefeller was the quintessential industrialist. He created an industry out of nascent oil and gas start-ups during a time when none existed. His strategies and tactics may not have been approved by all, but he was certain he was doing God’s work. We live in a world today that is based on the actions of John D. Rockefeller. Everything we do and how we live are the result of oil and its power. This inherent structure is based on what one man did when the oil industry was just starting off.

Developing life-changing drugs is risky and expensive, but that’s not what makes them unaffordable. Drug pricing is a staple of every news cycle and political debate. And while we’ve struggled for decades to agree on solutions that serve all patients without jeopardizing the invention of new medicines, many Americans suffer because they can’t afford the drugs they need. Do we really have to choose between affordability and innovation?

Until the 1970s, if you suffered a medical crisis, your chances of survival were minimal. A 9-1-1 call might bring police or even the local funeral home. But that all changed with Freedom House EMS in Pittsburgh, a group of Black men who became America’s first paramedics and set the gold standard for emergency medicine around the world, only to have their story and their legacy erased—until now.

In 1900, the U.S. sent three doctors to Cuba to discover how yellow fever was spread. There, they launched one of history's most controversial human studies. Compelling and terrifying, The American Plague depicts the story of yellow fever and its reign in this country - and in Africa, where even today it strikes thousands every year. With "arresting tales of heroism," it is a story as much about the nature of human beings as it is about the nature of disease.

In the late 1950s, Random House editor Jason Epstein would talk jazz with Ralph Ellison or chat with Andy Warhol while pouring drinks. By the 1970s, editors were poring over profit-and-loss statements. The electronics company RCA bought Random House in 1965, and then other large corporations purchased other formerly independent publishers. As multinational conglomerates consolidated the industry, the business of literature—and literature itself—transformed. Dan Sinykin explores how changes in the publishing industry have affected fiction, literary form, and what it means to be an author.

The brilliant young forensic pathologist had no idea that the body on the slab in front of him would change his life - and ultimately change the world. The body belonged to legendary American footballer Mike Webster, whose mental health had rapidly declined after he had stopped playing - he had ended up Tasering himself to relieve his chronic back pain and fixing his rotting teeth with superglue. Dr Bennet Omalu found that the psychosis suffered by "Iron Mike" was no accident.

J. P. Morgan is more than just the name on one of the largest banks in America. He was a man who altered the course of American finance and the chief financier for the strategic interests of the titans of the day, such as Carnegie and Rockefeller. He also financed new and ingenious technologies developed by Thomas Edison and was a visionary who saw the potential in Nikola Tesla. Hear all about him and find areas that you may have in common with this towering titan.

On December 24, 1992, six-year-old Lauren Rudolph was hospitalized with excruciating stomach pain. Less than a week later she was dead. Doctors were baffled: How could a healthy child become so sick so quickly? After a frenzied investigation, public-health officials announced that the cause was E. coli O157:H7, and the source was hamburger meat served at a Jack in the Box restaurant. During this unprecedented crisis, four children died and over seven hundred others became gravely ill.

In Medical Bondage, Cooper Owens examines a wide range of scientific literature and less formal communications in which gynecologists created and disseminated medical fictions about their patients, such as their belief that black enslaved women could withstand pain better than white "ladies". Even as they were advancing medicine, these doctors were legitimizing, for decades to come, groundless theories related to whiteness and blackness, men and women, and the inferiority of other races or nationalities.

Over the past three decades, the once-efficient American health care system has evolved into a complex maze of monopolies and a racket of bureaucratic checks, approvals, denials, roadblocks, and detours. This shift has created a massive and at times redundant workforce that frustrates patients, as well as physicians, nurses, and administrative staff. Health care costs the United States more than $11,000 for each person in the country each year - more than double what it costs in most Western European countries to deliver equal or even better care.

The problem with pandemics is that people want to forget them. One year, a million Americans are killed by a deadly new virus. The next, everyone is back rooting for the Georgia Bulldogs. The impulse to move on from this particular kind of tragedy is more than a little odd.