The Health Care Mess: How We Got Into It and What It Will Take To Get Out

The Health Care Mess: How We Got Into It and What It Will Take To Get Out

by Julius B. Richmond, Rashi Fein
     
 

If we can decode the human genome and fashion working machines out of atoms, why can't we navigate the quagmire that is our health care system? In this important new book, Julius Richmond and Rashi Fein recount the fraught history of health care in America since the 1960s. After the advent of Medicare and Medicaid and with the progressive goal to make advances in

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Overview

If we can decode the human genome and fashion working machines out of atoms, why can't we navigate the quagmire that is our health care system? In this important new book, Julius Richmond and Rashi Fein recount the fraught history of health care in America since the 1960s. After the advent of Medicare and Medicaid and with the progressive goal to make advances in medical care available to all, medical costs began their upward spiral. Cost control measures failed and led to the HMO revolution, turning patients into consumers and doctors into providers. The swelling ranks of Americans without any insurance at all dragged the United States to the bottom of the list of industrialized nations.

Over the last century medical education was also profoundly transformed into today's powerful triumvirate of academic medical centers, schools of medicine and public health, and research programs, all of which have shaped medical practice and medical care. The authors show how the promises of medical advances have not been matched either by financing or by delivery of care.

As a new crisis looms, and the existing patchwork of insurance is poised to unravel, American leaders must again take up the question of health care. This book brings the voice of reason and the promise of compromise to that debate.

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Product Details

ISBN-13:
9780674019249
Publisher:
Harvard University Press
Publication date:
09/06/2005
Edition description:
New Edition
Pages:
320
Product dimensions:
5.82(w) x 8.60(h) x 1.11(d)

Table of Contents

Foreword
Pt. IThe early years : 1900-1965
1The educational and scientific revolution : higher standards and changing priorities9
2The consumer revolution : increasing access to medical care30
Pt. IIIn the wake of Medicare and Medicaid : 1965-1985
3Emerging tensions between regulation and market forces : dealing with growth55
4Education for the health professions : the impact of growth89
Pt. IIIMoving to the present : 1985-2005
5The entrepreneurial revolution : a changing face for medicine129
6Beyond the dollars : progress in health and the role of public health158
Pt. IVAnticipating the next revolution : 2005 and beyond
7Medical challenges and opportunities191
8Increasing equity : achieving universal health insurance228

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