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 education was also profoundly transformed into today's powerful triumvirate of academic medical centers, schools of medicine and public health, and research programs, all of which have shaped medical practice and medical care ...
... Educational and Scientific Revolution : Higher Standards and Changing Priorities ... Education for the Health Professions : The Impact of Growth Part III xi 1 9 ... Medical Challenges and Opportunities 191 8 Increasing Equity : Achieving ...
... medical , social , and political history and imagine that we are beginning with a tabula rasa . History is relevant . This book , therefore , traces developments in education for medicine and public health and in health care financing ...
... medical education are " our " institutions . Medicine is not an abstraction ; it is rooted in time and place . Our medical schools reflect our higher education structures and their values ; our research establishment has been molded by ...
... Education , and Welfare and as Surgeon - General in the United States Public Health Service . Subsequently , we ... medical education and medical care . We should be clear : what we call revolutions do not begin on a given date and end ...
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 |