Inescapable Decisions: The Imperatives of Health Reform

Front Cover
Transaction Publishers, 1994 - 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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About the author (1994)

David Mechanic is director of the Institute for Health, Health Care Policy and Aging Research and René Dubos University Professor at Rutgers University. Among his books are Mental Health and Social Policy, The Truth About Health Care, and Policy Challenges in Modern Health Care.

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