Our Unsystematic Health Care System

Front Cover
Rowman & Littlefield, Jan 1, 2005 - Medical - 197 pages
4 Reviews
The aim of this book is to present the reader with a comprehensive overview of the U.S. health care delivery system. A central theme running through the book revolves around the fact that Americans have expressed a high level of dissatisfaction with the country's health care arrangements for many years, yet have been unable to come up with reforms that would address the main point of dissatisfaction: the steadily rising cost of care. One of the primary objectives of the book is to provide a clear explanation of the health insurance arrangements operating in this country; both public, such as Medicare, and private, which is generally employment-based. The workings of structures that combine payment and provision of health care services, namely HMOs (Health Maintenance Organizations), are described in detail. The health care systems developed by other countries are examined to illustrate how this country's 'unsystematic system' differs from those in most other highly industrialized countries. Special attention is directed to hospital and health occupational trends. Statistics gathered by government agencies and researchers associated with various nonprofit organizations are used to illustrate points of discussion. The final chapters of the book address attempts to control costs and changes promoted by sponsors of the most recent reform plans.

What people are saying - Write a review

User Review - Flag as inappropriate

MAD DOG MILLIONAIRE a.k.a. Punyamurtula Kishore MD, is a QUACK.
Punyamurtula Kishore, M.D. and three other defendants will go
on trial in November, 2014
MAD DOG MILLIONAIRE a.k.a. Punyamurtula Kishore MD, Patients Die of Improper Care Protocols!!!!
Many of Dr. Punyamurtula Kishore's patients have died because of improper treatment and care methods. This Quack doctor ("Hitler"of Medical Geoncide) should not be allowed to practice medicine anywhere. Preventive Medicine Associates, formerly Addiction medicine Associates was a Death Camp (The Holocaust for Drug Addicts and Alcoholics, "Auschwitz" in Brookline, MA) I worked at his Brookline office and witness the death of many patients. Dr. Kishore should be arrested, arraigned and prosecuted for 1st. degree murder or manslaughter.
Dr. Punyamurtula Kishore was reprimanded, fined $2,500 and required to perform 50 hours of Board-approved community service and to complete additional continuing professional development credits. He was found to have inappropriately filed four Temporary Involuntary Hospitalization Applications for the purpose of drug treatment and drug testing. Dr. Kishore is a 1975 graduate of Andhra Medical College in India. He specializes in Addiction Medicine and has NOT been licensed in Massachusetts TO PRACTICE Addiction medicine !!!!!!!!!!!!!
Punyamurtula Kishore, M.D. and three other defendants will go on trial in November. 2014 for allegedly bilking MassHealth of almost $20 million, in what Coakley’s office calls an “intricate scheme” involving drug testing, sober homes, and his Preventive Medicine Associates (PMA).
According to Coakley, Kishore used various bribes or kickbacks to persuade sober house owners to require residents to submit urine tests at least three times per week. The tests were performed by PMA’s office laboratories, then billed to MassHealth, which pays $100 to $200 for such screens. Also charged in the case were Carl Smith, manager of New Horizon House, John Coughlin, president of Gianna’s House, and Thomas Leonard, part owner and manager of Marshall House—all for receiving kickbacks.
MAD DOG a.k.a Punymurtula Kidhore MD and Lil Dog a.k.a. Carl Smith L.M.H.C. are responsible for the death of Eleanor Clark of Weston , Massachusetts.
Just look at what happen to James Clark .
James Clark was a client at the same address where the Director/Manager Carl Smith resided at ,50 Draper Street in Dorchester MA. Carl Smith is suppose to be a state licensed Mental Health Clinician , If so , than why did he discharge James Clark ? James clark never tested postive for a toxicology screen for illegal or prescription drugs, than why was he discharged ?
He was discharged for behavioral and attitude problems that were related to his psychiatric and substance abuse diagnosis. Carl Smith L.M.H.C. should have been able to detect that this man had psychological problems and referred him for treatment to MAD DOG aka Punyamurtula K...ishore's Neurological Clinic for treatment and to help James Clark get back on his psychiatric medication. Instead , Carl Smith discharged him and the following day , James Clark murdered his 81 year old grandmother Eleanor Clark in Weston Massachusetts .
Punyamurtula Kishore MD aka MAD DOG Millionaire referred James Clark to Carl Smith's Program New Horizon House after James Clark was Discharged from St. Elizabeths Hospital's S.E.C.A.P.'s Detoxification unit. Punyamurtula Kishore aka MAD DOG had a Contract with Carl Smith to provide New Horizon clients with Medical and Mental health Treatment. No treatment was provided except for toxicology screens . Carl Smith collected James Clark's program fee and MAD DOG Kishore billed his insurance company . Carl Smith and Dr. Kishore donot care about thier clients or patients . The only thing they cared about was making money at the expense of human misery

Review: Our Unsystematic Health Care System

User Review  - Jillian - Goodreads

For school Read full review

Selected pages


Introduction to the Health Care System as a Social Institution
Two Sociological Perspectives of the Health Care System
What Do We Think of the US Health Care System?
Hospitals and Other Health Care Organizations
The Division of Labor in the Health Care Delivery System
Alternative Medicine
Health Insurance
From HMOs to Managed Care
Health Care Costs and Cost Containment
The Health Care Systems in Other Countries
Health Care System Reform
The End of the Story and Its Implications
About the Author

Common terms and phrases

References to this book

All Book Search results »

About the author (2005)

Grace Budrys is professor of Sociology and Director of the School of Health and Public Service at DePaul University. She has written numerous books on the disparities in U.S. health care, including When Doctors Join Unions, and Unequal Health.

Bibliographic information