Oxymorons or The Affirmative Action Empire

Oxymorons: The Myth of a U.S. Health Care System

Author: J D Kleink

In this impassioned and often vitriolic book - a follow-up to the author's bestselling Bleeding Edge: The Business of Health Care in the New Century - U.S. health care industry expert J.D. Kleinke offers an unflinching look at our broken health care system. Throughout the book, Kleinke - who was once a vocal advocate of the managed health care system - explains what went wrong and attempts to answer such perplexing questions as:

Who's in charge of the American health care system?
How does managed care work . . . or not work?
Why have hospitals become so complex?
What are the prospects for reform?
Does the Internet change anything?
Can we solve the growing problem of the uninsured?

Table of Contents:

	Preface
	Acknowledgments
	About the Author
1	Wars, Strikes, Riots, and Acts of Congress	1
2	Playing with the Boss's Money	27
3	The HMO Will See You Now	51
4	The Health Care Jobs Program	83
5	Chaos in the Clinic	107
6	Vaporware.com	133
7	A "System" for the Uninsured	165
8	A Simple Plan	177
9	Personal Effects	201
	References	207
	Index	215

See also: Type Talk at Work or Quiet Leadership

The Affirmative Action Empire: Nations and Nationalism in the Soviet Union,1923-1939

Author: Terry Martin

The Soviet Union was the first of Europe's multiethnic states to confront the rising tide of nationalism by systematically promoting the national consciousness of its ethnic minorities and establishing for them many of the institutional forms characteristic of the modern nation-state. In the 1920s, the Bolshevik government, seeking to defuse nationalist sentiment, created tens of thousands of national territories. It trained new national leaders, established national languages, and financed the production of national-language cultural products.

This was a massive and fascinating historical experiment in governing a multiethnic state. Terry Martin provides a comprehensive survey and interpretation, based on newly available archival sources, of the Soviet management of the nationalities question. He traces the conflicts and tensions created by the geographic definition of national territories, the establishment of dozens of official national languages, and the world's first mass "affirmative action" programs.

Martin examines the contradictions inherent in the Soviet nationality policy, which sought simultaneously to foster the growth of national consciousness among its minority populations while dictating the exact content of their cultures; to sponsor national liberation movements in neighboring countries, while eliminating all foreign influence on the Soviet Union's many diaspora nationalities. Martin explores the political logic of Stalin's policies as he responded to a perceived threat to Soviet unity in the 1930s by re-establishing the Russians as the state's leading nationality and deporting numerous "enemy nations."

About the Author:
Terry Martin is Assistant Professor of History at Harvard University.

New Yorker

In the popular imagination, the Soviet Union was always synonymous with Russia, but in the U.S.S.R.'s early days Soviet leaders had a very different idea in mind: they wanted to establish a true multinational, multi-ethnic empire. To that end, they attacked Russian nationalism as a vestige of Tsarism, and instituted a set of policies that looked very much like affirmative action, enforcing the use of local languages and fostering the development of ethnic leaders, even at the cost of discriminating against Russians. Yet, as Martin shows in this fascinating history, simply giving an order was not enough, even in the Stalin years, and the complex relationship between socialism and nationalism in places like Ukraine often frustrated Soviet intentions. More important, ethnicity, once fostered, was frequently a counterweight to, rather than a bulwark of, Communist ideology; although Stalin remained rhetorically committed to the multi-state idea, he ended up terrorizing those ethnic leaders he saw as threats.