An American Sickness

Author: Elisabeth Rosenthal
Publisher: Penguin
ISBN: 0698407180
Size: 24.44 MB
Format: PDF, ePub
View: 3642
A New York Times bestseller/Washington Post Notable Book of 2017/NPR Best Books of 2017/Wall Street Journal Best Books of 2017 "This book will serve as the definitive guide to the past and future of health care in America.”—Siddhartha Mukherjee, Pulitzer Prize-winning author of The Emperor of All Maladies and The Gene At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system - and offers practical solutions to its myriad problems. In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast? Breaking down this monolithic business into the individual industries—the hospitals, doctors, insurance companies, and drug manufacturers—that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn't just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.

Summary Of An American Sickness

Author: Cityprint
Publisher: Independently Published
ISBN: 9781093711011
Size: 50.44 MB
Format: PDF, ePub
View: 2976
NOTE: This is a summary guide and is meant as a companion to, not a replacement for, the original book.Our summaries are designed to teach you important lessons in a cost-effective and timely manner. They are coherent, concise and complete, highlighting the main ideas and concepts contained in the original books. Non-essential information is removed to save the reader hours of reading time. Save time and money by completing your reading list. Please follow this link to get regular new released book summary guides: https: // THE BOOK: An Amеrісаn Sісknеѕѕ (2017) tаkеѕ аn hоnеѕt lооk at the ѕtаtе оf thе Amеrісаn health-care ѕуѕtеm and frаnklу diagnoses іtѕ mаnу ailments. Whеn bіg buѕіnеѕѕ started tаkіng оvеr whаt wеrе оnсе сhаrіtаblе оrgаnіzаtіоnѕ, things bеgаn to gо truly wrоng. Rоѕеnthаl рrеѕеntѕ vаluаblе іnfоrmаtіоn оn hоw tо rеduсе hеаlth-саrе bіllѕ аnd nоt gеt taken fоr a rіdе bу grееdу hоѕріtаlѕ and over-prescribing dосtоrѕ.ABOUT THE AUTHOR: Dr. Elіѕаbеth Rosenthal, аftеr ѕреndіng mаnу уеаrѕ as a correspondent аnd reporter fоr thе Nеw York Tіmеѕ, bесаmе еdіtоr-іn-сhіеf of Kaiser Hеаlth News, a position ѕhе ѕtіll hоldѕ. A graduate оf Harvard Mеdісаl Sсhооl, ѕhе hаѕ іnvаluаblе еxреrіеnсе as an ER рhуѕісіаn аnd extensive training in іntеrnаl medicine.INTRODUCTION: Ovеr thе lаѕt fеw decades, hеаlth care hаѕ bесоmе a major роіnt оf debate іn thе Unіtеd Stаtеѕ. Pоlіtісіаnѕ оf аll stripes аrguе over thе рrісе оf mеdісіnе and different аррrоасhеѕ tо hеаlth insurance, but, thоugh everyone ѕееmѕ to аgrее that ѕоmеthіng isn't working, nо оnе ѕееmѕ tо hаvе a clear іdеа of exactly how to fіx іt. Hоw did іt соmе tо thіѕ? In thеѕе blіnkѕ, we'll dіvе dеер into thе US health-care system аnd еxрlоrе whу thе Unіtеd States аррrоасhеѕ trеаtmеnt оf thе іll vеrу dіffеrеntlу thаn mоѕt other Wеѕtеrn nаtіоnѕ. Wе'll lооk аt thе hіѕtоrу оf health care, as wеll as thе сurrеnt ѕіtuаtіоn аnd роѕѕіbіlіtіеѕ fоr thе future. Thеrе mау be a wау to ѕаvе a ѕуѕtеm that mоѕt раrtіеѕ agree is ѕісk. Yоu'll аlѕо fіnd out -whу prescription drugѕ аrе so еxреnѕіvе іn thе Unіtеd Stаtеѕ; -that hоѕріtаlѕ mаkе money on tests уоu mіght nоt nееd; аnd -whаt уоu саn dо tо start reducing hеаlth-саrе соѕtѕ now.

Issues For Debate In American Public Policy

Author: CQ Researcher,
Publisher: CQ Press
ISBN: 1544374801
Size: 63.44 MB
Format: PDF, Mobi
View: 1342
This collection of nonpartisan and thoroughly researched reports focuses on sixteen hot-button policy issues written by award-winning CQ Researcher journalists. Because it is an annual volume and comes together just months before publication, each report is as current as possible. And because it is CQ Researcher, the policy reports are expertly researched and written, showing all sides of an issue. Chapters follow a set organization, exploring three issue questions, then offering background, the current situation, and a look ahead, as well as featuring a yes-no debate box. All issues include a chronology, bibliography, photos, charts, and figures.


Author: Louise Aronson
Publisher: Bloomsbury Publishing USA
ISBN: 1620405482
Size: 55.11 MB
Format: PDF
View: 3439
As revelatory as Atul Gawande's Being Mortal, physician and award-winning author Louise Aronson's Elderhood is an essential, empathetic look at a vital but often disparaged stage of life. For more than 5,000 years, "old" has been defined as beginning between the ages of 60 and 70. That means most people alive today will spend more years in elderhood than in childhood, and many will be elders for 40 years or more. Yet at the very moment that humans are living longer than ever before, we've made old age into a disease, a condition to be dreaded, denigrated, neglected, and denied. Reminiscent of Oliver Sacks, noted Harvard-trained geriatrician Louise Aronson uses stories from her quarter century of caring for patients, and draws from history, science, literature, popular culture, and her own life to weave a vision of old age that's neither nightmare nor utopian fantasy--a vision full of joy, wonder, frustration, outrage, and hope about aging, medicine, and humanity itself. Elderhood is for anyone who is, in the author's own words, "an aging, i.e., still-breathing human being."

Values At The End Of Life

Author: Roi Livne
ISBN: 0674545176
Size: 11.13 MB
Format: PDF, ePub, Mobi
View: 3391
Once defiant of death--or even in denial--many American families and health care professionals are embracing the notion that a life consumed by suffering may not be worth living. Sociologist Roi Livne documents the rise and effectiveness of hospice and palliative care, and the growing acceptance that less treatment may be better near the end of life.

Taking Ethics Seriously

Author: John Hooker
Publisher: Taylor & Francis
ISBN: 1351578677
Size: 33.78 MB
Format: PDF, Mobi
View: 6778
This book develops an intellectual framework for analyzing ethical dilemmas that is both grounded in theory and versatile enough to deal rigorously with real-world issues. It sees ethics as a necessary foundation for the social infrastructure that makes modern life possible, much as engineering is a foundation for physical infrastructure. It is not wedded to any particular ethical philosophy but draws from several traditions to construct a unified and principled approach to ethical reasoning. Rather than follow the common academic practice of seeking a reflective equilibrium of moral intuitions and principles, it builds on a few bedrock principles of rational thought that serve as criteria for valid argumentation. It develops the ideas from the ground up, without presupposing any background in ethics or philosophy. Epistemologically, the book views ethics as parallel to mathematics, in that it relies on generally accepted proof techniques to establish results. Whereas mathematics rests on such proof paradigms as mathematical induction and proof by contradiction, ethics can be seen as relying on proof by applying consistency tests, such as generalizability and respect for autonomy. Utilitarianism also plays a key role, but it is reconceived as a deontological criterion. This approach obviously requires that these criteria be formulated more rigorously than is normally the case. To accomplish this, the book begins with the classical idea that an action is distinguishable from mere behavior by virtue of its having a coherent rationale, where coherence requires passing certain consistency tests such as generalizability. An action is therefore inseparable from its rationale, and generalizability is defined in terms of consistency with the rationale. A utilitarian criterion receives a similar treatment with respect to a means-end rationale. Respect for autonomy is grounded in a carefully developed action theory that takes into account such concepts as joint autonomy, implied consent, and the permissibility of interference with unethical behavior. It provides an account of responsibility that is both practical and theoretically satisfying, and it yields a novel solution of the much-discussed trolley car dilemmas. The book is written for a general audience and strives to be as readable and engaging as possible, while maintaining rigor. It begins by dispelling a raft of misconceptions that trivialize ethics and block its development as an essential tool of modern life, such as the notion that ethics is just a matter of opinion without rational foundation. After presenting the ethical principles just described, along with many examples, it provides several chapters that analyze real-life dilemmas, many obtained from the author’s students and professional workshop participants. One cannot understand physics or chemistry without seeing how their principles are applied to real problems, and the same is true of ethics. These chapters demonstrate that a unified normative theory can deal with a wide range of real cases while achieving a reasonable level of objectivity and rigor.

Free Cash Capital Accumulation And Inequality

Author: Craig Allan Medlen
Publisher: Routledge
ISBN: 135168549X
Size: 45.32 MB
Format: PDF, ePub
View: 748
Investment is the engine of growth. In consequence, the social welfare of the populace depends on the expectations of uncertain profitability as understood by the agents of a wealthy few who decide upon levels of investment. As private wealth is intimately tied to the investment process, the importance of wealth concentration goes far beyond considerations of equity. In recent years, private economic power has become increasingly concentrated as more of the population has become dependent upon an elite pursuing private ends. In this context, this book examines the role of capital accumulation in various historical contexts. Over seventy years ago, Michal Kalecki derived the mathematical relationship between government deficits, the external trade account and free cash—defined as the gross profit over and above that portion ploughed back into new investment. Since then, the free cash literature has remained largely within an industrial organizational context where free cash theory has helped to explain mergers. In contrast, this book, revisits Kalecki’s free cash construction at the macro and global level and explores the various causes and effects of free cash on the economy. As part of this examination, the author highlights the historical uses of free cash in imperialist adventures, mergers and speculative endeavours. In addition to developing a new relative valuation measure of capital accumulation, he also utilizes a neo-Kaleckian model to help explain the U.S. slowdown in investment since the late 1960s, the increasing inequality of wealth and income and the recent speculative episodes associated with the spillage of free cash. Finally, based on these models the book argues for heightened taxes on the wealthy and an increased role for government investment in health care and energy. Free Cash, Capital Accumulation and Inequality offers an explanation as to how wealth and income inequalities have fashioned, and been fashioned by, various historical episodes right up to the present. It will be of great interest to those studying and researching in the field of economic analysis.

Critical Condition

Author: Donald L. Barlett
Publisher: Broadway Books
ISBN: 9780385504553
Size: 28.82 MB
Format: PDF, Mobi
View: 7511
Exposing the most controversial, little-known practices of America’s most flawed system, Time magazine’s Pulitzer Prize-winning investigative team pulls back the curtain on the health care industry to explain exactly how things grew so out of control. Dirty examination and operating rooms in doctor’s offices and hospitals . . . Health care executives pulling in millions in bonuses for denying treatment to the sick . . . More than 100 million people with inadequate or no medical coverage . . . This may sound like the predicament of a third-world nation, but this is America’s health care reality today. The U.S. spends more on health care than any other nation, yet our benefits are shrinking and life expectancy is shorter here than in countries that spend significantly less per capita. Meanwhile, HMOs, pharmaceutical companies, and hospital chains reap tremendous profits, while politicians—beholden to insurers and drug companies—enact legislation for the benefit of the few rather than the many, while the entire system is on the verge of collapse. In CRITICAL CONDITION, award-winning investigative journalists Donald L. Barlett and James B. Steele expose the horror of what health care in America has become. They profile patients and doctors trapped by the system and offer startling personal stories that illuminate what’s gone wrong. Doctors tell of being second-guessed and undermined by health care insurers; nurses recount chilling tales of hospital meltdowns; patients explain how they’ve been victimized by a system that is meant to care for them. Drug companies profit by selling pills in the same manner that Madison Avenue sells soap, while Wall Street rakes in billions by building up and then tearing down health care businesses. And politicians pass legislation perpetuating the injustices and out-right fraud the system encourages. By analyzing the industry and offering an insightful prescription for getting it back on the right track, CRITICAL CONDITION is an enormously compelling investigative work that addresses the concerns of every American.

Where Did My Money Go

Author: Bob Hopkins
Publisher: WestBow Press
ISBN: 1449740324
Size: 76.53 MB
Format: PDF, ePub, Mobi
View: 7603
Have you ever wondered why you, like most Americans, are broke at the end of every month? Are you a slave to the monthly payment? Do you believe that things in your life would be better if you only got that well-deserved raise? Are you stuck in debt and believe there is no way out and no other way to obtain lifes needs? Did you know one-third of your lifes earnings will go to your house payment as another third goes to pay taxes? Would you like a better way to look at personal finances that will set you free from the shackles of the modern system of debt? Then this could be the very thing you need, as the answers to these questions will be easily explained within. The key to wealth is to be debt free, as commanded by God. Where Did My Money Go? can lead you in that direction by teaching you how to become debt free and recognize the predators knocking on your door in a culture dripping with materialism. Take a journey into a new life free from the banks, finance companies, mortgage companies, college loan companies, and all the other wolves at your door who simply want to take your hard-earned dollar.

The Economic Evolution Of American Health Care

Author: David Dranove
Publisher: Princeton University Press
ISBN: 9781400824687
Size: 19.11 MB
Format: PDF
View: 2758
The American health care industry has undergone such dizzying transformations since the 1960s that many patients have lost confidence in a system they find too impersonal and ineffectual. Is their distrust justified and can confidence be restored? David Dranove, a leading health care economist, tackles these and other key questions in the first major economic and historical investigation of the field. Focusing on the doctor-patient relationship, he begins with the era of the independently practicing physician--epitomized by Marcus Welby, the beloved father figure/doctor in the 1960s television show of the same name--who disappeared with the growth of managed care. Dranove guides consumers in understanding the rapid developments of the health care industry and offers timely policy recommendations for reforming managed care as well as advice for patients making health care decisions. The book covers everything from start-up troubles with the first managed care organizations to attempts at government regulation to the mergers and quality control issues facing MCOs today. It also reflects on how difficult it is for patients to shop for medical care. Up until the 1970s, patients looked to autonomous physicians for recommendations on procedures and hospitals--a process that relied more on the patient's trust of the physician than on facts, and resulted in skyrocketing medical costs. Newly emerging MCOs have tried to solve the shopping problem by tracking the performance of care providers while obtaining discounts for their clients. Many observers accuse MCOs of caring more about cost than quality, and argue for government regulation. Dranove, however, believes that market forces can eventually achieve quality care and cost control. But first, MCOs must improve their ways of measuring provider performance, medical records must be made more complete and accessible (a task that need not compromise patient confidentiality), and patients must be willing to seek and act on information about the best care available. Dranove argues that patients can regain confidence in the medical system, and even come to trust MCOs, but they will need to rely on both their individual doctors and their own consumer awareness.