The Health Care Mess: How We Got Into It and What It Will Take To Get OutHarvard University Press, 2005 M09 6 - 307 pages 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. |
From inside the book
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... 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 ...
... United States . 2. Medical policy- United States . 3. Health planning - United States . I. Fein , Rashi . II . Title . RA395.A3R53 2005 362.1'0973 - dc22 2005040396 To Jean and Ruth Acknowledgments It is impossible to list.
... United States has greatly ad- vanced medical science , but has yet to achieve what all other devel- oped nations have attained : comprehensive health services for all citi- zens . At times , the story told in this book reawakens deeply ...
... United States Public Health Service . Subsequently , we resumed our association at Harvard while maintaining our connections to govern- ment and private sector policy formulation . That made possible count- less hours of conversation ...
... United States and the enactment of Medicare and Medicaid in 1965. In Chapters 3 and 4 we examine the reactions to the implementation of Medicare , the fed- eral social insurance program that provides health insurance to those age sixty ...
Contents
Higher Standards and Changing Priorities | 9 |
Increasing Access to Medical Care | 30 |
Dealing with Growth | 55 |
The lmpact of Growth | 89 |
A Changing Face for Medicine | 129 |
Progress in Health and the Role of Public Health | 158 |