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\"Set in East Africa, the Middle East, Canada, and the U.S., Things Are Good Now explores the scars of violence and the weight of love and guilt on the soul. In these pages, women, men, and children who've crossed continents in search of a better life find themselves struggling with the chaos of displacement and the religious and cultural clashes they face in their new homes\"-- Provided by publisher.

This article analyzes the return of the past in three of Marseille-based crime novelist Maurice Gouiran's novels: La Porte des Orients perdus (2004), Et l'ete finira (2012), and Les vrais durs meurent aussi (2015). Lead investigator Clovis Narigou travels far and wide in his quests to solve the murders of those in his community, and he frequently includes pedagogical asides to educate readers on the historical contexts that brought these victims to Marseille. In the three novels considered here, Narigou investigates Marseille's historical relationship to the French Empire and how the end of this era continues to resonate in Marseille. As he emphasizes, past injustices continue to shape the present and can only be resolved through recognition and acknowledgement of earlier traumas. In these novels readers see the power of the polar genre both to uncover Marseille's unique history regarding population migration and mobility and to propose an alternative, inclusive social model.

\"Shahryar, a recent PhD graduate and father of nine-year-old Anna, must leave the US when his visa expires. In their last remaining weeks together, we learn Shahryar's history, in a village on the Bay of Bengal, where a poor fisherman and his wife are preparing to face a storm of historic proportions. That story intersects with those of a Japanese pilot, a British doctor stationed in Burma during World War II, and a privileged couple in Calcutta who leaves everything behind to move to East Pakistan following the partition of India\"-- Provided by publisher.

The status of civil rights in the United States today is as volatile an issue as ever, with many Americans wondering if new laws, implemented after the events of September 11, restrict more people than they protect. How will efforts to eradicate racism, sexism, and xenophobia be affected by the measures our government takes in the name of protecting its citizens? Richard Delgado, one of the founding figures in the Critical Race Theory movement, addresses these problems with his latest book in the award-winning Rodrigo Chronicles. Employing the narrative device he and other Critical Race theorists made famous, Delgado assembles a cast of characters to discuss such urgent and timely topics as race, terrorism, hate speech, interracial relationships, freedom of speech, and new theories on civil rights stemming from the most recent war.In the course of this new narrative, Delgado provides analytical breakthroughs, offering new civil rights theories, new approaches to interracial romance and solidarity, and a fresh analysis of how whiteness and white privilege figure into the debate on affirmative action. The characters also discuss the black/white binary paradigm of race and show why it persists even at a time when the country's population is rapidly diversifying.

\"This novel, focusing on the lives of two sisters, tells of the difficult integration of an Algerian family into French society in the years immediately following Algerian independence. Its intimate view of family life runs parallel to broader social and ethical concerns linked to France's relationship with its former colony.\" -- Provided by publisher

Nurses make significant contributions to the American healthcare system and should have knowledge of major healthcare policies such as the Patient Protection and Affordable Care Act (PPACA), particularly those nurses in leadership. More nurse leaders of African descent need an understanding of PPACA to advocate for the policy provisions in the law as it relates to social determinants of health (SDH). This paper illustrates a need for a better understanding of PPACA among nurses of African descent to promote health equity. Keywords Patient protection and affordable care act; Social determinants of health; African American nurse leaders; Health equity; Health disparities. Introduction Nurses are the most trusted healthcare providers[1] and are ideally positioned to play an integral role in moving the U.S. healthcare system forward. With the passage into law, the Patient Protection and Affordable Care Act (PPACA) have provided opportunities that may help achieve health equity. Communicating aspects of the law with patients, families, and communities is a major objective of nursing leaders[2]. Fellows of the Leadership Institute for Black Nurses (LIBN) have a duty, as healthcare providers, to be equipped with the tools that promote health equity. LIBN Fellows were immersed in healthcare both professionally and educationally, and it was expected that they would have more knowledge of PPACA than those of the general public who were surveyed by Kaiser[3] in 2010. Understanding provisions in the law is fundamental to healthcare leadership, and nurse leaders have a mandate to remain current in policy and practice[2]. Kaiser[4] reported that by the end of 2015, the number of uninsured nonelderly adults had decreased by nearly 13 million since 2013 due to PPACA. The decrease was due, in part, to the removal of barriers such as pre-existing conditions and healthcare insurance coverage for dependent children up to age 26. In addition, the Department of Health and Human Services5 (DHHS) reported that PPACA has improved the quality of healthcare along with lowering the cost. For example, the cost of prescriptions for seniors has been reduced, and there are now tax credits for small business owners[5]. However, provisions in PPACA that improved access to care such as the health insurance exchanges remain a mystery to many. Moreover, awareness of the benefits of the law still eludes many currently including nurses and more importantly, those who it is intended to help the most. Therefore, this topic remains an issue and more education is needed among nurses as they advocate for healthcare consumers. Knowing fact from fiction is essential to effective leadership. It is necessary that nurses understand new and exciting programs in the U.S. healthcare system regardless of whether the nurse is: • providing direct patient care as a staff nurse, • directing patients’ care as an Advance Practice Nurse (APN), • overseeing a nursing department as a healthcare administrator, • preparing future nurses as a nurse educator, or • Generating nursing science as a scholar. Moreover, since many African American nurses work in urban settings and care for large minority populations, an understanding of PPACA is essential. Purpose The purpose of this paper is to (1) highlight policy provisions in PPACA; (2) discuss the link between social determinants of health (SDH) and PPACA; (3) compare knowledge levels of the American public in December, 2010 to nurses of African descent in December, 2013; and (4) recommend strategies to identify and improve areas of PPACA knowledge deficit. Summary of PPACA PPACA consists of two bills that were signed into law by President Barack Obama on March 23, 2010. The two bills consisted of the Patient Protection and Affordable Care Act (H.R. 3590) and Education Reconciliation Act of 2010 (H.R. 4872). Once signed by President Obama, the bills became Public Law 111-148[6] (Table 1) and Public Law 111-152[7] respectively (Table 2). Approximately two years later, on June 28, 2012, the Supreme Court rendered a final decision to uphold the healthcare law[8]. However, there are still efforts to repeal the law. PPACA focuses on provisions to expand coverage, control healthcare costs, and improve the healthcare delivery system. One key provision of PPACA bans discrimination against preexisting conditions[9]. There are ten titles in the law6 which address various areas in healthcare that contribute to the improvement of the U.S. healthcare delivery system (Table 1). The focus of the provisions of PPACA are quality of healthcare, affordable healthcare for all Americans, improved efficiency of healthcare, prevention of chronic disease, and improvement of public health. Title V of PPACA focuses on improving workforce training and development, and encompasses several areas targeting nursing education and training aimed at adequately preparing nurses at all levels to serve the population. Public Law 111-1527 adjusted revenue and financing schedules for private insurance coverage, Medicare, Medicaid; and reduced fraud, waste, and abuse in healthcare financing. In addition, key components of this law addressed investing in students and families through student loan reform, modifying financial assistance for higher education, and eligibility criteria for dependent children (Table 2). Together, Public Laws 111- 148 and 111-152 are referred to as the Patient Protection and Affordable Care Act. Quality Affordable Health Care for All Americans a.Eliminates lifetime annual limits on benefits. b.Prohibits rescissions of health insurance policies. c.Provides assistance for those who are uninsured because of a pre-existing condition. d.Prohibits pre-existing condition exclusions for children. e.Provides coverage of preventative services and immunizations. f.Extends dependent coverage up to age 26. g.Develops uniform coverage documents to help consumers better compare policies. h.Limits insurance company non-medical administrative expenditures. i.Ensures consumers have access to an effective appeals process. j.Creates a temporary re-insurance program to support coverage for early retirees. k.Establishes an internet portal to assist in identifying coverage options. l.Facilitates administrative simplification to lower health system costs. Role of Public Programs a.Expands Medicaid availability to consumers previously ineligible. b.Requires states to maintain eligibility levels for the Children’s Health Insurance Program (CHIP) through September 2019. c.Simplifies enrollment through state-run Web sites. d.Creates the availability of the Community First Choice Option. e.Reduces states’ Disproportionate Share Hospital Allotments (DSH). f.Improves federal and state coordination for individuals enrolled in Medicare and Medicaid. Quality and Efficiency of Health Care a.Links payment to quality performance on common, high-cost conditions. b.Establishes national strategy to improve service delivery, patient outcomes, and population health. c.Encourages development of new patient care, payment, and delivery models. d.Ensures beneficiary access to physician care. e.Offers rural protections. f.Improves payment accuracy. g.Rearranges Medicare Advantage (Part C) payment schedules. h.Reduces Medicare Prescription Drug Plan (Part D) costs. i.Ensures Medicare sustainability. j.Improves quality of community health care. Chronic Disease and Public Health a.Modernizes disease prevention and public health systems. b.Increases access to clinical preventive services. c.Creates healthier communities. d.Offers supports for prevention and public health innovation. Health Care Workforce a.Encourages innovative review of the workforce. b.Increases the supply of health care workers. c.Enhances health care workforce education and training. d.Supports the existing health care workforce. e.Strengthens primary care and other workforce improvements. f.Improves access to health care services. Transparency and Program Integrity a.Encourages physician ownership and transparency. b.Improves nursing home transparency. c.Targets enforcement. d.Improves staff training. e.Institutes nationwide program for background checks on direct patient access employees of long term care facilities and providers. f.Establishes patient-centered outcomes research. g.Establishes integrity provisions for Medicare, Medicaid, and CHIP. h.Enhances integrity provisions for Medicare and Medicaid. i.Encourages additional Medicaid program integrity provisions. j.Encourages additional program integrity provisions. k.Encourages enforcement of the Elder Justice Act. l.Expresses the sense of the Senate regarding medical malpractice. Access to Innovative Medical Therapies a.Establishes biologics price competition and innovation. b.Provides more affordable medicines for children and underserved communities. Community Living Assistance Services and Supports a.Establishes national voluntary insurance program for purchasing Community Living Assistance Services and Support (CLASS). Revenue Provisions a.Levies excise tax on high cost employer-sponsored health coverage. b.Increases transparency in employer W-2 reporting of health benefits values. c.Supports distributions for medicine qualified only if for prescribed drugs or insulin. d.Increases additional tax on distributions from HSAs and Archer MSAs not used for qualified medical expenses. e.Limits health-care related FSA contributions. f.Institutes requirement of corporate information reporting. g.Establishes new requirement for non-profit hospitals. h.Imposes a pharmaceutical manufacturer’s fee. i.Imposes a medical device manufacturer’s fee. j.Imposes an insurance provider fee. k.Instates requirement of Department of Veterans Affairs report. l.Eliminates the deduction for employer Part D subsidy. m.Modifies the threshold for claiming the itemized deduction for medical expenses. n.Limits executive compensation. o.Imposes additional hospital insurance tax for high-wag

Although the history of Canada's oldest adult literacy organization, Frontier College, is of great relevance to labour studies, it has been more or less ignored by this field, largely because of its links to the early 20th-century social gospel movement and because of the difficulty of studying workers' responses to the association. This article examines the first half-decade of Frontier College (known until 1919 as the Canadian Reading Camp Association) using a variety of methodologies – labour history, cultural and literary history, the history of education, and the history of reading – to understand how culture was used in the service of liberal government in the context of northern Ontario's lumber camps at the turn of the century. The association's promotion of literacy via fiction for frontier labourers signalled a new acceptance in Canada of the notion that workers might actually be improved through fiction. Alfred Fitzpatrick, the association's founder, feared a state that was failing to assume responsibility for isolated and uneducated men on the frontier, as well as working-class men who responded to their poor working conditions by succumbing to moral diseases that left them incapable of governing themselves, leading their families, or functioning as rational citizens. Fitzpatrick developed a double strategy to head off this crisis: he lobbied the state for structural change, and at the same time promoted a home-like environment for reading, as well as particular works of fiction, as a means of reminding male workers of their duty to self, family, and nation. Despite the association's apparent interest in the cultivation of the liberal individual, its reliance on the reading room and on the fiction of popular authors such as Ralph Connor as surrogates for the absent family demonstrates the centrality of the apparently private sphere to early 20th-century Canada's industrializing economy. Bien que l'histoire de la plus ancienne association de l'alphabétisation des adultes du Canada, Frontier College, est d'une grande pertinence pour les études du travail, il a été plus ou moins ignoré par ce domaine, principalement en raison de ses liens avec le début de mouvement de l'évangile social du 20e siècle et en raison de la difficulté d'étudier les réponses des travailleurs à l'association. Cet article examine la première demi-décennie du Frontier College (connu jusqu'en 1919 comme la Canadian Reading Camp Association) en utilisant une variété de méthodes – l'histoire du travail, l'histoire culturelle et littéraire, l'histoire de l'éducation, et l'histoire de la lecture – pour comprendre comment la culture a été utilisée au service du gouvernement libéral dans le contexte des camps de bûcherons du nord de l'Ontario, au tournant du siècle. La promotion de l'association de l'alphabétisation par la fiction pour les travailleurs frontaliers a signalé une nouvelle acceptation au Canada de la notion que les travailleurs pourraient effectivement être améliorés à travers la fiction. Alfred Fitzpatrick, fondateur de l'association, craignait un état qui ne parvenait pas à assumer la responsabilité pour les hommes isolés et sans instruction de la frontière, ainsi que les hommes de la classe ouvrière qui ont répondu à leurs mauvaises conditions de travail en succombant à des maladies morales qui les a laissé incapables de gouverner eux-mêmes, de mener leurs familles, ou de fonctionner en tant que citoyens rationnels. Fitzpatrick a élaboré une double stratégie pour parer à cette crise : il a fait de la pression auprès de l'État pour un changement structurel, et en même temps la promotion de la lecture dans un environnement presque domiciliaire, ainsi que des œuvres particulières de fiction, comme un moyen de rappeler aux travailleurs masculins leur devoir envers eux-mêmes, leurs familles, et leur pays. Malgré l'intérêt évident de l'association dans la culture de l'individu libéral, sa dépendance de la salle de lecture et de la fiction d'auteurs populaires tels que Ralph Connor comme remplaçants pour la famille absente démontre la centralité de la sphère apparemment privée au début du 20e siècle de l'économie de l'industrialisation au Canada.

For nearly a century, the original version of Upton Sinclair's classic novel has remained almost entirely unknown. When it was published in serial form in 1905, it was a full third longer than the censored, commercial edition published in book form the following year. That expurgated commercial edition edited out much of the ethnic flavor of the original, as well as some of the goriest descriptions of the meat-packing industry and much of Sinclair's most pointed social and political commentary. The text of this new edition is as it appeared in the original uncensored edition of 1905. It contains the full 36 chapters as originally published, rather than the 31 of the expurgated edition. A new foreword describes the discovery in the 1980s of the original edition and its subsequent suppression, and a new introduction places the novel in historical context by explaining the pattern of censorship in the shorter commercial edition.

This article argues that trauma is at the heart of Caryl Phillips's fiction with particular reference to two novels, Crossing the River (1993) and A Distant Shore (2003). It assesses a number of writers associated with trauma theory and takes issue with the prevailing idea that trauma studies do not sit well with postcolonial literary practice. Close readings of the two novels reveal how their focus on trauma allows Phillips to articulate narratives that reveal postand neo-colonial contexts.