Epidemic of Care: A Call for Safer, Better, and More Accountable Health Care / Edition 1

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Overview

Health care costs in America are skyrocketing, with premium increases of thirty to forty percent not unheard of for some insurers and some consumers. And what does the system have to show for it? More than forty million uninsured citizens, inconsistent and unaccountable care, and the fastest growing and most wasteful health care delivery economy in the world. In Epidemic of Care, two of the country's most prominent leaders in health care offer a primer on health care cost drivers— and what can be done to curtail them and save the system. This hard-hitting look at a failing system reveals

  • Why the cost of health care will cause deep cuts in the take-home pay of American workers— a twelve percent premium increase wipes out a four percent salary increase
  • How voter demands for changes in the system will bring about a political nightmare
  • Why many smaller companies will drop health care coverage altogether, leaving millions uninsured
  • How our health care delivery system is really a non-system—with millions of independent, uncoordinated, and separately moving parts and its own priorities
  • Why health care will never approach perfection until computers become exam room tools for the frontline physician
  • How to cure the system in a way politically acceptable to all sides
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Product Details

  • ISBN-13: 9780787968885
  • Publisher: Wiley
  • Publication date: 4/22/2003
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 304
  • Product dimensions: 6.22 (w) x 9.29 (h) x 1.19 (d)

Meet the Author

George C. Halvorson is chairman and CEO of Kaiser Permanente, America's leading integrated health care organization. He was formerly president and CEO of HealthPartners in Minneapolis, Minnesota and has helped start HMOs in countries around the world. Halvorson has written several books on health care topics, including the highly-praised Strong Medicine (1993).

George J. Isham, M.D., is medical director and chief health officer for HealthPartners. He is a founding board member of the Institute for Clinical Systems Improvement in Minnesota and has been a national leader in quality improvement methods.

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Table of Contents

Preface and Acknowledgments
Foreword
Introduction: What Happened to My Paycheck?
The Authors
1 Miracles Cost Money 1
2 Unsafe at Any Cost 13
3 Who Really Pays for All of That Care? 35
4 If It Works or Might Work, You Owe It to Me: How Americans' Entitlement to Care Drives Up Costs 47
5 Care Monopolies 63
6 Does the United States Pay Fair Prices by World Standards? 85
7 How the Internet is Changing Health Care: I Learned About My Prosthesis on the Web 99
8 The Coming Crunch in Health Care Workers 109
9 Medical Necessity Calls, Fee Cuts, and PR Errors - Not a Good Start 117
10 So Why Don't We Just Go to a Single-Payer System and Save Bucks Like the Brits? 143
11 Where Do We Go From Here? A Call for a National Health Strategy 155
12 Patients Deserve Safe Care 159
13 401(k) Equivalent Choices in Health Care 181
14 Most Health Care Costs Are the Result of Bad Health 193
15 Caregiver Monopolies Should Not Be Our Care Model of Choice 207
16 Cut the Number of Uninsured in Half 217
17 Training Tomorrow's Caregivers and Reengineering Care Delivery 233
18 A Call to Action 241
Notes 247
Index 261
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Customer Reviews

Average Rating 3.5
( 4 )
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Sort by: Showing all of 4 Customer Reviews
  • Anonymous

    Posted April 11, 2005

    Propaganda form HMO Millionaires

    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.

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  • Anonymous

    Posted August 26, 2003

    excellent

    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.

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  • Anonymous

    Posted August 27, 2003

    Epidemic of Care

    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.

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  • Anonymous

    Posted August 26, 2003

    Health care's diagnosis--and potential cure

    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.

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