Re-charting America's Future


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The Next America


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The America of the near future will look nothing like the America of the recent past. America is in the throes of a demographic overhaul. Huge generation gaps have opened up in our political and social values, our economic well-being, our family structure, our racial and ethnic identity, our gender norms, our religious affiliation, and our technology use. Today's Millennials -- well-educated, tech savvy, underemployed twenty-somethings -- are at risk of becoming the first generation in American history to have a lower standard of living than their parents. Meantime, more than 10,000 Baby Boomers are retiring every single day, most of them not as well prepared financially as they'd hoped. This graying of our population has helped polarize our politics, put stresses on our social safety net, and presented our elected leaders with a daunting challenge: How to keep faith with the old without bankrupting the young and starving the future. Every aspect of our demography is being fundamentally transformed. By mid-century, the population of the United States will be majority non-white and our median age will edge above 40 -- both unprecedented milestones. But other rapidly-aging economic powers like China, Germany, and Japan will have populations that are much older. With our heavy immigration flows, the US is poised to remain relatively young. If we can get our spending priorities and generational equities in order, we can keep our economy second to none. But doing so means we have to rebalance the social compact that binds young and old. In tomorrow's world, yesterday's math will not add up. Drawing on Pew Research Center's extensive archive of public opinion surveys and demographic data, The Next America is a rich portrait of where we are as a nation and where we're headed -- toward a future marked by the most striking social, racial, and economic shifts the country has seen in a century.




The Future of Nursing 2020-2030


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The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.




Becoming an American


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The American Dream


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Can each of us achieve our own American dream while recognizing needs of other individuals, society, and future generations? Not if our present national policies continue, warns long term planning expert Joseph L. Daleiden. He persuasively argues that if present socioeconomic trends remain, our nation faces social disaster before the middle of the 21st century.These trends can be reversed, he insists, but only if we are willing to (1) reject failed policies both liberal and conservative directed at population growth, the environment, the national debt, trade, poverty, crime, race relations, education, healthcare, social security, and tax reform; (2) accept that all of these areas of concern are intertwined; and (3) take responsibility for our decisions.Avoiding ideology and platitudes, Daleiden's pragmatic approach relies on actual evidence of how prospective policies will influence human behavior and whether their outcomes will increase or decrease human happiness in the long run.Joseph L. Daleiden (Evanston, IL) is also the author of The Final Superstition: A Critical Evaluation of the Judeo-Christian Legacy, and The Science of Morality: The Individual, Community, and Future Generations.




Immigrants and the American Dream


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The United States has absorbed nearly 10 million immigrants in the past decade. This book examines who the new immigrants are, where they live, and who among them are gaining entry into the American middle class. Discussed are the complex factors that promote or hinder immigrant success, as well as the varying opportunities and constraints met by those living in particular regions. Extensive data are synthesized on key dimensions of immigrant achievement: income level, professional status, and rates of homeownership and political participation. Also provided is a balanced analysis of the effects of immigration on broader socioeconomic, geographic, and political trends. Examining the extent to which contemporary immigrants are realizing the American dream, this book explores crucial policy questions and challenges that face our diversifying society.




Unwelcome Strangers


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Charting the history of US immigration policy from the Puritan colonists to World War II refugees, this text uncovers the arguments of the anti-immigration forces including: warnings against the consequences of overpopulation; and economic concerns that immigrants take jobs away from Americans.




Legislation Concerning Immigrant Issues


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Turning the Tide


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In 1991, Island Press published Turning the Tide, a unique and accessible examination of the Chesapeake Bay ecosystem. The book took an indepth look at the Bay’s vital signs to gauge the overall health of its entire ecosystem and to assess what had been done and what remained to be done to clean up the Bay. This new edition of Turning the Tide addresses new developments of the past decade and examines the factors that will have the most significant effects on the health of the Bay in the coming years.With new case studies and updated maps, charts, and graphs, the book builds on the analytical power of ten years of experience to offer a new perspective, along with clear, science-based recommendations for the future. For all those who want to know not only how much must be done to save the Bay but what they can do and how they can make a difference, Turning the Tide is an essential source of information.




Crowded Land of Liberty


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This book examines the impact of immigration on U.S. society--on schools, social services, jobs, and taxpayers--and offers alternatives to present policies.