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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... - formed it into a book and did so most effectively . Richard Audet edited the manuscript with great skill . We ( and the readers ) owe him our thanks . Contents Foreword by Jimmy Carter Introduction Part I The Early viii Acknowledgments.
... effective therapies also tell us about a dysfunctional insur- ance system , about the 45 million Americans who ... effectiveness of our delivery system and to make it more equitable requires the application of enlightened public and ...
... effective public policy we can build a more equitable community in which many more of our neighbors would be able , not only to dream the American dream , but to fulfill it . We have both been involved in efforts to bring more eq- uity ...
... effective manner for more people . As a con- sequence of medicine's growing abilities and successes , access to and the availability of medical care assumed increasing importance . This topic is explored in the second chapter , in which ...
... effective care . Chapter 8 turns to the question whether these substantial advances will be available to a public among whom the number of uninsured in- dividuals is increasing year by year and for whom we have not yet erected a ...
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 |