Imagine Doing Better: Why Policies Backfire and How Prevention Thinking Can Change Everything

A bold vision for reimagining harmful public policies through prevention.

Public policies in the United States are built on certain assumptions: that long-term prison sentences deter crime, that corporate profits benefit everyone, that police are the best way to ensure safety, and that meritocracy ensures equal opportunity. Yet, as public health expert Paul J. Fleming reveals, mountains of evidence show that many of these widely accepted policies cause harm, perpetuate inequities, and even lead to premature death.

In Imagine Doing Better, Fleming offers a bold vision for change that's rooted in public health principles of prevention—addressing problems at their root before they occur. Combining rigorous research, historical analysis, and compelling narratives, he examines the deep flaws in policies governing health care, education, justice, and the environment. Fleming unpacks how these systems were built, why harmful assumptions persist, and how they can be reimagined to promote equity, sustainability, and human dignity. Fleming challenges readers to rethink entrenched ideas by exploring thought-provoking questions like "Are prisons a good investment?" and "Is education a ladder or a sieve?". He highlights how budgets and policies reflect moral choices, and he provides frameworks for advocacy and policymaking grounded in evidence and fairness.

Fleming paints a hopeful—yet urgent—picture of what's possible when societies invest in solutions that prioritize human dignity, equity, and sustainability. Accessible and inspiring, Imagine Doing Better offers a hopeful roadmap to a future where all communities have the resources and opportunities to thrive.

1146939276
Imagine Doing Better: Why Policies Backfire and How Prevention Thinking Can Change Everything

A bold vision for reimagining harmful public policies through prevention.

Public policies in the United States are built on certain assumptions: that long-term prison sentences deter crime, that corporate profits benefit everyone, that police are the best way to ensure safety, and that meritocracy ensures equal opportunity. Yet, as public health expert Paul J. Fleming reveals, mountains of evidence show that many of these widely accepted policies cause harm, perpetuate inequities, and even lead to premature death.

In Imagine Doing Better, Fleming offers a bold vision for change that's rooted in public health principles of prevention—addressing problems at their root before they occur. Combining rigorous research, historical analysis, and compelling narratives, he examines the deep flaws in policies governing health care, education, justice, and the environment. Fleming unpacks how these systems were built, why harmful assumptions persist, and how they can be reimagined to promote equity, sustainability, and human dignity. Fleming challenges readers to rethink entrenched ideas by exploring thought-provoking questions like "Are prisons a good investment?" and "Is education a ladder or a sieve?". He highlights how budgets and policies reflect moral choices, and he provides frameworks for advocacy and policymaking grounded in evidence and fairness.

Fleming paints a hopeful—yet urgent—picture of what's possible when societies invest in solutions that prioritize human dignity, equity, and sustainability. Accessible and inspiring, Imagine Doing Better offers a hopeful roadmap to a future where all communities have the resources and opportunities to thrive.

29.95 Pre Order
Imagine Doing Better: Why Policies Backfire and How Prevention Thinking Can Change Everything

Imagine Doing Better: Why Policies Backfire and How Prevention Thinking Can Change Everything

by Paul J. Fleming
Imagine Doing Better: Why Policies Backfire and How Prevention Thinking Can Change Everything

Imagine Doing Better: Why Policies Backfire and How Prevention Thinking Can Change Everything

by Paul J. Fleming

eBook

$29.95 
Available for Pre-Order. This item will be released on October 14, 2025

Available on Compatible NOOK devices, the free NOOK App and in My Digital Library.
WANT A NOOK?  Explore Now

Related collections and offers


Overview

A bold vision for reimagining harmful public policies through prevention.

Public policies in the United States are built on certain assumptions: that long-term prison sentences deter crime, that corporate profits benefit everyone, that police are the best way to ensure safety, and that meritocracy ensures equal opportunity. Yet, as public health expert Paul J. Fleming reveals, mountains of evidence show that many of these widely accepted policies cause harm, perpetuate inequities, and even lead to premature death.

In Imagine Doing Better, Fleming offers a bold vision for change that's rooted in public health principles of prevention—addressing problems at their root before they occur. Combining rigorous research, historical analysis, and compelling narratives, he examines the deep flaws in policies governing health care, education, justice, and the environment. Fleming unpacks how these systems were built, why harmful assumptions persist, and how they can be reimagined to promote equity, sustainability, and human dignity. Fleming challenges readers to rethink entrenched ideas by exploring thought-provoking questions like "Are prisons a good investment?" and "Is education a ladder or a sieve?". He highlights how budgets and policies reflect moral choices, and he provides frameworks for advocacy and policymaking grounded in evidence and fairness.

Fleming paints a hopeful—yet urgent—picture of what's possible when societies invest in solutions that prioritize human dignity, equity, and sustainability. Accessible and inspiring, Imagine Doing Better offers a hopeful roadmap to a future where all communities have the resources and opportunities to thrive.


Product Details

ISBN-13: 9781421452876
Publisher: Johns Hopkins University Press
Publication date: 10/14/2025
Sold by: Barnes & Noble
Format: eBook
Pages: 296

About the Author

Paul J. Fleming is an associate professor of public health at the University of Michigan.

Table of Contents

Table of Contents
Preface: What will our great-great-great-great-great grandchildren say?
Imagination: Gaining a New Perspective
1. Possibilities
2. Roots
Reflection: The trees we have and the forest we need
3. Better healthcare: Is healthcare like kindergarten or like soybeans?
4. Better environment: Can we thrive in a burning world?
5. Better education: Are schools a ladder or a sieve?
6. Better justice: Are prisons a good investment?
7. Better public safety: What makes us feel safe?
8. Looking Back to Look Forward
Action: How to transform an environment
9. Getting to prevention-minded public policy
10. Where we transform, ourselves
11. Where we transform, our communities
12. How we transform
13. What we transform
14. Conclusions: Making a better world possible
Epilogue: 2225
Acknowledgments
Appendix
References

What People are Saying About This

From the Publisher

Written with precision, passion, and moral clarity. This is a book to help us see our world more clearly and envision the better one we might build.
—Sandro Galea, author of Within Reason: A Liberal Public Health for an Illiberal Time

In Imagine Doing Better, Paul J. Fleming calls for a bold shift from reactive fixes to prevention-focused policy that addresses root causes. He blends research, personal insight, and a call to action. Grounded in evidence and empathy, this is essential reading for changemakers and all who seek a just world.
—Brian C. Castrucci, de Beaumont Foundation

Paul Fleming's book is an invitation to reject the status quo and radically right-size systems to minimize harm. Reflection and response are daily practices in how we care for others, building muscle memory for justice movements. This is an excellent guide for chaotic times and a reminder to dream beyond the challenges ahead.
—Linh Song, former City Councilmember, Ann Arbor

If we successfully set a welcoming table for all, what might we do while seated there? How might we set a new agenda, organize a meaningful dialogue, and advance a healing strategy? Dr. Fleming's work beckons, and I plan to take a seat and prepare for the courageous journey he offers.
—Renée Branch Canady, author of Room at the Table: a Leader's Guide for Advancing Health Equity and Justice

From the B&N Reads Blog

Customer Reviews