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Rx for Health Care Reform
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Binding: Paperback
Dewey Decimal Number: 362.104250973
EAN: 9780826515711
Edition: 1
ISBN: 0826515711
Label: Vanderbilt University Press
Manufacturer: Vanderbilt University Press
Number Of Items: 1
Number Of Pages: 344
Publication Date: September 15, 2007
Publisher: Vanderbilt University Press
Release Date: August 01, 2007
Studio: Vanderbilt University Press
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Editorial Review:
In this readable and well-researched book, Ken Terry analyzes the current state of health care reform and finds it wanting. Instead of tackling the core problems in our failing system, he argues, politicians, insurance executives, and health care leaders have embraced ideologically driven initiatives that pursue impractical objectives or will take too long to bear fruit. Among these are such widely hailed trends as disease management, pay for performance, cost and price ìtransparency,î consumer-directed care, and health information technology, none of which will reverse the rising tide of health spending. What is creating this nightmare scenario, according to Terry, is the sheer profitability of the health care industry. Insurers, physicians, hospitals, pharmaceutical companies, and device manufacturers are all striving to maximize their profits, and there is no effective competition or regulation to restrain them. Only a complete overhaul of our system for financing and delivering health care can get us out of this mess, the author maintains. In the second half of his book, he presents a bold vision of how to do this: First, he says, all primary care physicians should join group practices that are large enough to take financial responsibility for professional services. And second, competition among those physician groups, based on cost and quality, should replace competition among health plans. There should be only one government-regulated insurer per region, he says, and it should have no role in managing care.
Customer Reviews
Average Rating: 
Rating: - Essential Reading
The author has written a meticulously researched and penetrating analysis of America's health care system that should be required reading for anyone interested in meaningful and pragmatic reform.
If you can get this book in the hands of an elected official or candidate, please do so!
Rating: - A Must-Read
If you really want to understand what's wrong with our health care system and how to fix it, this is the book to start with. You won't find a clearer or more thoughtful analysis of the system's problems anywhere (certainly not in the position papers of the presidential candidates), nor will you find a better route to a cure. Terry eschews rhetoric and generalities in favor of facts and real-life examples and explains in straightforward language how we got where we are and what we need to do to make ... Read More
Rating: - Worthwhile Reading for everone interested in healthcare
This book should be required reading for physicians, hospital administrators and others concerned with the direction medicine is taking. It should also be read by every employer, labor leader and government official responsible for designing or implementing a health plan. Terry provides a carefully researched history of the development of America's healthcare system, a cogent assesment of its current strengths and weaknesses, and specific, albeit controversial, recommendations for its reform. He desribes ... Read More
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