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Epidemic of Care. A Call for Safer, Better, and More Accountable Health Care

  • ID: 2214715
  • Book
  • May 2003
  • Region: Global
  • 304 Pages
  • John Wiley and Sons Ltd
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Health care costs in America are skyrocketing, with premium increases of 30 to 40 percent not unheard of for some insurers and some consumers. And what does the system have to show for it? More than forty million uninsured citizens, inconsistent and unaccountable care, and the fastest growing and most wasteful health care delivery economy in the world. In Epidemic of Care, two of the country′s most prominent leaders in health care offer a primer on health care cost drivers and what can be done to curtail them and save the system. This hard–hitting look at a failing system reveals

  • Why the cost of health care will cause deep cuts in the take–home pay of American workers a 12 percent premium increase wipes out a 4 percent salary increase
  • How voter demands for changes in the system will bring about a political nightmare
  • Why many smaller companies will drop health care coverage altogether, leaving millions uninsured
  • How our health care delivery system is really a non–system with millions of independent, uncoordinated, and separately moving parts and its own priorities
  • Why health care will never approach perfection until computers become exam room tools for the frontline physician
  • How to cure the system in a way politically acceptable to all sides

"Everyone with a serious interest in American health care must read this book. As we seek to move the national dialogue to a higher level, this book will be the invaluable guide."
Excerpted from the Foreword by Alain Enthoven, Marriner S. Eccles Professor of Public and Private Management (Emeritus), Graduate School of Business, Stanford University

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Preface and Acknowledgments.


Introduction: What Happened to My Paycheck?

The Authors.

1. Miracles Cost Money.

2. Unsafe at Any Cost.

3. Who Really Pays for All of That Care?

4. If It Works or Might Work, You Owe It to Me: How Americans Entitlement to Care Drives Up Costs.

5. Care Monopolies.

6. Does the United States Pay Fair Prices by World Standards?

7. How the Internet Is Changing Health Care: I Learned About My Prosthesis on the Web.

8. The Coming Crunch in Health Care Workers.

9. Medical Necessity Calls, Fee Cuts, and PR Errors Not a Good Start.

10. So Why Don t We Just Go to a Single–Payer System and Save Bucks Like the Brits?

11. Where Do We Go from Here? A Call for a National Health Strategy.

12. Patients Deserve Safe Care.

13. 401(k) Equivalent Choices in Health Care.

14. Most Health Care Costs Are the Result of Bad Health.

15. Caregiver Monopolies Should Not Be Our Care Model of Choice.

16. Cut the Number of Uninsured in Half.

17. Training Tomorrow s Caregivers and Reengineering Care Delivery.

18. A Call to Action.



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George C. Halvorson
George J. Isham MD
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