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General George Joulwan played a role in many pivotal world events during his long and exceptional career. Present at both the rise and fall of the Berlin Wall, he served multiple tours in Germany during the Cold War and two tours in Vietnam. By chance, he was recruited as Nixon's White House deputy chief of staff and witnessed the last acts of the Watergate drama first-hand. He went on to lead US Southern Command-fighting insurgencies and the drug war in Latin America-and was Supreme Allied Commander of NATO forces in Europe (SACEUR) during the Rwandan genocide and the Bosnian peacekeeping missions of the 1990s. Joulwan chronicles his career in the upper echelons of the armed forces. He shares his experiences working with major military and political figures, including generals William E. DePuy, Alexander Haig, John Vessey, and Colin Powell, US ambassador Richard Holbrooke, and presidents Richard Nixon, Ronald Reagan, and Bill Clinton. Beyond the battlefield, Joulwan became an advocate for military and civilian relations during the Vietnam War, deescalating several high-intensity situations while studying at Loyola University as part of the US Army's Option C program. Watchman at the Gates merges memory and lessons in leadership as Joulwan pays tribute to his teachers and colleagues and explains the significance of their influence on his personal approach to command. As a leader of combat troops in Vietnam, he appealed to his subordinates on an individual basis, taking time to build relationships that proved vital to the effectiveness of his commands. He also reveals how similar relationships of mutual understanding were crucial in his peaceful and productive dealings with both allies and enemies. At its heart, this inspiring memoir is a soldier's story-written by a warrior who saw defending his country and the democratic values it stands for as his highest calling. Featuring a foreword by Tom Brokaw, Watchman at the Gates offers incredible insights into world events as well as valuable lessons for a new generation of leaders.

While Louis W. Sullivan was a student at Morehouse College, Morehouse president Benjamin Mays said something to the student body that stuck with him for the rest of his life. \"The tragedy of life is not failing to reach our goals,\" Mays said. \"It is not having goals to reach.\" InBreaking Ground, Sullivan recounts his extraordinary life beginning with his childhood in Jim Crow south Georgia and continuing through his trailblazing endeavors training to become a physician in an almost entirely white environment in the Northeast, founding and then leading the Morehouse School of Medicine in Atlanta, and serving as secretary of Health and Human Services in President George H. W. Bush's administration. Throughout this extraordinary life Sullivan has passionately championed both improved health care and increased access to medical professions for the poor and people of color. At five years old, Louis Sullivan declared to his mother that he wanted to be a doctor. Given the harsh segregation in Blakely, Georgia, and its lack of adequate schools for African Americans at the time, his parents sent Louis and his brother, Walter, to Savannah and later Atlanta, where greater educational opportunities existed for blacks. After attending Booker T. Washington High School and Morehouse College, Sullivan went to medical school at Boston University-he was the sole African American student in his class. He eventually became the chief of hematology there until Hugh Gloster, the president of Morehouse College, presented him with an opportunity he couldn't refuse: Would Sullivan be the founding dean of Morehouse's new medical school? He agreed and went on to create a state-of-the-art institution dedicated to helping poor and minority students become doctors. During this period he established long-lasting relationships with George H. W. and Barbara Bush that would eventually result in his becoming the secretary of Health and Human Services in 1989. Sullivan details his experiences in Washington dealing with the burgeoning AIDS crisis, PETA activists, and antismoking efforts, along with his efforts to push through comprehensive health care reform decades before the Affordable Care Act. Along the way his interactions with a cast of politicos, including Thurgood Marshall, Jack Kemp, Clarence Thomas, Jesse Helms, and the Bushes, capture vividly a particular moment in recent history. Sullivan's life-from Morehouse to the White House and his ongoing work with medical students in South Africa-is the embodiment of the hopes and progress that the civil rights movement fought to achieve. His story should inspire future generations-of all backgrounds-to aspire to great things.

The 2003 IOM report Unequal Treatment documented the inferior health care accorded African Americans and Hispanic Americans. Subsequent research has shown that women, the elderly, LGBTQ individuals, and other specific minority groups also receive disparate care. Unequal treatment is often a product of subconscious mental functions including stereotyping and the neurological interconnection of the brain’s emotional response and cognitive systems. Because these functions are hard-wired, they are not easily amenable to efforts to eliminate them from our thinking. But identifying and bringing them to light provides the opportunity to counteract them. The ACP-ABIM Professionalism Charter incorporates ameliorative precepts including altruism, moral reasoning, and conscious commitment to equal care. Medical Professionalism and Humanitarian Health Care in the American Age of “-isms” describes how empathetic or humanitarian care not only improves patient outcomes but provides meaning and satisfaction that enhances the well-being of the caregiver and counteracts physician burnout and dropout.

This book uses the story of one of the authors, Gus White, as a way to talk about unconscious biases and their consequences to the medical profession and beyond. White is an orthopedic surgeon, who grew up in Tennessee under Jim Crow, went to Brown, and was the only black student at Stanford Medical School. He was the first black chief resident at Yale, the only black surgeon in Vietnam, and was the first black chief of service in a Harvard teaching hospital. His life spans an enormous change in American race relations, and he has many eye opening stories to tell. His description of his early years in an extremely segregated and racist society now reads like something from another world. White and Chanoff want to use the autobiographical approach of this book to show how great the disparities still are, and make the case for “culturally competent\" medical training, in a way that is more vivid and memorable than a research review or policy paper. The book looks at White’s life, but always with an eye to what moved him to the idea of equality in medicine and problems of disparities in medicine.

“Dr. Sullivan, welcome to Atlanta.” The man holding out his hand was Boisfueillet Jones, head of the Woodruff Foundation, named for Bob Woodruff, the Coca Cola magnate who had endowed it. Hugh Gloster was introducing me to Atlanta’s business and philanthropical world, and this was our first stop. Woodruff was the largest foundation in the Southeast. The Woodruff Foundation did all its giving in Georgia and nearby states. Other local foundations were around, but Woodruff set the tone. Gloster had emphasized the absolute necessity of getting them on board. “If you don’t get support from Woodruff,” he had told me,

Thirty-seven million Americans had no health care coverage when I came into office; these included workers in small businesses and poor people, many of them minorities. I didn’t arrive with any kind of a ready-made plan, but there was no question: we had to find a comprehensive way to address this problem. We needed health care reform. Early on we started working with a team to come up with concepts that would go into legislation, but it was clear from the start that this was not something the White House was ready for. When I brought it up with Bush,