Lesaca Timothy (48 results)

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PAP. Condition: New. New Book. Shipped from UK. Established seller since 2000.

PAP. Condition: New. New Book. Shipped from UK. Established seller since 2000.

Condition: New.

Condition: New.

Condition: New.

PAP. Condition: New. New Book. Shipped from UK. Established seller since 2000.

Paperback. Condition: New.

Paperback. Condition: New.

PAP. Condition: New. New Book. Shipped from UK. Established seller since 2000.

Paperback. Condition: New.

PAP. Condition: New. New Book. Shipped from UK. Established seller since 2000.

PAP. Condition: New. New Book. Shipped from UK. Established seller since 2000.

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Paperback. Condition: new. Paperback. The Corner Drugstore: How America Is Losing Its Pharmacies and What That Means for Health, Community, and the American PromiseWhat happens when the place you go for medicine quietly disappears?For generations, the corner drugstore was more than a place to pick up prescriptions. It was one of the last accessible doors into the health care system-a place where no appointment was needed, where questions could be asked freely, and where someone behind the counter often knew your name, your family, and your story. It was where medicine became personal.This book tells the story of how that institution is being lost-and why it matters far more than most Americans realize.Blending history, economics, and firsthand accounts, The Corner Drugstore reveals how community pharmacies evolved from small, trusted neighborhood fixtures into parts of a vast and increasingly fragile system. It traces the shift from local ownership and personal relationships to a complex web of insurers, pharmacy benefit managers (PBMs), and corporate chains that now control pricing, access, and survival.At the heart of the crisis is a simple but unsettling truth: pharmacies are expected to function as essential health care providers, yet they are paid like retail stores. Behind the counter, the math often doesn't work. Pharmacies can lose money filling prescriptions-even life-saving ones-while still being relied upon to vaccinate, counsel, and serve as frontline care providers.The result is a slow, nationwide retreat. Stores close. Neighborhoods are left without nearby access to medications. "Pharmacy deserts" spread across rural towns and urban communities alike, disproportionately affecting those who already face the greatest barriers to care.During COVID-19, the country briefly remembered what pharmacies are capable of. They became critical public health hubs, delivering millions of vaccines and tests when other systems were overwhelmed. But as the crisis faded, so did the recognition. The same pharmacies that carried the burden were returned to a system that makes survival increasingly difficult.Through vivid stories of independent pharmacists, struggling chains, and the patients who depend on them, this book shows the human cost behind the numbers. It reveals a system where care is local, but power is not-where decisions affecting entire communities are made far from the neighborhoods they impact.Yet this is not just a story of decline. It is also a question: what kind of health care system-and what kind of country-do we want?The Corner Drugstore challenges readers to rethink what pharmacies really are: not optional retail outlets, but essential infrastructure. It explores practical solutions, from reforming reimbursement systems to protecting access in underserved areas, and argues that preserving local pharmacy care is both possible and necessary.Timely, thought-provoking, and deeply human, this book is a call to recognize what is being lost before it is gone-and to decide whether it is worth saving. This item is printed on demand. Shipping may be from multiple locations in the US or from the UK, depending on stock availability.…

Paperback. Condition: new. Paperback. What Doctors See is a collection of 31 essays by psychiatrist Timothy Lesaca, MD, originally published in KevinMD and brought together here in a thematically organized volume.Drawing on more than four decades of clinical experience, Dr. Lesaca explores the realities that shape modern medicine beyond the diagnosis itself. These essays examine the lived experience of illness, physician identity, moral injury, health care systems, insurance denials, artificial intelligence, pharmaceutical influence, telehealth, public trust, and the ethical responsibilities that arise when medicine is practiced within complex institutions.Written from the perspective of a physician still in active clinical practice, these essays are neither a textbook nor a policy manifesto. They are reflections on patients, physicians, and the often unseen forces that influence clinical judgment and the delivery of care.Together, they ask a simple but enduring question: What do doctors see when they look beyond disease?Thoughtful, humane, and grounded in everyday clinical experience, What Doctors See offers an inside view of modern medicine for physicians, health professionals, patients, caregivers, and anyone interested in the human side of health care. This item is printed on demand. Shipping may be from multiple locations in the US or from the UK, depending on stock availability.…

Paperback. Condition: new. Paperback. Modern medicine possesses extraordinary knowledge. It can diagnose earlier, treat more effectively, and extend lives once thought beyond saving. Yet knowledge alone does not guarantee care. Between what medicine knows and what patients receive stands a complex architecture of institutions, policies, incentives, regulations, and decisions that shape who receives help, when they receive it, and what obstacles stand in the way.In The Hidden Architecture of Care, psychiatrist Timothy Lesaca, MD, examines the unseen structures that influence modern medicine and the human consequences when those structures lose sight of their purpose.Drawing on more than four decades of clinical experience, scholarship, and reflection, Dr. Lesaca explores the fragile space between patients and the systems designed to serve them. Through fourteen essays, he examines the moral dimensions of everyday medical encounters, the forces shaping access to care, the erosion of trust in institutions, and the consequences that emerge when systems fail the people who depend upon them.The book explores questions that extend beyond medicine: What happens when insurance coverage exists but care remains unreachable?What happens when administrative systems intended to control costs become barriers to treatment?What happens when communities lose hospitals, pharmacies lose stability, and geography determines access to care?What happens when evidence struggles to constrain power and institutions lose public trust?From physician-patient relationships to healthcare policy, from rural hospitals to presidential medicine, from medical ethics to institutional responsibility, The Hidden Architecture of Care examines how systems shape human lives-and why accountability cannot disappear simply because decisions become complex.At its core, this book is a reflection on responsibility. Institutions are necessary. Complexity is unavoidable. But every system remains a human creation, and every policy ultimately affects a person.The final measure of healthcare is not found in the elegance of its design.It is found in what happens to the person who stands before it, in need. This item is printed on demand. Shipping may be from multiple locations in the US or from the UK, depending on stock availability.…

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Paperback. Condition: new. Paperback. Power is measured not only by those who exercise it, but by those who bear its consequences.The Moral Geography of Power brings together five historical narratives that explore courage, authority, leadership, and the human cost of decisions made far from those who must live with them.From the brutal captivity of Ernest Gordon on the Burma Railway to Tommy Macpherson's hidden war with the French Resistance, from Orde Wingate's revolutionary military vision to Douglas MacArthur's promise to the Philippines, and finally to Britain's Cold War nuclear testing program, each story examines how history is experienced not only by commanders and governments but by ordinary men and women whose lives are shaped by their choices.Written by psychiatrist Timothy Lesaca, MD, these essays combine careful historical research with a thoughtful exploration of moral responsibility, resilience, institutional power, and memory. Rather than celebrating military campaigns alone, they ask enduring questions: What makes leadership legitimate? When does conviction become dangerous? Who carries the burden of promises made by others? What remains after war has ended?Richly researched and deeply human, The Moral Geography of Power is a compelling work of historical nonfiction for readers interested in World War II, military history, leadership, ethics, and the lasting consequences of power. This item is printed on demand. Shipping may be from multiple locations in the US or from the UK, depending on stock availability.…

Paperback. Condition: New.

Paperback. Condition: New.

Paperback. Condition: New.

Taschenbuch. Condition: Neu. nach der Bestellung gedruckt Neuware - Printed after ordering.

Taschenbuch. Condition: Neu. nach der Bestellung gedruckt Neuware - Printed after ordering - Modern medicine possesses extraordinary knowledge. It can diagnose earlier, treat more effectively, and extend lives once thought beyond saving. Yet knowledge alone does not guarantee care. Between what medicine knows and what patients receive stands a complex architecture of institutions, policies, incentives, regulations, and decisions that shape who receives help, when they receive it, and what obstacles stand in the way.In The Hidden Architecture of Care, psychiatrist Timothy Lesaca, MD, examines the unseen structures that influence modern medicine and the human consequences when those structures lose sight of their purpose.Drawing on more than four decades of clinical experience, scholarship, and reflection, Dr. Lesaca explores the fragile space between patients and the systems designed to serve them. Through fourteen essays, he examines the moral dimensions of everyday medical encounters, the forces shaping access to care, the erosion of trust in institutions, and the consequences that emerge when systems fail the people who depend upon them.The book explores questions that extend beyond medicine: What happens when insurance coverage exists but care remains unreachable What happens when administrative systems intended to control costs become barriers to treatment What happens when communities lose hospitals, pharmacies lose stability, and geography determines access to care What happens when evidence struggles to constrain power and institutions lose public trust From physician-patient relationships to healthcare policy, from rural hospitals to presidential medicine, from medical ethics to institutional responsibility, The Hidden Architecture of Care examines how systems shape human lives-and why accountability cannot disappear simply because decisions become complex.At its core, this book is a reflection on responsibility. Institutions are necessary. Complexity is unavoidable. But every system remains a human creation, and every policy ultimately affects a person.The final measure of healthcare is not found in the elegance of its design.It is found in what happens to the person who stands before it, in need.…