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Product Description
We have two choices. We can follow the delusion of “universal health care” or we can accept a market approach to health care. Putting patients in charge of their medical care is a market approach. It guarantees competence, at least. Universal health care is sickness care administered by politicians, bureaucrats, CEOs and other proven incompetents. None of these “medicrats” knows how medicine is practiced. All these administrators are driven by politics and economics. Excellence is destroyed in the initial stages of what is called “single payer” health care. The destruction of competence follows the destruction of excellence. Medicine was practiced. Medicine was a lifelong learning experience. Medicine was integrated. That was only yesterday. The present bureaucratized, fragmented and disintegrated program called “medical care” bears little resemblance to the practice of medicine. Today?s medical care is dysfunctional. Inevitable Incompetence will detail the growing danger and outrageous expenses in medical care. Inevitable Incompetence will provide an understanding of the methods needed to alter the relentless course of rising expenditures and increasing deaths and injuries in the current world of “medical care.” Inevitable Incompetence will outline the process required to return to excellence.
About the Author
S. W. Seidman, MD FACS, is a retired neurosurgeon with more than 25 years of experience in practice and teaching. He completed his neurosurgery residency at Yale in 1971, worked at Kaiser Redwood City 1971-1974. He taught at UCSF, is a lifetime member of the American Association of Neurological Surgeons and a lifetime member of the American College of Surgeons. He was board certified in 1973.
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From Publishers Weekly
Over three decades, more than 4,000 patients and their loved ones have shared their most wrenching ultimate experiences with Culkin, a critical care nurse living near Seattle. In this compelling memoir, her moving reflections on life and death interweave clinical encounters with her own life. She looks back at the clockwork of hormones as she began her relationship with her future husband while working 12-hour shifts in a San Francisco intensive-care nursery, moving on to become a traveling nurse in Anchorage, then living in the Alaskan wilderness, completely alone at the edge of the civilized universe. Her marriage, sons, problems with her parents and family dynamics intertwine with memories of patients extricated from wreckage and an impromptu procedure in a helicopter on a patient who couldn’t breathe. Culkin details the sisterhood of nursing, with its risks and stress and sharing cups of 0900 coffee, and her own bouts with multiple sclerosis. Describing her life as a flight nurse in the final chapters, Culkin sees herself and others clearly, and poetic juxtapositions make her sentences soar. (Apr.)
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Review
This book gives us so much more than the details of Jennifer Culkin’s experiences as an intensive care nurse; it lifts us into the world of the helicopter and into some of life’s highest dramas. A Final Arc of Sky carries its “mortal freight” with candid honesty as it addresses how we choose to live our lives, and sometimes how we end them. I loved the stories, the language, the point of view, but what I loved most was the way this book was able to break my heart-then mend it.
-Judith Kitchen, author of Distance and Direction
“In this powerful, beautifully written memoir, Jennifer Culkin seems constitutionally incapable of sentimentality as a nurse and as a writer. Instead, she wields an irreverent sensibility like a scalpel and applies lyrical insights like a balm, unveiling a fierce and tender passion for her work and her family as she celebrates the “accidental sacraments” that emerge from love and loss. This compelling book displays a taut awareness of the emotions that attend those who are at the beginning of life and those nearing the end, as Culkin asks us to regard honestly and compassionately, as she has, what we must look at, and what we can’t help but look away from.”
-Sherry Simpson, author of The Way Winter Comes and The Accidental Explorer
“Rarely have we heard from such an eloquent yet urgent voice from the frontlines of mortality. Jennifer Culkin, a writer of enormous talents, brings us too close for comfort to a variety of intense locales: the wreckage of a highway pileup, the inside of a pediatric intensive care unit, her father’s deathbed. She writes with elegiac grace and unblinking honesty of our collective determination to sustain life, limb and, above all, dignity.”
-Robin Hemley, author of Invented Eden: The Elusive, Disputed History of the Tasaday
“A Final Arc of Sky is one of the very few books I’ve read that is simultaneously ‘I-can’t-stop-turning-pages’ riveting and profoundly meditative. With her electrifying scenes, her gorgeous sentences, and her provocative explorations of the borderland between life and death, Culkin engaged my heart, my intellect, my artistic sensibility, and my adrenaline. A remarkable debut.”
-Ann Pancake, author of Strange as This Weather Has Been
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