Inescapable Decisions: The Imperatives of Health Reform
Transaction Publishers - 296 pages
"Inescapable Decisions" examines the disarray in the American health care system and proposes major corrective strategies. Mechanic shows that the high-technology interventionist type of medicine commonly practiced in the United States has lost its sense of priorities and balance. Expensive and sometimes dangerous procedures of unknown efficacy are used excessively and often inappropriately, while many basic preventive and primary care services remain unavailable to those who need them the most. This incredibly complex system of care operates in an environment of heavy-landed rules and regulations and enormous waste of resources.
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All rights reserved under International and Pan - American Copyright Conventions . ... Library of Congress Catalog Number : 93-13425 ISBN : 1-56000-121-6 Printed in the United States of America Library of Congress Cataloging - in ...
The American Medical Care System 2. Sources of Countervailing Power in Medicine 3. Professional Judgment and the Rationing of Medical Care II . Need for a New Paradigm 4. Conceptions of Health 5. Promoting Health and Independence 6.
Social Science Medicine Public Policy Inescapable Decisions The Imperatives of Health Reform David Mechanic Inescapable Decisions examines the disarray in the American health care system and proposes major corrective strategies .
I argue that while physician autonomy is being eroded in certain areas , medicine as a cultural paradigm is more powerful than ever and that medical perspectives continue to dominate many aspects of American life .
... the system encounters and the shape of health care services . Greater awareness of the issues can help us define more effective and more humane policies . PARTI The Medical Care System in Disarray 1 The American Introduction ху.
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