Big Doctoring In America
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Big Doctoring In America
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Author : Fitzhugh Mullan
language : en
Publisher: Univ of California Press
Release Date : 2002-10
Big Doctoring In America written by Fitzhugh Mullan and has been published by Univ of California Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002-10 with Medical categories.
"Mullan gets it right! His 'big doctors' are the unsung heroes of American medicine. Their stories —and they are great stories—tell us where we have to go to build a medical system that will work for everybody. And I mean everybody - the CEO, the family on welfare, you, and me."—Studs Terkel, author of Working, The Good War, and Coming of Age "Big Doctoring is a unique undertaking. We hear people in the frontlines of medicine tell us their story, and tell it in their own voices. In these pages, which are a joy to read, we find proof that medicine is, and always will be, both art and science."—Abraham Verghese, M.D., author of The Tennis Partner "Big Doctoring is an extraordinarily compelling effort by a dedicated and idealistic physician -- who offers us, through the voices of his informants, a clearly written narrative that tells of a profession's contemporary challenges and difficulties. Here is documentary work of the most instructive and telling kind -- a nation's healers become witnesses and teachers for us readers."—Robert Coles, M.D. "At a time when both doctors and patients in record numbers abhor the shadowy mass of gloomy economics and gruesome bureaucracy that has overtaken American medicine, Mullan shows us a path out of the darkness. And his is a desperately needed map, as physicins and nurses are now quitting in droves, tens of millions of Americans are losing their health insurance, and millions more, though insured, are forbidden treatments and primary care that could save their lives. Bravo!"—Laurie Garrett, author of The Coming Plague and Betrayal of Trust
White Coat Clenched Fist
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Author : Fitzhugh Mullan
language : en
Publisher: University of Michigan Press
Release Date : 2006
White Coat Clenched Fist written by Fitzhugh Mullan and has been published by University of Michigan Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006 with Medical care categories.
A doctor tells his own behind-the-scenes story of the making of a medical man and the disintegration of an American myth
The Big Casino
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Author : Vincent Coppola
language : en
Publisher: CreateSpace
Release Date : 2014-05-22
The Big Casino written by Vincent Coppola and has been published by CreateSpace this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-05-22 with Medical categories.
America's best cancer doctors share their most powerful stories.
Searching For The Family Doctor
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Author : Timothy J. Hoff
language : en
Publisher: JHU Press
Release Date : 2022-03-01
Searching For The Family Doctor written by Timothy J. Hoff and has been published by JHU Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-03-01 with Medical categories.
With family doctors increasingly overburdened, bureaucratized, and burned out, how can the field change before it's too late? Over the past few decades, as American medical practice has become increasingly specialized, the number of generalists—doctors who care for the whole person—has plummeted. On paper, family medicine sounds noble; in practice, though, the field is so demanding in scope and substance, and the health system so favorable to specialists, that it cannot be fulfilled by most doctors. In Searching for the Family Doctor, Timothy J. Hoff weaves together the early history of the family practice specialty in the United States with the personal narratives of modern-day family doctors. By formalizing this area of practice and instituting specialist-level training requirements, the originators of family practice hoped to increase respect for generalists, improve the pipeline of young medical graduates choosing primary care, and, in so doing, have a major positive impact on the way patients receive care. Drawing on in-depth interviews with fifty-five family doctors, Hoff shows us how these medical professionals have had their calling transformed not only by the indifferent acts of an unsupportive health care system but by the hand of their own medical specialty—a specialty that has chosen to pursue short- over long-term viability, conformity over uniqueness, and protectionism over collaboration. A specialty unable to innovate to keep its membership cohesive and focused on fulfilling the generalist ideal. The family doctor, Hoff explains, was conceived of as a powered-up version of the "country doctor" idea. At a time when doctor-patient relationships are evaporating in the face of highly transactional, fast-food-style medical practice, this ideal seems both nostalgic and revolutionary. However, the realities of highly bureaucratic reimbursement and quality-of-care requirements, educational debt, and ongoing consolidation of the old-fashioned independent doctor's office into corporate health systems have stacked the deck against the altruists and true believers who are drawn to the profession of family practice. As more family doctors wind up working for big health care corporations, their career paths grow more parochial, balkanizing the specialty. Their work roles and professional identities are increasingly niche-oriented. Exploring how to save primary care by giving family doctors a fighting chance to become the generalists we need in our lives, Searching for the Family Doctor is required reading for anyone interested in the troubled state of modern medicine.
Big Med
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Author : David Dranove
language : en
Publisher: University of Chicago Press
Release Date : 2022-11-18
Big Med written by David Dranove and has been published by University of Chicago Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-11-18 with Business & Economics categories.
There is little debate that health care in the United States is in need of reform. But where should those improvements begin? With insurers? Drug makers? The doctors themselves? In Big Med, David Dranove and Lawton Robert Burns argue that we’re overlooking the most ubiquitous cause of our costly and underperforming system: megaproviders, the expansive health care organizations that have become the face of American medicine. Your local hospital is likely part of one. Your doctors, too. And the megaproviders are bad news for your health and your wallet. Drawing on decades of combined expertise in health care consolidation, Dranove and Burns trace Big Med’s emergence in the 1990s, followed by its swift rise amid false promises of scale economies and organizational collaboration. In the decades since, megaproviders have gobbled up market share and turned independent physicians into salaried employees of big bureaucracies, while delivering on none of their early promises. For patients this means higher costs and lesser care. Meanwhile, physicians report increasingly low morale, making it all but impossible for most systems to implement meaningful reforms. In Big Med, Dranove and Burns combine their respective skills in economics and management to provide a nuanced explanation of how the provision of health care has been corrupted and submerged under consolidation. They offer practical recommendations for improving competition policies that would reform megaproviders to actually achieve the efficiencies and quality improvements they have long promised. This is an essential read for understanding the current state of the health care system in America—and the steps urgently needed to create an environment of better care for all of us.
Critical Condition
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Author : Donald L. Barlett
language : en
Publisher: Crown
Release Date : 2004-10-05
Critical Condition written by Donald L. Barlett and has been published by Crown this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004-10-05 with Business & Economics categories.
Award-winning journalists expose the horrific practices within America’s health care system, profiling patients and doctors and offering startling personal stories to illuminate what’s gone wrong. “Every American ought to read this book.”—The Plain Dealer Tens of millions of people with inadequate or no medical coverage . . . dirty examination and operating rooms in doctors’ offices and hospitals . . . more people killed by mistakes than by many diseases. This may sound like the predicament of a failed state, but this is America’s health care reality today. The United States spends more per capita on health care than any other nation, yet benefits are shrinking and life expectancy here is shorter than in countries that spend significantly less. Meanwhile, HMOs, pharmaceutical companies, and hospital chains reap tremendous profits, as our elected politicians, beholden to these same companies, enact piecemeal measures that lead to needless deaths, refusing to come to grips with a system on the verge of collapse. A superb investigative work that is enormously compelling and addresses the concerns of every American, Critical Condition offers an insightful prescription for getting the system back on the right track.
Sickening
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Author : John Abramson
language : en
Publisher: HarperCollins
Release Date : 2022-02-08
Sickening written by John Abramson and has been published by HarperCollins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-02-08 with Health & Fitness categories.
The inside story of how Big Pharma’s relentless pursuit of ever-higher profits corrupts medical knowledge—misleading doctors, misdirecting American health care, and harming our health. The United States spends an excess $1.5 trillion annually on health care compared to other wealthy countries—yet the amount of time that Americans live in good health ranks a lowly 68th in the world. At the heart of the problem is Big Pharma, which funds most clinical trials and therefore controls the research agenda, withholds the real data from those trials as corporate secrets, and shapes most of the information relied upon by health care professionals. In this no-holds-barred exposé, Dr. John Abramson—one of the foremost experts on the drug industry’s deceptive tactics—combines patient stories with what he learned during many years of serving as an expert in national drug litigation to reveal the tangled web of financial interests at the heart of the dysfunction in our health-care system. For example, one of pharma’s best-kept secrets is that the peer reviewers charged with ensuring the accuracy and completeness of the clinical trial reports published in medical journals do not even have access to complete data and must rely on manufacturer-influenced summaries. Likewise for the experts who write the clinical practice guidelines that define our standards of care. The result of years of research and privileged access to the inner workings of the U.S. medical-industrial complex, Sickening shines a light on the dark underbelly of American health care—and presents a path toward genuine reform.
An American Sickness
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Author : Elisabeth Rosenthal
language : en
Publisher: Penguin
Release Date : 2017-04-11
An American Sickness written by Elisabeth Rosenthal and has been published by Penguin this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-04-11 with Medical categories.
A New York Times bestseller/Washington Post Notable Book of 2017/NPR Best Books of 2017/Wall Street Journal Best Books of 2017 "This book will serve as the definitive guide to the past and future of health care in America.”—Siddhartha Mukherjee, Pulitzer Prize-winning author of The Emperor of All Maladies and The Gene At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system - and offers practical solutions to its myriad problems. In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast? Breaking down this monolithic business into the individual industries—the hospitals, doctors, insurance companies, and drug manufacturers—that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn't just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.
The Big Casino
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Author : Vincent Coppola
language : en
Publisher:
Release Date : 2014-08-23
The Big Casino written by Vincent Coppola and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-08-23 with categories.
Custom version of The Big Casino for Tennessee
Health Care In America
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Author : John C. Burnham
language : en
Publisher: JHU Press
Release Date : 2015-05-15
Health Care In America written by John C. Burnham and has been published by JHU Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-05-15 with Medical categories.
This comprehensive history of medicine and public health in America covers changes and developments over four centuries, from the arrival of the first Europeans to the twenty-first century.