DMCA. Copyrighted Work that you can Claim.
Base have 820 524 books.
Search: 


📙 The Health Care Mess: How We Got Into It and What It Will Take To Get Out by Julius B. Richmond, Rashi Fein, Jimmy Carter — pdf free


In reading the previous reviews, I must say that they are quite accurate in many of their findings - the style of writing tends to be verbose and there isn't much in the ways of "how to do fix the US health care system." But that is not what this manuscript is about. Let me quickly rebut a few points from each of the previous reviews. From Mr. Weston: " When I bought the book, I was hoping the authors' would answer the question "What is equitable health care?" Is it equitable for the government to pay for medications that control blood pressure, insulin response, and bone density when all of these could be managed by diet and exercise? Americans have a problem giving welfare to those who can work. Why give "healthfare" to those who can diet and exercise? " First of all, equity is in the eye of the beholder. This is an area where even the most brilliant health economist cannot give a true answer. Our basis for equity depends upon our own moral upbringing. Secondly, it is obvious from the latter half of his comment that he does not have anything to do with the health care delivery system. Lifestyle modifications for hypertension, diabetes, and osteopenia/osteoporosis, while certainly beneficial, are not effective to the degree needed to prevent stroke, heart attack, or hip fractures. However, I will concede that doctors often over-utilize healthcare resources of limited benefit. Moving on to Ms. Clendenen's excellent review: " The three that immediately come to mind are the complete neglect in discussing the impact that the cost of pharmaceuticals has had on the overall cost of health care, the impact that malpractice litigation and the threat of malpractice suits have had, and the incredible cost of the administrative labyrinths that exist for most providers. " It would appear that for her, a serious health economist, this book misses the mark. There, however, is a brief discussion of malpractice litigation in Chapter 7. I believe the authors spent considerably less time on this subject than on the subjects of medical education and "orgranized medicine" because malpractice litigation appears to have limited effect on total national health expenditures (estimated to be about 1/2 of 1%). I agree with her that this book does little to explain the impact of administrative complexities on physicians. I can firmly attest that I spend far too much time doing paperwork than seeing patients. However, in the concluding chapter, the authors suggest a system - albeit a system closer to the single-payer edge of the political spectrum - that naturally would result in less administrative hassles for everyone involved compared to our current "nonsystem". And now onto Ms. Craig: Her thoughtful review begins to introduce the concept, not discussed in this book, that a small percentage of patients represent the largest percentage of medical expenditures. She also refers to ICU stays - where I have witnessed survival rates less than 30% - that account for a tremendous fraction of our health care dollar. As a nation we do spend too much money on care in the last 6 months of life. Unfortunately, we often times cannot tell when someone will die. Additionally, even when death is virtually around the corner (by that I mean, when there is no chance for a "meaningful" life) we have families who want doctors to keep their loved ones "alive" for extended periods of time. As a nation, our culture of life may be in opposition to our appropriate use of health care resources. Okay, enough of the rebuttals (I only do it because I liked this book). I believe the point of "The Health Care Mess" is to introduce the layman to the history of the American healthcare system. It does this while addressing issues relevant to physicians - medical education and the American Medical Association's persistent interference with progressive health reform. I believe this book may not be best geared towards the practicing health economist or the policy maker. "The Health Care Mess" is best designed for motivating a sleeping constuency - medical professionals and medical students. These folks are far too overburdened with their work to realize that they also need to be involved in the health care debate. Perhaps that is why the authors suggest making our current disorganized health care system focus attention on the academic medical centers as "hubs" for healthcare. You will not find answers in this book. But you will find that political stumbling blocks are typically the reasons why most recommendations to modify our current system have failed. It is the politics, not the science, that is important in changing health policy. This is where the focus lies in "The Health Care Mess."

About book:

About file:

  • File size: 2 573 639
  • Format: pdf


Security code:
Download button

Similar books results


Drug crazy: how we got into this mess and how we can get out
Drug crazy: how we got into this mess and how we can get out free download by Mike Gray

Over the last fifteen years, American taxpayers have spent over $300 billion to wage the war on drugs--three times what it cost to put a man on the moon. In Drug Crazy, journalist Mike Gray offers a scathing indictment of this financial fiasco, chroniclin...

Great Health Care: Making It Happen
Great Health Care: Making It Happen pdf free by J. Timothy Harrington MD (auth.), J. Timothy Harrington, Eric D. Newman (eds.)

Great Health Care is enlightening and entertaining. It’s a must read for physicians, patients, health policymakers and administrators, and the interested public---anyone who wants to understand what great health care is, and how we might build it together...

Great Health Care: Making It Happen
Great Health Care: Making It Happen epub download by J. Timothy Harrington MD (auth.), J. Timothy Harrington, Eric D. Newman (eds.)

Great Health Care is enlightening and entertaining. It’s a must read for physicians, patients, health policymakers and administrators, and the interested public---anyone who wants to understand what great health care is, and how we might build it together...

Coverage Matters: Insurance and Health Care
Coverage Matters: Insurance and Health Care pdf free by Committee on the Consequences of Uninsurance, Board on Health Care Services, Institute of Medicine, Institute of Medicine

Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the syst...

Healthcare Investing: Profiting from the New World of Pharma, Biotech, and Health Care Services
Healthcare Investing: Profiting from the New World of Pharma, Biotech, and Health Care Services free pdf by Les Funtleyder

Is your portfolio in peak health? Ranking among the world's largest markets, the $2.5 trillion health care industry is growing at an unprecedented rate. According to Miller Tabak + Co.'s health care strategist Les Funtleyder, major structural reno...

They Must Be Stopped: Why We Must Defeat Radical Islam and How We Can Do It
They Must Be Stopped: Why We Must Defeat Radical Islam and How We Can Do It free epub by Brigitte Gabriel

They Must Be Stopped is New York Times bestselling author Brigitte Gabriel’s warning to the world: We can no longer ignore the growth of radical Islam—we must act soon, and powerfully. Gabriel challenges our Western and politically correct notions about I...

The failure of environmental education (and how we can fix it)
The failure of environmental education (and how we can fix it) epub download by Charles Saylan; Daniel T Blumstein

At a time when wild places everywhere are vanishing before our eyes, the authors offer this passionate indictment of environmental education, along with a new vision for the future. They argue that education today has failed to reach its potential in fi...

Catastrophic Care: How American Health Care Killed My Father--and How We Can Fix It
Catastrophic Care: How American Health Care Killed My Father--and How We Can Fix It free pdf by David Goldhill

A visionary investigation that will change the way we think about health care: how and why it is failing, why expanding coverage will actually make things worse, and how our health care can be transformed into a transparent, affordable, successful system....

Catastrophic Care: How American Health Care Killed My Father--and How We Can Fix It
Catastrophic Care: How American Health Care Killed My Father--and How We Can Fix It download pdf by David Goldhill

A visionary investigation that will change the way we think about health care: how and why it is failing, why expanding coverage will actually make things worse, and how our health care can be transformed into a transparent, affordable, successful system....