DMCA. Copyrighted Work that you can Claim.
Base have 205 522 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


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...

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...

Redesigning the Clinical Effectiveness Research Paradigm: Innovation and Practice-Based Approaches: Workshop Summary (The Learning Healthcare System ... on Value & Science-Driven Health Care)
Redesigning the Clinical Effectiveness Research Paradigm: Innovation and Practice-Based Approaches: Workshop Summary (The Learning Healthcare System ... on Value & Science-Driven Health Care) free epub by LeighAnne Olsen, J. Michael McGinnis, Roundtable on Value & Science-Driven Health Care, Institute of Medicine

Recent scientific and technological advances have accelerated our understanding of the causes of disease development and progression, and resulted in innovative treatments and therapies. Ongoing work to elucidate the effects of individual genetic variatio...

Improving Mental Health Care: Commitment to Quality
Improving Mental Health Care: Commitment to Quality download pdf by Barbara Dickey, Lloyd I., M.D. Sederer

How can professionals maintain or improve the quality of care they provide when pressured by payers to reduce the cost of care? Clinicians today face the challenge of providing optimal care in an environment where costs drive clinical practice. But high ...

How Capitalism Will Save Us: Why Free People and Free Markets Are the Best Answer in Today's Economy
How Capitalism Will Save Us: Why Free People and Free Markets Are the Best Answer in Today's Economy free pdf by Steve Forbes, Elizabeth Ames

Has capitalism failed?Is it fundamentally greedy and immoral, enabling the rich to get richer? Are free markets Darwinian places where the most ruthless crush smaller competitors, where vital products and services are priced beyond the ability of many peo...

Locavesting: The Revolution in Local Investing and How to Profit From It
Locavesting: The Revolution in Local Investing and How to Profit From It download pdf by Amy Cortese

How individuals and communities can profit from local investingIn the wake of the financial crisis, investors are faced with a stark choice: entrust their hard-earned dollars to the Wall Street casino, or settle for anemic interest rates on savings, bonds...

Mental Illness and Public Health Care
Mental Illness and Public Health Care pdf free by Theodore Benditt (auth.), James M. Humber, Robert F. Almeder (eds.)

Is the involuntary commitment of the mentally ill morally proper? How can we determine proper psychiatric care in a managed health care system? And can a mental health professional violate a patient's confidentiality when they believe that patient is a th...

Health Care Utilization in Germany: Theory, Methodology, and Results
Health Care Utilization in Germany: Theory, Methodology, and Results free download by Christian Janssen, Enno Swart, Thomas von Lengerke (auth.), Christian Janssen, Enno Swart, Thomas von Lengerke (eds.)

It is a societal given, borne out by the facts: the higher one's social status, the better health, and the longer life expectancy. As the situation persists, an important question demands attention, namely whether health care systems contribute to the ine...

The Strategic Application of Information Technology in Health Care Organizations
The Strategic Application of Information Technology in Health Care Organizations download pdf by John P. Glaser, Claudia Salzberg

This new edition of The Strategic Application of Information Technology in Health Care Organizations offers a peerless guide for health care leaders to understand information technology (IT) strategic planning and implementation. Filled with illustrative ...

Encyclopedia of the American Constitution
Encyclopedia of the American Constitution free epub by Leonard W Levy; Kenneth L Karst; Adam Winkler

Encyclopedia of virology [5 Vols]
Encyclopedia of virology [5 Vols] free download by B W J Mahy; M H V Van Regenmortel

Energy storage in the emerging era of smart grids

Engineering the future
Engineering the future free pdf by László Dudás, strojnik

English for academic correspondence and socializing
English for academic correspondence and socializing free download by Adrian Wallwork (auth.)

English for Academic Correspondence and Socializing is the first ever book of its kind specifically written for researchers of all disciplines whose first language is not English. With easy-to-follow rules and tips, and with authentic examples taken from ...

English grammar workbook for dummies

Enochian world of Aleister Crowley : Enochian sex magick
Enochian world of Aleister Crowley : Enochian sex magick pdf free by Aleister Crowley; Lon Milo DuQuette; Christopher S Hyatt

Ensuring quality cancer care
Ensuring quality cancer care pdf free by Maria Elizabeth Hewitt; Joseph V Simone; National Cancer Policy Board (U.S.)

Enterprise management with SAP SEM/business analytics
Enterprise management with SAP SEM/business analytics free epub by Marco Meier; Werner Sinzig; Peter Mertens

Enterprise Rails