This is a history of the religious, health, medical and political contexts of Natal and South Africa from the late 1800s to the 1970s.

“Nuila’s storytelling gifts place him alongside colleagues like Atul Gawande.” —Los Angeles Times This “compelling mixture of health care policy and gripping stories from the frontlines of medicine” (The Guardian) explores the question: where does an uninsured person go when turned away by hospitals, clinics, and doctors? Here, we follow the lives of five uninsured Houstonians as their struggle for survival leads them to a hospital that prioritizes people over profit. First, we meet Stephen, the restaurant franchise manager who signed up for his company’s lowest priced plan, only to find himself facing insurmountable costs after a cancer diagnosis. Then Christian—a young college student and retail worker who can’t seem to get an accurate diagnosis, let alone treatment, for his debilitating knee pain. Geronimo, thirty-six years old, has liver failure, but his meager disability check disqualifies him for Medicaid—and puts a life-saving transplant just out of reach. Roxana, who’s lived in the community without a visa for more than two decades, suffers from complications related to her cancer treatment. And finally, there’s Ebonie, a young mother whose high-risk pregnancy endangers her life. Whether due to immigration status, income, or the vagaries of state Medicaid law, all five are denied access to care. For all five, this exclusion could prove life-threatening. Each patient eventually lands at Ben Taub, the county hospital where Dr. Nuila has worked for over a decade. Nuila delves with empathy into the experiences of his patients, braiding their dramas into a singular narrative that contradicts the established idea that the only way to receive good health care is with good insurance. As readers follow the moving twists and turns in each patient’s story, it’s impossible to deny that our system is broken—and that Ben Taub’s innovative model, where patient care is more important than insurance payments, could help light the path forward.

Napa, because of its natural beauty and optimal conditions for "moral treatment," was chosen as the second site for a state hospital to ease overcrowding in Stockton Asylum. When the fully self-sustaining Napa Asylum opened in 1875, it quickly filled to capacity and became home to many people suffering from mental illness, alcoholism, grief, and depression. In 1924, Napa Asylum was renamed Napa State Hospital to reflect changes in the medical model and treatments for psychiatric patients. Covering the first 100 years of the hospital's history, this unique book tells the story of the institution and the people for whom it served as employer. Known locally as Imola, this beautiful site became an integral part of the community.