The Truth About Health Care Why Reform is Not Working in America 1st Edition by David Mechanic ISBN 0813538874 9780813538877

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ISBN 10: 0813538874 
ISBN 13: 9780813538877
Author: David Mechanic

The United States spends greatly more per person on health care than any other country but the evidence shows that care is often poor and inappropriate. Despite expenditures of 1.7 trillion dollars in 2003, and growing substantially each year, services remain fragmented and poorly coordinated, and more than 46 million people are uninsured. Why can’t America, with its vast array of resources, sophisticated technologies, superior medical research and educational institutions, and talented health care professionals, produce higher quality care and better outcomes?

In The Truth about Health Care, David Mechanic explains how health care in America has evolved in ways that favor a myriad of economic, professional, and political interests over those of patients. While money has always had a place in medical care, “big money” and the quest for profits has become dominant, making meaningful reforms difficult to achieve. Mechanic acknowledges that railing against these influences, which are here to stay, can achieve only so much. Instead, he asks whether it is possible to convert what is best about health care in America into a well functioning system that better serves the entire population.

Bringing decades of experience as an active health policy participant, researcher, teacher, and consultant to the public and private sectors, Mechanic examines the strengths and weaknesses of our system and how it has evolved. He pays special attention to areas often neglected in policy discussions, such as the loss of public trust in medicine, the tragic state of long-term care, and the relationship of mental health to health care.

For anyone who has been frustrated by uncoordinated health networks, insurance denials, and other obstacles to obtaining appropriate care, this book will provide a refreshing and frank look at the system’s current and future dilemmas. Mechanic’s thoughtful roadmap describes how health plans, healthcare professionals, policymakers, and consumer groups can work together to improve access, quality, fairness, and health outcomes in America.

The Truth About Health Care Why Reform is Not Working in America 1st Table of contents:

Chapter 1: The American Health Care System: An Overview

• Historical Context: From the Founding of Medicare to the ACA
• Key Players in the Health Care System: Insurers, Providers, Government
• The Role of Private vs. Public Health Insurance
• A Comparison with Health Care Systems in Other Countries

Chapter 2: The High Cost of Health Care

• Why Health Care Costs Are So High in America
• The Impact of Prescription Drug Prices
• The Expense of Medical Procedures and Hospital Stays
• Administrative Costs and the Overhead of Private Insurance
• How Rising Costs Affect Patients and Providers

Chapter 3: The Promise and Problems of the Affordable Care Act (ACA)

• The Origins of the ACA: A Promise of Universal Coverage
• How the ACA Changed the Insurance Market
• The Expansion of Medicaid: Successes and Failures
• The Challenges of Affordability Despite Insurance Coverage
• Why the ACA Has Not Delivered on Its Full Potential

Chapter 4: The Influence of Big Pharma and Health Insurance Companies

• The Power and Profit of Pharmaceutical Companies
• How Insurance Companies Influence Care Decisions
• Lobbying and Political Influence in Health Care Reform
• The Problem of Over-Medication and Unnecessary Treatments

Chapter 5: The Crisis of Access to Care

• Disparities in Health Care Access for Rural and Urban Communities
• The Struggle for Access to Mental Health Services
• Barriers to Access: Waiting Times, Insurance Gaps, and Inefficiencies
• How the Uninsured Navigate the System
• Addressing Health Care Inequities

Chapter 6: The Crisis in Health Care Quality

• The Disconnect Between Cost and Quality
• The Role of Medical Errors and Systemic Failures
• Preventative Care and Health Maintenance: The Missing Link
• Innovations in Care Delivery: Telemedicine and Integrated Systems
• The Quality-Quantity Paradox in the U.S. Health System

Chapter 7: The Future of Health Care Reform

• The Promise of Universal Health Care: A Single-Payer System?
• Proposals for Universal Coverage: Medicare for All and Beyond
• How to Create a More Efficient, Accessible, and Affordable System
• The Challenges of Political Will and Public Opinion
• Can Reform Succeed in an Era of Polarization?

Chapter 8: Why Health Care Reform Is Not Working in America

• The Fragmentation of Efforts and the Lack of Political Consensus
• How Partisan Politics Have Shaped Health Care Policy
• Short-Term Fixes vs. Long-Term Solutions
• The Influence of Special Interests in Policy Making
• The Cultural and Economic Forces That Prevent Change

Chapter 9: Real Solutions: How to Fix America’s Health Care System

• Reimagining Health Care: Shifting Toward Prevention and Primary Care
• The Importance of Transparency in Pricing and Health Outcomes
• Moving Towards a Public Option or Universal Health Care
• The Role of Technology in Reducing Costs and Improving Quality
• Empowering Patients and Redefining the Doctor-Patient Relationship

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