The Death of Patient Care in America: a guide to how it happened and how it might be resuscitated

The Death of Patient Care in America: a guide to how it happened and how it might be resuscitated

by Steven Jay Block


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THE DEATH OF PATIENT CARE IN AMERICA is much more than a discourse on the evolution of healthcare delivery in human society and its evolution into the current, misguided American system, which is plagued by powerful lobbyists at the expense of patients. Based on more than four decades of private, solo practice in cardiology, DR. BLOCK provides specific examples, illustrating how the false promises, and deliberately misleading pronouncements of politicians have betrayed the public by constructing incomprehensible so-called “solutions” that discourage organized objection. The buzz phrase of "better patient care at lower cost" is a sham. THE DEATH OF PATIENT CARE IN AMERICA, through its website, offers the concerned citizen a clear path that could ultimately resuscitate what has died at the hands of Insurance companies, Big Pharma, hospital associations, device makers and their consultants.

Product Details

ISBN-13: 9781090885098
Publisher: Steven J. Block, M.D.
Publication date: 04/10/2019
Pages: 268
Product dimensions: 6.00(w) x 9.00(h) x 0.61(d)

About the Author

Dr. Block obtained his medical degree from BUSM, his medical internship at the Long Island Jewish Medical Center, his specialty training in general medicine at a UCLA-affiliated program and his subspecialty training in cardiology at the Cedars-Sinai Medical Center in Los Angeles. He moved to Lodi California in 1976, where he updated the intensive care unit at Lodi Community Hospital. He later established the Lodi Heart Center, where he continues his solo practice in cardiology. His more than forty years in the practice of medicine in both urban and rural environments has granted him a unique prospective, allowing him to appreciate the gradual, but inexorable decline in patient care as special interest groups have captured and dominated the politics on both sides of the aisle.

Table of Contents


Acknowledgments ix

Introduction xi

  1. A very brief history of the practice of medicine 1

  2. Medicare and Medicaid 16

  3. My Story 31

  4. The Hospitalist 47

  5. The truth about the ACA 59

  6. Trump’s back-up plan 98

  7. A free lunch that costs less than the alternative 101

  8. The American Medical Association 103

  9. The ACA and its MACRA and MIPS provisions 109

  10. The tainting of the emergency room concept 147

  11. Hospital camouflage hiding cost 153

  12. Over-utilization 156

  13. The pharmaceutical industry 171

  14. The power of Big Pharma 194

  15. Hospital industry versus pharmaceutical industry 197

  16. High-tech physician burnout 199

  17. Concierge medicine 213

  18. Why is there Medicare and not Legalcare? 216

  19. Kaiser Permanente 220

  20. Three new players – same old problem? 232

  21. Summary and Conclusions 234

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