A Second Opinion: Rescuing America's Health Care, A Plan for Universal Coverage Serving Patients Over Profit

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ReadHowYouWant.com, Sep 7, 2010 - 324 pages
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Relman's 60 years as researcher, clinician, teacher, government consultant, licensing board member, and editor in chief of the New England Journal of Medicine give him enormous credibility on the subject of health-care reform. He's for national single-payer insurance but believes America's health-care system must change, too, or spiraling costs--and spiraling inequity--won't be contained. The greatest threat to U.S. health care, as he sees it, is the commercialization of medicine since the late 1960s, which, according to free-market ideology, should bring better care at lower cost but hasn't delivered (and never will, Relman believes). Doctors need to renew the sense of themselves as disinterested and compassionate healers rather than money-grubbing entrepreneurs. Relman proposes that most physicians be salaried by a national financing system, associate in self-run group practices to pool expertise and resources, and reclaim the professional self-regulation lost in a 1943 Supreme Court antitrust decision (exemption from antitrust law should be sought, Relman thinks). Everyone interested in its issues must read Relman's argument. Ray Olson
 

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A Second Opinion: Rescuing America's Health Care

User Review  - Not Available - Book Verdict

The U.S. healthcare system is excessively expensive, inefficient, and often delivers poor quality care. It is also inequitable, with tens of millions of citizens unable to access needed care because ... Read full review

LibraryThing Review

User Review  - EvaCatHerder - LibraryThing

This is a somewhat dry, but very thought provoking work. My greatest disappointment with it is that he suggests a possible solution to the problem of universal coverage in the US, identifies the ... Read full review

Contents

THE COMMERCIALIZATION OF U S MEDICINE 36
1
THE CONSEQUENCES OF COMMERCIALIZED CARE 73
36
THE REVOLT OF THE PAYERS
87
CONSUMERDRIVEN HEALTH CARE THE NEW
106
AN OPEN LETTER TO MY COLLEAGUES IN THE MEDICAL
194
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