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The Health Care Mess: How We Got Into It and What It Will Take To Get Out


  


 : The Health Care Mess: How We Got Into It and What It Will Take To Get Out

List Price: $17.95
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Binding: Paperback
Dewey Decimal Number: 362.10973
EAN: 9780674024151
Edition: 1
ISBN: 067402415X
Label: Harvard University Press
Manufacturer: Harvard University Press
Number Of Items: 1
Number Of Pages: 320
Publication Date: April 30, 2007
Publisher: Harvard University Press
Studio: Harvard University Press




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Editorial Review:

Product Description:


If we can decode the human genome and fashion working machines out of atoms, why can't we navigate the quagmire that is our health care system? In this important new book, Julius Richmond and Rashi Fein recount the fraught history of health care in America since the 1960s. After the advent of Medicare and Medicaid and with the progressive goal to make advances in medical care available to all, medical costs began their upward spiral. Cost control measures failed and led to the HMO revolution, turning patients into consumers and doctors into providers. The swelling ranks of Americans without any insurance at all dragged the United States to the bottom of the list of industrialized nations.



Over the last century medical education was also profoundly transformed into today's powerful triumvirate of academic medical centers, schools of medicine and public health, and research programs, all of which have shaped medical practice and medical care. The authors show how the promises of medical advances have not been matched either by financing or by delivery of care.



As a new crisis looms, and the existing patchwork of insurance is poised to unravel, American leaders must again take up the question of health care. This book brings the voice of reason and the promise of compromise to that debate.





Customer Reviews
Average Rating:  out of 5 stars

Rating: 5 out of 5 stars - Excellent reading for students of medicine and public health
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 ... Read More



Rating: 3 out of 5 stars - Misses the biggest problems
This book does a good job at pointing out how broken the American health care system is. I really enjoyed the retrospective look at how we got where we are today. Some of the reasons for the problems are pointed out well, as in the discussion of community rating of insurance. Unfortunately, the book misses some of the most important reasons for the health care mess. The solutions proposed also strike me as at best unworkable.

The book's authors are big fans of national health insurance. ... Read More



Rating: 1 out of 5 stars - Faults of Style and Substance
As a student of health care economics (due to being employed in a managerial position in a health care enterprise,) I embarked on reading this book with great anticipation and was left with great disappointment. My disappointment stemmed from faults in both style and substance.

As to style, the writing is replete with complex sentences with subordinate clause following on subordinate clause until one can no longer remember what the subject or the verb is, much less make any sense of the meaning ... Read More



Rating: 1 out of 5 stars - Couldn't Read It
Note: This review was done after only reading the first 20 pages of the book. Please keep that in mind when evaluating the reasonableness of my review.

I bought this book as an impulse purchase after hearing the authors on Al Franken's show on Air America Radio on 11/15/05 because I wanted to get an understanding of, and solutions to, the health care problem.

I stopped reading for two reasons. First: the authors immediately expressed an assumption in the book's introduction that I felt ... Read More




 



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