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Health care reform has dominated public discourse over the past several years, and the recent passage of the Affordable Care Act, rather than quell the rhetoric, has sparked even more debate. Donald A. Barr reviews the current structure of the American health care system, describing the historical and political contexts in which it developed and the core policy issues that continue to confront us today.
This comprehensive analysis introduces the various organizations and institutions that make the U.S. health care system work―or fail to work, as the case may be. A principal message of the book is the seeming paradox of the quality of health care in this country―on the one hand it is the best medical care system in the world, on the other it is one of the worst among developed countries because of how it is organized.
Barr introduces readers to broad cultural issues surrounding health care policy, such as access, affordability, and quality. He discusses specific elements of U.S. health care, including insurance, especially Medicare and Medicaid, the shift to for-profit managed care, the pharmaceutical industry, issues of long-term care, the plight of the uninsured, medical errors, and nursing shortages. The latest edition of this widely adopted text updates the description and discussion of key sectors of America’s health care system in light of the Affordable Care Act.
- Sales Rank: #132304 in Books
- Published on: 2011-10-11
- Original language: English
- Number of items: 1
- Dimensions: 10.00" h x .78" w x 7.00" l, 1.73 pounds
- Binding: Paperback
- 376 pages
Review
An excellent analysis and comprehensive study of the US health-care system.
(Choice) Review
Excellent starting point for exploring the complexities of U.S. healthcare.
(Future Survey)This book stands out for its emphasis on the historical roots of modern health care institutions... Barr's new book has much to recommend it.
(JAMA)A lucid and informative overview of the U.S. health system and the dilemmas policy makers currently face... Even those knowledgeable about the U.S. health care system are likely to find much to stimulate their thinking.
(Philosophy, Ethics, and Humanities in Medicine) From the Back Cover
Provides a clear description of all key aspects of the health care system to make it easier for the reader to evaluate the potential impact of proposals for health care reform. Using case studies and simplified presentations of major issues, this book gives the reader an appreciation of the dilemma confronting policy makers, providers, and patients: how to balance cost, quality, and access. It examines specific health care organization aspects such as the medical profession, hospitals, managed care organizations, and government health care programs. It also discusses policy changes that have had major impacts on American health care in the past decade. For health care providers, policy makers, consumers and others interested in health care in the U.S.
Most helpful customer reviews
11 of 11 people found the following review helpful.
The basics of understanding health care
By Thomas K. Neill
In these days of intense debate over health care reform, this should be a non-fiction best-seller. Written as a textbook to inform medical students in the area of health policy, Dr. Barr integrates issues of culture, economics, and medicine in a highly readable overview of our current U.S. healthcare system. He illustrates a number of problems by contrasting the evolution of our healthcare system, and the strongly held political/cultural assumptions that underlie it, with the evolution and values underlying the Canadian system. He is realistic about the struggles of both systems. A number of U.S. practices and assumptions don't make for better medicine. This text goes a long way towards helping the reader understand the problems in ways that are necessary before tackling solutions. Dr. Barr offers several critical options (some implicit and others explicit) for improving U.S. health care.
2 of 2 people found the following review helpful.
Engaging, informative, well-written, and timely
By Tomas J Aragon
I am a physician, former researcher, and public health officer. My primary work is public health practice and administration. I needed to get up-to-date on health care reform and I chose this book because of it's historical approach. I was not disappointed -- in fact, I was blown away how good it was! Dr. Barr is able to synthesize a complex topic. I especially like how he includes Canada's health care system as a comparison. This book is best for readers with a health background. I got the Kindle edition to save money, and it was fine. Tom�s
3 of 4 people found the following review helpful.
Informative, well formatted, and thorough, but not to the point of boredom
By Fan Ian
As a college student looking to pursue a career in medicine, I picked this book up hoping to develop at least a fundamental knowledge about the field I will (hopefully) be working in. It answered just about every question I had beforehand, and it did so in a way that made it easy for someone with little prior knowledge to understand. I was also pleasantly surprised by the relatively unbiased opinions it provided in regards to healthcare, and any opinions that were listed were well supported with facts and figures. After having read this book, I can now effectively participate in (somewhat) sophisticated discussions regarding the U.S. healthcare system, how it works, and in what direction it is heading. A great read for anyone considering a career in healthcare, or someone just looking to gain a little knowledge on the subject.
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