"You will not read a more important book about America this year."—The Economist
"A riveting book."—The Wall Street Journal
"Essential reading."—David Brooks, New York Times
Hillbilly Elegy is a passionate and personal analysis of a culture in crisis—that of white working-class Americans. The disintegration of this group, a process that has been slowly occurring now for more than forty years, has been reported with growing frequency and alarm, but has never before been written about as searingly from the inside. J. D. Vance tells the true story of what a social, regional, and class decline feels like when you were born with it hung around your neck.
The Vance family story begins hopefully in postwar America. J. D.’s grandparents were “dirt poor and in love,” and moved north from Kentucky’s Appalachia region to Ohio in the hopes of escaping the dreadful poverty around them. They raised a middle-class family, and eventually one of their grandchildren would graduate from Yale Law School, a conventional marker of success in achieving generational upward mobility. But as the family saga of Hillbilly Elegy plays out, we learn that J.D.'s grandparents, aunt, uncle, sister, and, most of all, his mother struggled profoundly with the demands of their new middle-class life, never fully escaping the legacy of abuse, alcoholism, poverty, and trauma so characteristic of their part of America. With piercing honesty, Vance shows how he himself still carries around the demons of his chaotic family history.
A deeply moving memoir, with its share of humor and vividly colorful figures, Hillbilly Elegy is the story of how upward mobility really feels. And it is an urgent and troubling meditation on the loss of the American dream for a large segment of this country.
Gritty with pain and betrayal and brutality, this true story also shines with an unexpected, life-changing love.
Meet Denver, raised under plantation-style slavery in Louisiana until he escaped the “Man” – in the 1960’s – by hopping a train. Non-trusting, uneducated, and violent, he spent another 18 years on the streets of Dallas and Fort Worth.
Meet Ron Hall, a self-made millionaire in the world of high priced art deals -- concerned with fast cars, beautiful women, and fancy clothes.
And the woman who changed their lives -- Miss Debbie: “The skinniest, nosiest, pushiest, woman I ever met, black or white.” She helped the homeless and gave of herself to all of “God’s People,” and had a way of knowing how to listen and helping others talk and be found – until cancer strikes.
Same Kind of Different as Me is a tale told in two unique voices – Ron Hall & Denver Moore – weaving two completely different life experiences into one common journey where both men learn “whether we is rich or poor or something in between this earth ain’t no final restin’ place. So in a way, we is all homeless-just workin’ our way toward home.”
The story takes a devastating twist when Deborah discovers she has cancer. Will Deborah live or die? Will Denver learn to trust a white man? Will Ron embrace his dying wife's vision to rescue Denver? Or will Denver be the one rescuing Ron? There's pain and laughter, doubt and tears, and in the end a triumphal story that readers will never forget.
Continue this story of friendship in What Difference Do It Make?: Stories of Hope and Healing, available now. Same Kind of Different as Me also is available in Spanish.
Goldman-Cecil Medicineoffers definitive, unbiased guidance on the evaluation and management of every medical condition, presented by a veritable "Who's Who" of modern medicine. A practical, straightforward style; templated organization; evidence-based references; and robust interactive content combine to make this dynamic resource quite simply the fastest and best place to find all of the authoritative, state-of-the-art clinical answers you need.Expert Consult eBook version included with print purchase:
Access continuous updatesfrom Editor Lee Goldman, MD, who thoroughly reviews internal medicine and specialty journals, updating online content to reflect the latest guidelines and translating that evidence into treatment.
Interactive Q&A sectionfeatures over 1,500 board-style questions and answers to aid in preparing for certification or recertification exams.
Outstanding supplementary toolsinclude figures, tables, videos, heart and lung sounds, treatment and management algorithms, fully integrated references, and thousands of illustrations and full-color photos.
Search all of the text, figures, supplementary material, and references from the book on a variety of devices and at no additional cost — Expert Consult access is included with this title!
Practical, bulleted, highly templated textwith easy-to-use features including flow charts and treatment boxes.
New chapterson global health, cancer biology and genetics, and the human microbiome in health and disease keep you on the cutting edge of medicine.
Today's most current evidence-based medicine guidelines help you form a definitive diagnosis and create the best treatment plans possible.
Focused coverage of the latest developments in biology includes the specifics of current diagnosis, therapy, and medication doses.
The reference of choice for every stage of your career!Goldman-Cecil Medicine is an ideal learning tool for residents, physicians, and students as well as a valuable go-to resource for experienced healthcare professionals.