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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... Economics , Emeritus , at Harvard Medical School . HARVARD UNIVERSITY PRESS Cambridge , Massachusetts , and London , England www.hup.harvard.edu Design by Marianne Perlak Front photo : Alexis Platoff / Tipps Images Inset photo : Royalty ...
... economy and strong social fabric would enable more and more Americans to benefit from medicine's advances . We can no longer make that as- sumption . The number of Americans without insurance is growing , not declining . The ...
... Economic Advisers with responsibilities for the analysis of programs and for legislative initiatives in various so- cial and economic areas , importantly including health . After our years in Washington we both returned to academia and ...
... economic arrangements reflect a moral dimension . We hope that our book will help revive the debate about how to proceed toward the goal of equitable health care . We have used the term " revolution " in describing various periods and ...
... economic activity . Chapters 5 and 6 examine the impact of this development with special attention to the implications of the ex- pansion of for - profit institutions and their role in the delivery of medi- cal care services , the ...
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 |