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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... 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 Social Medicine at Harvard Medical School who followed the development of this book ...
... issues and attitudes take over and come to domi- nate , having absorbed the legacy of the revolution that came before . Although the revolutions we write about involve large changes , they appear as revolutions only in retrospect . The ...
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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 |