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National levels of personal health-care access and quality can be approximated by measuring mortality rates from causes that should not be fatal in the presence of effective medical care (ie, amenable mortality). Previous analyses of mortality amenable to health care only focused on high-income countries and faced several methodological challenges. In the present analysis, we use the highly standardised cause of death and risk factor estimates generated through the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) to improve and expand the quantification of personal health-care access and quality for 195 countries and territories from 1990 to 2015. We mapped the most widely used list of causes amenable to personal health care developed by Nolte and McKee to 32 GBD causes. We accounted for variations in cause of death certification and misclassifications through the extensive data standardisation processes and redistribution algorithms developed for GBD. To isolate the effects of personal health-care access and quality, we risk-standardised cause-specific mortality rates for each geography-year by removing the joint effects of local environmental and behavioural risks, and adding back the global levels of risk exposure as estimated for GBD 2015. We employed principal component analysis to create a single, interpretable summary measure–the Healthcare Quality and Access (HAQ) Index–on a scale of 0 to 100. The HAQ Index showed strong convergence validity as compared with other health-system indicators, including health expenditure per capita (r=0·88), an index of 11 universal health coverage interventions (r=0·83), and human resources for health per 1000 (r=0·77). We used free disposal hull analysis with bootstrapping to produce a frontier based on the relationship between the HAQ Index and the Socio-demographic Index (SDI), a measure of overall development consisting of income per capita, average years of education, and total fertility rates. This frontier allowed us to better quantify the maximum levels of personal health-care access and quality achieved across the development spectrum, and pinpoint geographies where gaps between observed and potential levels have narrowed or widened over time. Between 1990 and 2015, nearly all countries and territories saw their HAQ Index values improve; nonetheless, the difference between the highest and lowest observed HAQ Index was larger in 2015 than in 1990, ranging from 28·6 to 94·6. Of 195 geographies, 167 had statistically significant increases in HAQ Index levels since 1990, with South Korea, Turkey, Peru, China, and the Maldives recording among the largest gains by 2015. Performance on the HAQ Index and individual causes showed distinct patterns by region and level of development, yet substantial heterogeneities emerged for several causes, including cancers in highest-SDI countries; chronic kidney disease, diabetes, diarrhoeal diseases, and lower respiratory infections among middle-SDI countries; and measles and tetanus among lowest-SDI countries. While the global HAQ Index average rose from 40·7 (95% uncertainty interval, 39·0–42·8) in 1990 to 53·7 (52·2–55·4) in 2015, far less progress occurred in narrowing the gap between observed HAQ Index values and maximum levels achieved; at the global level, the difference between the observed and frontier HAQ Index only decreased from 21·2 in 1990 to 20·1 in 2015. If every country and territory had achieved the highest observed HAQ Index by their corresponding level of SDI, the global average would have been 73·8 in 2015. Several countries, particularly in eastern and western sub-Saharan Africa, reached HAQ Index values similar to or beyond their development levels, whereas others, namely in southern sub-Saharan Africa, the Middle East, and south Asia, lagged behind what geographies of similar development attained between 1990 and 2015. This novel extension of the GBD Study shows the untapped potential for personal health-care access and quality improvement across the development spectrum. Amid substantive advances in personal health care at the national level, heterogeneous patterns for individual causes in given countries or territories suggest that few places have consistently achieved optimal health-care access and quality across health-system functions and therapeutic areas. This is especially evident in middle-SDI countries, many of which have recently undergone or are currently experiencing epidemiological transitions. The HAQ Index, if paired with other measures of health-system characteristics such as intervention coverage, could provide a robust avenue for tracking progress on universal health coverage and identifying local priorities for strengthening personal health-care quality and access throughout the world. Bill & Melinda Gates Foundation.

This history of the Mahicans begins with the appearance of Europeans on the Hudson River in 1609 and ends with the removal of these Native people to Wisconsin in the 1830s. Marshaling the methods of history, ethnology, and archaeology, William A. Starna describes as comprehensively as the sources allow the Mahicans while in their Hudson and Housatonic Valley homeland; after their consolidation at the praying town of Stockbridge, Massachusetts; and following their move to Oneida country in central New York at the end of the Revolution and their migration west. The emphasis throughout this book is on describing and placing into historical context Mahican relations with surrounding Native groups: the Munsees of the lower Hudson, eastern Iroquoians, and the St. Lawrence and New England Algonquians. Starna also examines the Mahicans' interactions with Dutch, English, and French interlopers. The first and most transformative of these encounters was with the Dutch and the trade in furs, which ushered in culture change and the loss of Mahican lands. The Dutch presence, along with the new economy, worked to unsettle political alliances in the region that, while leading to new alignments, often engendered rivalries and war. The result is an outstanding examination of the historical record that will become the definitive work on the Mahican people from the colonial period to the Removal Era.

Of the many recipients of federal support during the Great Depression, the citizens of Norvelt, Pennsylvania, stand out as model reminders of the vital importance of New Deal programs. Hoping to transform their desperate situation, the 250 families of this western Pennsylvania town worked with the federal government to envision a new kind of community that would raise standards of living through a cooperative lifestyle and enhanced civic engagement. Their efforts won them a nearly mythic status among those familiar with Norvelt's history. Hope in Hard Times explores the many transitions faced by those who undertook this experiment. With the aid of the New Deal, these residents, who hailed from the hardworking and underserved class that Jacob Riis had called the \"other half\" a generation earlier, created a middle-class community that would become an exemplar of the success of such programs. Despite this, many current residents of Norvelt—the children and grandchildren of the first inhabitants—oppose government intervention and support political candidates who advocate scrutinizing and even eliminating public programs. Authors Timothy Kelly, Margaret Power, and Michael Cary examine this still-unfolding narrative of transformation in one Pennsylvania town, and the struggles and successes of its original residents, against the backdrop of one of the most ambitious federal endeavors in U.S. history.

In Books and Religious Devotion, Allan Westphall presents a study of the book-collecting habits and annotation practices of Thomas Connary, an Irish immigrant farmer who lived in New Hampshire in the latter half of the nineteenth century. Connary led a pious life that revolved around the use, annotation, and sharing of religious books. His surviving annotated volumes provide a revealing glimpse into the utility of books for a common reader—and they show how one remarkable, eccentric reader turned religious books into near icons. Through a careful excavation of book adaptations and enhancements, Westphall gives us insight into the range of opportunities provided by the material book for recording and communicating Connary's religious fervor. The study also investigates the broader nineteenth-century cultural setting, in which books are seen as testimonies of personal faith and come to function as instruments of social interaction in both domestic and public spheres. Underlying Connary's many and varied interactions with books is his belief that working in books, as physical objects, can be a devout exercise instrumental in human salvation.

The second edition of Drawing the Line: How Mason and Dixon Surveyed the Most Famous Border in America updates Edwin Danson's definitive history of the creation of the Mason - Dixon Line to reflect new research and archival documents that have come to light in recent years.