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You are here > Home > Reading Lists > Politics, Policy & Reform > The Health Care Mess: How We Got Into It & What It Will Take To Get Out The Health Care Mess: How We
Got Into It & What It Will Take To Get Out Hardcover: 320 pages
Softcover: 320 pages
As a new crisis looms, and the existing patchwork of insurance is poised to unravel, American leaders must again take up the question of health care. This book brings the voice of reason and the promise of compromise to that debate. "Two of the giants of American medicine, public policy, and health policy have combined to produce a masterpiece detailing how our healthcare system came to be what it is, and how we can take it to the next level - providing quality care and access for all." - David Satcher, 16th US Surgeon General and Assistant Secretary for Health "The book is a tour de force, a cogent, comprehensive and deeply informed review of the condition of the American health care system. Highly readable and carefully referenced, it is a guided tour over the very complex terrain of American health care, including the complexities and disparities that make its potential benefits unavailable to so many and so expensive to all. The authors' plan for universally available health care offers a basis for a renewed national debate around the ideal of equity and justice in our health care system. This wonderful book should be read by everyone interested in better health for the American population." - Jeremiah A. Barondess, M.D., President, The New York Academy of Medicine "In this authoritative and thoughtful book you will find what we need to know if we are to do anything about health care in America." - Daniel Schorr, Senior News Analyst, National Public Radio, and author of Don't Get Sick in America! "From their vast experience as both policymakers and respected scholars, Richmond and Fein have produced an authoritative account of the circumstances that created our present predicament and, more important, a thoughtful roadmap for how we can extricate ourselves from the quagmire. Their message is both practical and hopeful: the future of health care in this country is not 'preordained' by past decisions but will emerge from the choices still to be made. Their abiding optimism is both refreshing and timely." - Jordan J. Cohen, M.D., President, Association of American Medical Colleges "Rashi Fein and Julius Richmond bring a wealth of knowledge, long practical experience, and a welcome historical perspective to this excellent volume on the many aspects and causes of the steadily worsening health care crisis facing the nation. It's a continuing outrage that in today's America, the best and the worst in health care have existed side-by-side for so long in countless communities across the country. In this extraordinary era of nearly miracle-a-day new medical breakthroughs to prevent, treat, and even cure disease, inaction is unacceptable in the face of vast numbers of Americans with no health insurance, soaring inflation in the cost of health care, huge profits for the health insurance and pharmaceutical industries, and the very real danger of terrorist attacks with biological weapons. Genuine health reform is more urgent than ever, and the impressive recommendations of Fein and Richmond give us timely and important ideas about the direction such reform should take. Other modern nations have met and mastered this challenge, and America can too." - Senator Edward M. Kennedy The swelling ranks of Americans without any insurance at all dragged the United States to the bottom of the list of industrialized nations. Over the last century medical education was also profoundly transformed into today's powerful triumvirate of academic medical centers, schools of medicine and public health, and research programs, all of which have shaped medical practice and medical care. The authors show how the promises of medical advances have not been matched either by financing or by delivery of care. If we can decode the human genome and fashion working machines out of atoms, why can't we navigate the quagmire that is our health care system? Julius B. Richmond, M.D, is a founder of Head Start and the former Surgeon General under President Jimmy Carter. He is currently the John D. MacArthur Professor of Health Policy, Emeritus, at Harvard University. Rashi Fein, Ph.D., is Professor of Medical Economics, Emeritus, at Harvard Medical School, and the author of Medical Care, Medical Costs: The Search for a Health Insurance Policy. "As Americans become healthier and live longer, we increasingly concentrate on preventing illness or injury from making some of those extra years an agony. We spend far more than any industrialized country on health care - and get far less for it. How did we get here? ...In such a climate, what starts as rational self-interest inevitably morphs into a never-ending 'quest for profits,' which is where we are today. Bringing to this dry yet important subject authoritative knowledge and insight, the authors slice through the intricacies like an experienced surgeon." - Publishers Weekly If you are interested in policy or books about health care reform, please see our up-to-date collection here: Politics, Policy & Reform. 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