Epidemic of Care: A Call for Safer, Better, and More Accountable Health Care / Edition 1by George C. Halvorson, George J. Isham MD
Pub. Date: 04/22/2003
Health care premiums in the U.S. are escalating from twelve totwenty percent a year— with no end in sight. The impact ofthose cost increases on both employers and employees will be huge.Workers will see a direct cut in their take-home pay. Millions willlose health insurance coverage completely. Senior citizens on fixedincomes will be hit particularly hard, as… See more details below
Health care premiums in the U.S. are escalating from twelve totwenty percent a year— with no end in sight. The impact ofthose cost increases on both employers and employees will be huge.Workers will see a direct cut in their take-home pay. Millions willlose health insurance coverage completely. Senior citizens on fixedincomes will be hit particularly hard, as premiums for theirMedicare supplement plans and prescription drug costs climb.Frustrated and angry, people will soon be demanding a solution fromtheir elected officials, and, for the first time in recent memory,the size of our unemployed population will become a real politicalissue rather than just the subject of energetic rhetoric. It istime to recognize that we are moving into a major health carecrisis in this country, a crisis driven by the way we deliver,receive, and pay for care.
Epidemic of Care offers a comprehensive assessment of thefactors behind the cost crisis, how the crisis will escalate, andwhat can be done to improve the situation. A blueprint for gettingto a coherent national health policy, this book calls for acollaboration between different parts of the private sector, stateand local governments, and, at times, the federal government—with a formula that can succeed no matter who rules Congress.Authors George C. Halvorson and George J. Isham, M.D.— twoindividuals who have made an impressive impact on the nationalhealth care scene— provide some practical, field-tested,sometimes controversial suggestions about how to make health carein this country more accountable, more efficient, more valuable,and more affordable.
- Publication date:
- Edition description:
- New Edition
- Product dimensions:
- 6.22(w) x 9.29(h) x 1.19(d)
Table of Contents
Preface and Acknowledgments.
Introduction: What Happened to My Paycheck?
1. Miracles Cost Money.
2. Unsafe at Any Cost.
3. Who Really Pays for All of That Care?
4. If It Works or Might Work, You Owe It to Me: How Americans’ Entitlement to Care Drives Up Costs.
5. Care Monopolies.
6. Does the United States Pay Fair Prices by World Standards?
7. How the Internet Is Changing Health Care: I Learned About My Prosthesis on the Web.
8. The Coming Crunch in Health Care Workers.
9. Medical Necessity Calls, Fee Cuts, and PR Errors—Not a Good Start.
10. So Why Don’t We Just Go to a Single-Payer System and Save Bucks Like the Brits?
11. Where Do We Go from Here? A Call for a National Health Strategy.
12. Patients Deserve Safe Care.
13. 401(k) Equivalent Choices in Health Care.
14. Most Health Care Costs Are the Result of Bad Health.
15. Caregiver Monopolies Should Not Be Our Care Model of Choice.
16. Cut the Number of Uninsured in Half.
17. Training Tomorrow’s Caregivers and Reengineering Care Delivery.
18. A Call to Action.
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HMOs are the primary reason our health care system is in trouble. This book is simply propaganda written by two of the benefactors of the crimes committed against the U.S. public by HMOs. Enthoven,by the way, was McNamara's 'numbers' man for the Viet Nam War.
Epidemic of Care provides a succinct overview of what presently ails our nations health care delivery system. It demonstrates how our health care delivery system is really a non-system with millions of independent, uncoordinated, and separately moving parts, priorities and vested interests. The result of this morass, more than forty million uninsured citizens, inconsistent and unaccountable care, and the fastest growing and most wasteful health care delivery economy in the world. The authors argue that it is time for all parties -- payors, providers, consumers and policymakers -- to recognize that the U.S. is approaching a major health care crisis that is driven by the way we deliver, receive, and pay for care. Epidemic of Care offers a convincing portray how this impending crisis will impact nearly every segment of our society, including: >> diminished take-home pay for America¿s workers >> increases to the rate of uninsured as smaller companies drop health care coverage altogether >> strains to senior¿s incomes as premiums for Medicare supplement plans and prescription drug costs climb >> diminished quality resulting from inconsistent or uncoordinated care The cure -- collaboration between payors, providers, consumers and policymakers to achieve a more accountable, efficient and affordable health care delivery system.
In clear terms, Halvorson and Isham examine why the American health care ¿non-¿ system continues to deliver some of the best health care in the world¿and some of the worst¿at a price fewer and fewer people can afford. The authors do an excellent job of assessing the current health care landscape, how it got that way, and what health care decision-makers and consumers can do about it. In these days of ¿cost shifting¿ and ¿skinny¿ benefits, their emphasis on health care delivery redesign is a refreshing reminder that measuring and rewarding quality is the only way to truly solve the health care crisis.
Health care will probably be a hot topic in the 2004 presidential election; stay informed by reading this great analysis of our health care system. Especially interesting were the chapters on 'miracle' treatments (costs may seem high, but we're actually getting tremendous value for our dollars ) and the chapter comparing the U.S. health system with those of other nations.