Money Driven Medicine
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Money Driven Medicine
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Author : Maggie Mahar
language : en
Publisher: Harper Collins
Release Date : 2009-03-17
Money Driven Medicine written by Maggie Mahar and has been published by Harper Collins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-03-17 with Business & Economics categories.
Why is medical care in the United States so expensive? For decades, Americans have taken it as a matter of faith that we spend more because we have the best health care system in the world. But as costs levitate, that argument becomes more difficult to make. Today, we spend twice as much as Japan on health care—yet few would argue that our health care system is twice as good. Instead, startling new evidence suggests that one out of every three of our health care dollars is squandered on unnecessary or redundant tests; unproven, sometimes unwanted procedures; and overpriced drugs and devices that, too often, are no better than the less expensive products they have replaced. How did this happen? In Money-Driven Medicine, Maggie Mahar takes the reader behind the scenes of a $2 trillion industry to witness how billions of dollars are wasted in a Hobbesian marketplace that pits the industry's players against each other. In remarkably candid interviews, doctors, hospital administrators, patients, health care economists, corporate executives, and Wall Street analysts describe a war of "all against all" that can turn physicians, hospitals, insurers, drugmakers, and device makers into blood rivals. Rather than collaborating, doctors and hospitals compete. Rather than sharing knowledge, drugmakers and device makers divide value. Rather than thinking about long-term collective goals, the imperatives of an impatient marketplace force health care providers to focus on short-term fiscal imperatives. And so investments in untested bleeding-edge medical technologies crowd out investments in information technology that might, in the long run, not only reduce errors but contain costs. In theory, free market competition should tame health care inflation. In fact, Mahar demonstrates, when it comes to medicine, the traditional laws of supply and demand do not apply. Normally, when supply expands, prices fall. But in the health care industry, as the number and variety of drugs, devices, and treatments multiplies, demand rises to absorb the excess, and prices climb. Meanwhile, the perverse incentives of a fee-for-service system reward health care providers for doing more, not less. In this superbly written book, Mahar shows why doctors must take responsibility for the future of our health care industry. Today, she observes, "physicians have been stripped of their standing as professionals: Insurers address them as vendors ('Dear Health Care Provider'), drugmakers and device makers see them as customers (someone you might take to lunch or a strip club), while . . . consumers (aka patients) are encouraged to see their doctors as overpaid retailers. . . . Before patients can reclaim their rightful place as the center—and indeed as the raison d'être—of our health care system," Mahar suggests, "we must once again empower doctors . . . to practice patient-centered medicine—based not on corporate imperatives, doctors' druthers, or even patients' demands," but on the best scientific research available.
Money Driven Medicine
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Author :
language : en
Publisher:
Release Date : 2014
Money Driven Medicine written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with Documentary films categories.
Money-driven medicine provides the essential introduction Americans need if they are to better understand and address the unmet challenges of healthcare reform during the coming decade. Produced by Academy Award winner Alex Gibney (Taxi to the dark side; Enron: The smartest guys in the room) and inspired by Maggie Mahar's acclaimed book, Money driven medicine: the real reason health care costs so much, the film goes beyond health insurance to offer a behind-the-scenes look at the {dollar}2.6 trillion U.S. healthcare system, how it went so terribly wrong and what it will further take to fix it. Effective care, or Just expensive care? The U.S. spends twice as much per person on healthcare as the average developed nation, one-sixth of our GDP, yet our outcomes are often worse. The problem is that much of that spending is wasteful, and provides no benefit to the patient. The reason? The U.S. is the only developed nation that has chosen to turn medicine into a largely unregulated, for-profit enterprise. In Money-driven medicine, Dr. Donald Berwick, president of the Institute for Healthcare Improvement (IHI), explains: We get more care, but not better care. If you look at how we manage chronic diseases, he points out, our outcomes are not as good. We focus resources on the high-tech, exorbitantly expensive rescue care that patients need after they become terribly sick, and pay far less for the preventive and primary care more likely to keep people out of the hospital in the first place. Emergency rooms overflow while primary care physicians are becoming an endangered species. Medical students explain that the compensation system is driving them away from primary care, and into high-paying specialties. Medical ethicist Larry Churchill doesn't mince words: The current medical care system is not designed to meet the health needs of the population. It is designed to protect the interests of insurance companies, pharmaceutical firms, and to a certain extent organized medicine. It is designed to turn a profit. It is designed to meet the needs of the people in power. These businesses comprise the medical-industrial complex. They've gradually wrestled power from doctors, turning medical care into just another commodity and patients into profit centers. As the familiar Direct-to-Consumer TV ads shown in Money-driven medicine make clear, the more drugs pharmaceutical companies produce, the more they must sell them, and sell them they do-- whether or not we need them. The result: while many uninsured and underinsured Americans receive too little care, the well-insured too often receive unnecessary, even risky care. More than two decades of studies by researchers at Dartmouth reveal that fully one-third of our healthcare dollars are squandered on unnecessary tests, ineffective or unproven procedures, and over-priced drugs and devices no better than the less-costly ones they replace. The studies reveal the need for evidence-based, accountable care that is both more effective and less expensive than our current fee-for-service system. Taking back healthcare in Money-driven medicine frustrated doctors and outraged patients testify to how things can go horribly wrong when the concerns of patients and families are ignored and corporate interests trump patients' needs for high quality, affordable care. Veteran physicians stress that reform must begin with the doctor-patient partnership: we need consistent patient-centered care built around informed, shared decision-making. Before patients can reclaim their rightful place at the center of our healthcare system, Maggie Mahar notes, we must empower doctors and nurses to practice patient-centered care based, not on corporate imperatives, but on the best scientific research available. Money-driven medicine can encourage health professionals and patients to work together to take back control of healthcare. The film alerts Americans that universal coverage is just the first step in a long and arduous battle for comprehensive reform that will continue long past whatever bill emerges from Congress this fall. We can be sure that the industry's lobbyists continue to resist measures aimed at cost-containment and affordable, results-based care. Screening Money-driven medicine will help viewers distinguish between the structural changes we need and sham reform proposals. It will help them realize why a sound, sustainable medical infrastructure is crucial not just to their personal futures but to the economy and society as a whole; why curing America's healthcare crisis is a matter of national life and death.
Money Driven Medicine Dvd
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Author :
language : en
Publisher:
Release Date :
Money Driven Medicine Dvd written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on with categories.
Money Driven Medicine
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Author : Maggie Mahar
language : en
Publisher: Harper Collins
Release Date : 2009-03-17
Money Driven Medicine written by Maggie Mahar and has been published by Harper Collins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-03-17 with Business & Economics categories.
Why is medical care in the United States so expensive? For decades, Americans have taken it as a matter of faith that we spend more because we have the best health care system in the world. But as costs levitate, that argument becomes more difficult to make. Today, we spend twice as much as Japan on health care—yet few would argue that our health care system is twice as good. Instead, startling new evidence suggests that one out of every three of our health care dollars is squandered on unnecessary or redundant tests; unproven, sometimes unwanted procedures; and overpriced drugs and devices that, too often, are no better than the less expensive products they have replaced. How did this happen? In Money-Driven Medicine, Maggie Mahar takes the reader behind the scenes of a $2 trillion industry to witness how billions of dollars are wasted in a Hobbesian marketplace that pits the industry's players against each other. In remarkably candid interviews, doctors, hospital administrators, patients, health care economists, corporate executives, and Wall Street analysts describe a war of "all against all" that can turn physicians, hospitals, insurers, drugmakers, and device makers into blood rivals. Rather than collaborating, doctors and hospitals compete. Rather than sharing knowledge, drugmakers and device makers divide value. Rather than thinking about long-term collective goals, the imperatives of an impatient marketplace force health care providers to focus on short-term fiscal imperatives. And so investments in untested bleeding-edge medical technologies crowd out investments in information technology that might, in the long run, not only reduce errors but contain costs. In theory, free market competition should tame health care inflation. In fact, Mahar demonstrates, when it comes to medicine, the traditional laws of supply and demand do not apply. Normally, when supply expands, prices fall. But in the health care industry, as the number and variety of drugs, devices, and treatments multiplies, demand rises to absorb the excess, and prices climb. Meanwhile, the perverse incentives of a fee-for-service system reward health care providers for doing more, not less. In this superbly written book, Mahar shows why doctors must take responsibility for the future of our health care industry. Today, she observes, "physicians have been stripped of their standing as professionals: Insurers address them as vendors ('Dear Health Care Provider'), drugmakers and device makers see them as customers (someone you might take to lunch or a strip club), while . . . consumers (aka patients) are encouraged to see their doctors as overpaid retailers. . . . Before patients can reclaim their rightful place as the center—and indeed as the raison d'être—of our health care system," Mahar suggests, "we must once again empower doctors . . . to practice patient-centered medicine—based not on corporate imperatives, doctors' druthers, or even patients' demands," but on the best scientific research available.
Slaves To Medicine
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Author : George Beauchamp
language : en
Publisher:
Release Date : 2007
Slaves To Medicine written by George Beauchamp and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007 with Health & Fitness categories.
Your Money Or Your Life
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Author : David M. Cutler
language : en
Publisher: Oxford University Press
Release Date : 2004-02-05
Your Money Or Your Life written by David M. Cutler and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004-02-05 with Political Science categories.
The problems of medical care confront us daily: a bureaucracy that makes a trip to the doctor worse than a trip to the dentist, doctors who can't practice medicine the way they choose, more than 40 million people without health insurance. "Medical care is in crisis," we are repeatedly told, and so it is. Barely one in five Americans thinks the medical system works well. Enter David M. Cutler, a Harvard economist who served on President Clinton's health care task force and later advised presidential candidate Bill Bradley. One of the nation's leading experts on the subject, Cutler argues in Your Money or Your Life that health care has in fact improved exponentially over the last fifty years, and that the successes of our system suggest ways in which we might improve care, make the system easier to deal with, and extend coverage to all Americans. Cutler applies an economic analysis to show that our spending on medicine is well worth it--and that we could do even better by spending more. Further, millions of people with easily manageable diseases, from hypertension to depression to diabetes, receive either too much or too little care because of inefficiencies in the way we reimburse care, resulting in poor health and in some cases premature death. The key to improving the system, Cutler argues, is to change the way we organize health care. Everyone must be insured for the medical system to perform well, and payments should be based on the quality of services provided not just on the amount of cutting and poking performed. Lively and compelling, Your Money or Your Life offers a realistic yet rigorous economic approach to reforming health care--one that promises to break through the stalemate of failed reform.
Moneyball Medicine
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Author : Harry Glorikian
language : en
Publisher: Taylor & Francis
Release Date : 2017-11-20
Moneyball Medicine written by Harry Glorikian and has been published by Taylor & Francis this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-11-20 with Business & Economics categories.
How can a smartwatch help patients with diabetes manage their disease? Why can’t patients find out prices for surgeries and other procedures before they happen? How can researchers speed up the decade-long process of drug development? How will "Precision Medicine" impact patient care outside of cancer? What can doctors, hospitals, and health systems do to ensure they are maximizing high-value care? How can healthcare entrepreneurs find success in this data-driven market? A revolution is transforming the $10 trillion healthcare landscape, promising greater transparency, improved efficiency, and new ways of delivering care. This new landscape presents tremendous opportunity for those who are ready to embrace the data-driven reality. Having the right data and knowing how to use it will be the key to success in the healthcare market in the future. We are already starting to see the impacts in drug development, precision medicine, and how patients with rare diseases are diagnosed and treated. Startups are launched every week to fill an unmet need and address the current problems in the healthcare system. Digital devices and artificial intelligence are helping doctors do their jobs faster and with more accuracy. MoneyBall Medicine: Thriving in the New Data-Driven Healthcare Market, which includes interviews with dozens of healthcare leaders, describes the business challenges and opportunities arising for those working in one of the most vibrant sectors of the world’s economy. Doctors, hospital administrators, health information technology directors, and entrepreneurs need to adapt to the changes effecting healthcare today in order to succeed in the new, cost-conscious and value-based environment of the future. The authors map out many of the changes taking place, describe how they are impacting everyone from patients to researchers to insurers, and outline some predictions for the healthcare industry in the years to come.
Evidence Based Medicine And The Changing Nature Of Health Care
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2008-09-06
Evidence Based Medicine And The Changing Nature Of Health Care written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-09-06 with Medical categories.
Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
Code Green
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Author : Dana Beth Weinberg
language : en
Publisher: Cornell University Press
Release Date : 2011-11-14
Code Green written by Dana Beth Weinberg and has been published by Cornell University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-11-14 with Medical categories.
We are on the verge of the nation's worst nursing shortage in history. Dedicated nurses are leaving hospitals in droves, and there are not enough new recruits to the profession to meet demand. Even hospitals that were once very highly regarded for the quality of their nursing care, such as Boston's Beth Israel Deaconess Medical Center, now struggle to fill vacant positions. What happened? Dana Beth Weinberg argues that hospital restructuring in the 1990s is to blame. In their attempts to retain profit margins or even just to stay afloat, hospitals adopted a common set of practices to cut costs and increase revenues. Many strategies squeezed greater productivity out of nurses and other hospital workers. Nurses' workloads increased to the point that even the most skilled nurses questioned whether they could provide minimal, safe care to patients. As hospitals hemorrhaged money, it seemed that no one—not hospital administrators, not doctors—felt they could afford to listen to nurses. Through a careful look at the effects of the restructuring strategies chosen and implemented by Beth Israel Deaconess Medical Center, the author examines management's efforts to balance service and survival. By showing the effects of hospital restructuring on nurses' ability to plan, evaluate, and deliver excellent care, Weinberg provides a stinging indictment of standard industry practices that underestimate the contribution nurses make both to hospitals and to patient care.
Medicine And Money
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Author : Frank H. Marsh
language : en
Publisher: Praeger
Release Date : 1990-06-11
Medicine And Money written by Frank H. Marsh and has been published by Praeger this book supported file pdf, txt, epub, kindle and other format this book has been release on 1990-06-11 with Health & Fitness categories.
Medicine and Money: A Study of the Role of Beneficence in Health Care Cost Containment is a frank discussion of the moral problems associated with the need to control health care costs. The book provides a base for physicians to address these concerns and examines the events leading to America's current health care crisis, diminishing beneficence. After a brief definition of the problem, Frank H. Marsh and Mark Yarborough continue by describing the threat of cost containment and justifying beneficence-based health care system. Special importance is given to Medicine and Money by the lengthy suggestions on implementing beneficence in the health care system. Marsh and Yarborough address the problem of eroding morality and rising cost concerns of our present health care system. They argue that if the central role of beneficence is abandoned, the medical profession will be unable to properly meet the challenge it faces. Medicine and Money divides its argument into two sections. In the first section, the current crisis in health care is examined and a justification for beneficence is given. The second section describes how beneficence can be implemented in the health care system as a means to control health care costs. Medicine and Money is written for every member of the medical and philosophical communities.