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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... Social Medicine at Harvard Medical School who followed the development of this book with interest , and especially Leon Eisenberg , with whom we have par- ticipated in numerous stimulating conversations over the years . Nevertheless ...
... social strategies for changing our health care system . We , the co - authors of this book , are optimistic . Part , though by no means all , of that optimism is generated by the vigor and resilience of our health care institutions ...
... 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 and ...
... social insurance program that provides health insurance to those age sixty - five and over and ( since 1973 ) the disabled , as well as Med- icaid , the state and federal program that pays for health care for many ( but not all ) of 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 |