Taming the Beloved Beast: How Medical Technology Costs Are Destroying Our Health Care System

Taming the Beloved Beast: How Medical Technology Costs Are Destroying Our Health Care System

by Daniel Callahan
     
 

"Dan Callahan is one of the most important thinkers in health care today. Love him or hate him, you need to reckon with his ideas. Taming the Beloved Beast is a direct challenge to the central health care issue of our time—the capability and cost of medical care."—David Cutler, Harvard University

"An extraordinarily clear and important

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Overview

"Dan Callahan is one of the most important thinkers in health care today. Love him or hate him, you need to reckon with his ideas. Taming the Beloved Beast is a direct challenge to the central health care issue of our time—the capability and cost of medical care."—David Cutler, Harvard University

"An extraordinarily clear and important contribution. Callahan argues that many new medical technologies yield only very marginal benefits relative to their high costs for the majority of those who receive them. This book should be of interest to everyone who is involved in any way with health care policy and health reform issues."—Leonard M. Fleck, Michigan State University

"This is the only major book of which I am aware that places the escalating costs of medical technology at the center of the health care reform maelstrom. Callahan explains why we are facing a serious and urgent crisis in health care spending and why a cultural revolution is needed to bring about meaningful and sustainable change."—Alan B. Cohen, Boston University Health Policy Institute

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Product Details

ISBN-13:
9780691142364
Publisher:
Princeton University Press
Publication date:
08/17/2009
Pages:
288
Sales rank:
1,077,879
Product dimensions:
6.30(w) x 9.20(h) x 1.00(d)

Meet the Author

Daniel Callahan is senior researcher and president emeritus at the Hastings Center, which he cofounded, and an elected member of the Institute of Medicine of the National Academy of Sciences. His many books include "Medicine and the Market".

Table of Contents


Preface ix

Introduction 1

CHAPter 1: Medicare on the Ropes 10

CHAPter 2: Taming the Beloved Beast: Medical Technology 37

CHAPter 3: Getting Serious about Costs and Technology 67

CHAPter 4: Competition: The Fix That Will Fail 92

CHAPter 5: The Cohabitation of Medicine and Commerce 120

CHAPter 6: "Medical Necessity": An All-But-Useless Concept 143

CHAPter 7: Redefining "Medical Necessity": From Individual Good to Common Good 171

CHAPter 8: Getting Out from Under: The Politics of Pain 201

Coda 229

Notes 235

Index 257

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