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There are four major dilemmas at work in the rapid decline of the United States' healthcare system: the disappearing primary care sector, healthcare insurance reform, the influence of the pharmaceutical industry on the practice of medicine, and reform of malpractice litigation.
In The Rise and Fall of the American Medical Empire, Dr. Robert A. Linden provides a comprehensive, straightforward explanation of these four dilemmas, from the perspective of a primary care physician who has spent 30 years working directly with patients and seeing first-hand how changes in the system have impacted patients and physicians. Dr. Linden sorts out the fragments of information that most readers get through the media and fills in the blanks to provide a full, clear picture of what's wrong with the U.S. healthcare system, an impartial review of proposed solutions, and a look at what several other countries have done to reform their healthcare systems.
Unlike the many academician authors of previous books that have covered the problems only in part and skewed information toward their own agendas, this book will finally help the healthcare consumer understand the problems facing us and form their own assessments of what should be done to restore the American healthcare system.
|Publisher:||Sunrise River Press|
|Product dimensions:||5.90(w) x 8.90(h) x 0.80(d)|
About the Author
Table of Contents
About the Author 5
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
Glossary and Abbreviations 244