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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... 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 frustrating memories for me . I ...
... health care and to enable us to attain an equitable distribution of that care while continuing our scientific advances and making them more accessible . We believe that those options cannot be fully understood without reference to the ...
... health care are vitally important in influencing life's chances and that one's income and wealth should not determine the amount and qual- ity of care one receives . We seek a system in which the financing and distribution of health ...
... med- icine to do more in a more 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 ...
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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 |