Prescription for Disaster: Health Care in America
Unable to win a hearing from Hilary Rodham Clinton's Health Care Task Force, Keyser takes his impassioned attack on "managed competition" to the public. PRESCRIPTION FOR DISASTER offers a brief, accessible discussion of where the current system has gone wrong, apportioning full share of responsibility to medical education, the medical & legal professions, the medical-industrial complex, the pharmaceutical & insurance industries, cost shifting & the public itself. Keyser also outlines a framework for effective reform: a single-payer system blending elements of the Canadian & German approaches; major modifications in medical education; significant expansion of outcomes research; a no-fault approach to most medical malpractice; inclusion of long-term care & the medical element of workers' compensation programs; & negotiated pharmaceutical pricing & distribution of high-tech medical equipment. By spelling out in some detail the implications of the approach suported by such groups as Public Citizen, Citizen Action, & Consumers Union, Keyser makes a solid contribution to a critical public policy debate. Available from Eakin Press, P. O. Drawer 90159, Austin, TX 78709-0159; (512) 288-1771, FAX (512) 288-1813.
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Foreword by C Everett Koop M D Sc D ix
Definition of Terms
Recognition of a Problem
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