Getting What We Deserve: Health and Medical Care in America
Johns Hopkins University Press, 2 okt. 2009 - 152 pagina's
One of America's leading public health experts finds a host of ills in this country's health care system:
• The United States spends nearly twice as much on health care as the rest of the developed world, yet has higher infant mortality rates and shorter longevity than most nations.• We have access to many different drugs that accomplish the same end at varying costs, and nearly all are cheaper abroad.• Our life span had doubled over the past century before we developed effective drugs to treat most diseases or even considered altering the human genome.• The benefits of almost all newly developed treatments are marginal, while their costs are high.
In his blunt assessment of the state of public health in America, Alfred Sommer argues that human behavior has a stronger effect on wellness than almost any other factor.
Despite exciting advances in genomic research and cutting-edge medicine, Sommer explains, most illness can be avoided or managed with simple, low-tech habits such as proper hand washing, regular exercise, a balanced diet, and not smoking. But, as he also shows, this is easier said than done.
Sommer finds that our fascination with medical advances sometimes keeps us from taking responsibility for our individual well-being. Instead of focusing on prevention, we wait for medical science to cure us once we become sick.
Humorous, sometimes acerbic, and always well informed, Sommer’s thought-provoking book will change the way you look at health care in America.
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... driving interventions and costs is misplaced incentives. Our (largely) fee-for-
service reimbursement scheme pays for “disease-work.” Capitation is an
alternative model for financing and delivering care: physicians (and institutions)
are paid a ...
The United States would obviously benefit from a fresh, new look at how we
deliver and pay for care and from a willingness to consider radical reforms for
more efficient and effective delivery and financing systems. But such openness is
... for drugs, 105-6; growth of, 77,78,103; hidden, 101-2; and market forces, 92-
100, 120n5; for Medicare, 82-83, 84; public financing of, 101-2; reducing, 102;
technology as factor in, 85-88; variations in, 79-80, 82-84 health care
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Sometimes Destiny Sometimes Not
THE COMPLEX NATURE o CAUSALITY
CHoosNc THE HEALTHIER LIFESTYLE
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