Flatlined: Resuscitating American Medicine

Flatlined: Resuscitating American Medicine

by Guy Clifton
     
 

ISBN-10: 0813544289

ISBN-13: 9780813544281

Pub. Date: 12/02/2008

Publisher: Rutgers University Press

Flatlined lifts the veil of secrecy on twenty-first century health care and delves into the realities of good people caught in a bad medical system. Dr. Guy L. Clifton, a practitioner as well as a policy advocate, reveals first-hand accounts of needless tragedy, such as the young man who died after a car wreck for lack of a bed in a qualified hospital and the

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Overview

Flatlined lifts the veil of secrecy on twenty-first century health care and delves into the realities of good people caught in a bad medical system. Dr. Guy L. Clifton, a practitioner as well as a policy advocate, reveals first-hand accounts of needless tragedy, such as the young man who died after a car wreck for lack of a bed in a qualified hospital and the surgeon who was dejected by the scarcity of resources needed to enable him to perform heart surgery on an uninsured man.

Arguing that a lack of coordinated care and quality medical practice benchmarks result in high levels of redundancy and ineffectiveness, Clifton proposes that the key to reducing health care costs, improving quality, and financially protecting the uninsured, is to reduce wastefulness, and offers a solution for achieving success.

Flatlined sounds the warning call: By 2018 Medicare and Medicaid will consume about one-third of the federal budget. American businesses now pay three times as much of their payroll for health care as global competitors, expected to worsen as health care grows at twice the rate of the U.S. economy. Based on his years of experience in policy and medicine, Clifton offers an attainable solution through the development of an American Medical Quality System.

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Product Details

ISBN-13:
9780813544281
Publisher:
Rutgers University Press
Publication date:
12/02/2008
Edition description:
New Edition
Pages:
304
Product dimensions:
6.20(w) x 9.00(h) x 1.30(d)

Table of Contents

1 Not business as usual 3

2 Unreliable emergency services 10

3 An eroding infrastructure 16

4 Fifteen years lost 25

5 Handed health care's leftovers 35

6 Where we are headed 49

7 30 percent waste - or 50? 57

8 Poor-quality primary care 67

9 Dangerous hospitals 77

10 Violation of dignity : the end of life 94

11 Unnecessary surgery 103

12 Perverse payment incentives 120

13 Three pathways to hospital profitability 139

14 Pharmaceuticals : remarkable innovation, shameless puffery 157

15 Private health insurance : no added value 170

16 Three options for covering the uninsured 179

17 No coverage expansion without cost control 201

18 A workable plan for reform 212

19 Establishing standards 224

20 Prioritizing primary care 232

21 Reducing spending on hospitals and specialists 243

22 Positioning of an American medical quality system 261

Notes 275

Index 313

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