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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... various so- cial and economic areas , importantly including health . After our years in Washington we both returned to academia and some time later crossed paths once again at Harvard Medical School . During the 1970s Dr. Fein began a ...
... various periods and developments in medical education and medical care . We should be clear : what we call revolutions do not begin on a given date and end later at some fixed time . Rather , they involve the gradual emergence of new ...
... various chapters we pay special attention to the efforts to enact legislation that would provide health insurance to all Americans and to enhance the equitable distribution of health care . In Chapters 7 and 8 we discuss the challenges ...
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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 |