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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... effort . They also include those with whom , over the years , we have discussed the issues raised in these pages and those whose articles and books have helped stimulate our thinking . We also thank our colleagues in the Department of ...
... efforts to regulate and to foster free - market competi- tion . Our reliance on the latter makes us unique among ... effort . Our long history of collabo- ration has had an important impact on the perspective of this volume . We both ...
... efforts to bring more eq- uity to health care delivery because of our conviction that health and health care are vitally important in influencing life's chances and that one's income and wealth should not determine the amount and qual ...
... efforts to control ex- penditures , the body politic turned to the free market in the hope that competitive forces would rein in the growth of the health sector as a share of all economic activity . Chapters 5 and 6 examine the impact ...
... . We examine the cri- teria that should guide efforts to develop a universal health program and offer our own proposal to accomplish that goal . Part I THE EARLY YEARS ( 1900-1965 ) Former President 6 THE HEALTH CARE MESS.
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 |