Fresh Medicine: How to Fix Reform and Build a Sustainable Health Care System

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Overview

"American health care, which has come so far in the last century, seems now to have lost its way. Its productivity has stagnated, with its growth in cost far outstripping its gain in effectiveness. Its blueprint is obsolete: a design for acute illness when chronic illness increasingly absorbs our resources and shortens our lives. Entrenched interests paralyze it just when it most needs to change and adapt."

"Our 'reform' wasn't transformational, nor was it particularly courageous. The planets were aligned: for a moment, Americans were attentive,

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Fresh Medicine: How to Fix Reform and Build a Sustainable Health Care System

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Overview

"American health care, which has come so far in the last century, seems now to have lost its way. Its productivity has stagnated, with its growth in cost far outstripping its gain in effectiveness. Its blueprint is obsolete: a design for acute illness when chronic illness increasingly absorbs our resources and shortens our lives. Entrenched interests paralyze it just when it most needs to change and adapt."

"Our 'reform' wasn't transformational, nor was it particularly courageous. The planets were aligned: for a moment, Americans were attentive, were ready to listen and to try new things. But neither the president nor the Congress-and I include both parties here-were willing to talk plainly and honestly to the American people. They were unwilling to tell us things we didn't want to hear or to call on us to do anything hard."

"America is on a dangerous collision course with fiscal reality that we can't ignore much longer. To remind us: in 2008 our Medicare program alone had unfunded liabilities of around $37 trillion. To put that in perspective, that represents a current obligation of about $280,000 for every full-time worker in America."

"Our high cost of health care, and its continued high rate of growth, is not the result of technology, or administrative overhead, or chronic disease, or malpractice suits, or the lack of information systems, or transparency. It's the direct and inevitable result of our having systematically removed the economic tension between buyer and seller that makes efficient markets work."

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Editorial Reviews

Publishers Weekly
Beginning with the words "Health care in America is broken," and the claim that its underlying structure (insurance; uncoordinated providers) is obsolete, Tennessee governor Bredeson lays out a "new set of principles" to guide reform. While he supported President Obama's health care reform package, he now calls it "a stunning disappointment" and flags an inadequate funding mechanism and the act's failure to establish fiscal and quality control, which will lead to sky-rocketing costs. He proposes many improvement measures, including six well-considered "stepping stones," like the establishment of a trust account modeled on Social Security and financed by new taxes, and an independent audit of healthcare organizations, and would replace the recently-challenged mandate with a national voucher system. Prior to public service Bredesen founded and ran a managed-care company and, as governor, has been faced with overseeing TennCare, the State's controversial experimental program which, he writes, is an example of how a well-intentioned medical reform can spin "wildly out of control." Bredesen's belief in the value of direct experience led him to undertake this endeavor and he crystallizes that experience into a concise yet comprehensive effort.
(c) Copyright PWxyz, LLC. All rights reserved.
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Product Details

  • ISBN-13: 9780802119384
  • Publisher: Grove/Atlantic, Inc.
  • Publication date: 10/5/2010
  • Pages: 288
  • Product dimensions: 5.70 (w) x 8.30 (h) x 1.20 (d)

Table of Contents

Introduction 1

A Contrarian View 10

What's Wrong with Reform 24

The Roots of America's Health Care System 45

Health "Insurance" 61

Moving Forward 69

Stepping-Stone 1 Dignified, Fair, and Universal 77

Stepping-Stone 2 Why Health Care is so Expensive 97

Stepping-Stone 3 Managing Hypercomplexity 121

Stepping-Stone 4 Quality 140

Stepping-Stone 5 Systems of Care 162

Stepping-Stone 6 Paying for Health Care 181

Putting it All Together 207

Twenty Years Later 225

Epilogue 245

Acknowledgments 249

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Customer Reviews

Average Rating 3.5
( 6 )
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Sort by: Showing all of 6 Customer Reviews
  • Anonymous

    Posted June 15, 2013

    RULES AND DATE OF WRITING CONTEST

    Due date- the end of June
    Rules
    1. No innapropriate content
    2. Check grammar, spelling, ect,.
    3. Be imaginative

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  • Anonymous

    Posted June 15, 2013

    The Real Way of Thinking ¿ Chapter One

    • Note: Stay away from the kitchen counter. • <p> Daddy says I can be out of my mind sometimes, and then he pets my hair. I pull away from him, hoping he won't do that again. "Courtney, touching is okay." <br> "No, it's not." <br> "So you don't like to be touched?" <br> "Yes. Touching isn't good." <br> "You are strange." <br> I walk away to go watch TV, then realize I want some water. I walk back into the kitchen and try and get past him. He pushes me back a ways and holds me there with his arm. "Not now, sport." I walk away, cringing. <p> •Note: Bubble baths are not for Border Collies. • <p> My border collie Silo is dirty when I first see him upstairs. I fill the bath, and put soap in. He jumps into the bath and swims. I rub the bubbles into his fluffy fur. He kicks and splashes like crazy, splashing the whole bathroom with water and soap. Then, I hear footsteps. "WHAT ARE YOU DOING? YOU COULD FLOOD THE WHOLE BATHROOM!" I jump at my dad's angry face. I want to go back to my hiding hole in my room. But I'm trapped.

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  • Anonymous

    Posted February 13, 2011

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    Posted March 5, 2011

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  • Anonymous

    Posted March 2, 2014

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  • Anonymous

    Posted July 20, 2011

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