The Rise & Fall of the American Medical Empire: A Trench Doctor's View of the Past, Present, and Future of the U.S. Healthcare System

The Rise & Fall of the American Medical Empire: A Trench Doctor's View of the Past, Present, and Future of the U.S. Healthcare System

by Robert Linden

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Product Details

ISBN-13: 9781934716083
Publisher: Sunrise River Press
Publication date: 01/15/2010
Pages: 304
Product dimensions: 5.90(w) x 8.90(h) x 0.80(d)

About the Author

Dr. Robert A. Linden is board certified in internal medicine and geriatrics. He received a B.A. from Cornell University in 1971 and his M.D. from Cornell Medical College in 1975. Internship and residency were performed at the University of Tennessee. He is a Fellow in the American College of Physicians and has been a member of the part-time teaching faculty at Yale School of Medicine. Dr. Linden has gleaned his interest, information, and experiences for this book from 30 years of practice in both hospital and outpatient primary care internal medicine along with considerable time spent on the Board of Directors and Risk Management Committee of Connecticut's physician-owned malpractice insurance company and as Chairman of his hospital's Pharmacy and Therapeutics Committee.

Table of Contents

Preface 4

About the Author 5

Acknowledgments 8

Introduction 9

Part 1 The Death of Primary Care 13

Chapter 1 Primary Care Medicine and the Disappearing Internist 14

Chapter 2 Reasons for the Decline 20

Chapter 3 Can Primary Care Be Resuscitated? 37

Part 2 U.S. Health Care in Disarray? 44

Chapter 4 The History of Insurance 45

Chapter 5 What Does the U.S. Healthcare System Presently Offer? 53

Chapter 6 The American Healthcare System's Most Pressing Problems 64

Chapter 7 Healthcare Systems Around the World 100

Chapter 8 Public Opinion and the U.S. Healthcare Wish List 112

Chapter 9 Potential Solutions for America's National Healthcare Dilemma 117

Part 3 The Pharmaceutical Industry and its Infiltration into the Science and Practice of Medicine 132

Chapter 10 Numbers, Profits, Marketing, and Controversy 133

Chapter 11 Drug Firm Permeation of the Office/Medical School Setting 138

Chapter 12 Direct-to-Consumer Advertising 149

Chapter 13 Continuing Medical Education Lectures-Are They Tainted? 153

Chapter 14 The Commercial Funding of Academic Research 158

Chapter 15 Journal and Newspaper Publication 170

Chapter 16 Practice Guidelines 174

Chapter 17 Pharmaceutical and Medical Device Industry Alliances with Managed Care, Benefit Management Companies and Healthcare Equipment Suppliers 178

Chapter 18 The Pharmaceutical Industry and Organized Medicine 181

Chapter 19 Big Pharma and the FDA-A Fox Guarding the Henhouse? 183

Chapter 20 The Industry and Congress 191

Chapter 21 Is Change Imminent? 193

Part 4 Malpractice Litigation-Problems and Solutions for Patients and Physicians 203

Chapter 22 What Is Malpractice, What Does It Cost and Who Arethe Players? 204

Chapter 23 Why Do Patients Sue? 216

Chapter 24 What Is Causing the Present Liability Crisis? 223

Chapter 25 Consequences of the Current System 228

Chapter 26 Possible Solutions 234

Conclusion 242

Glossary and Abbreviations 244

Endnotes 259

Index 295

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