(57 reviews)Author: David Goldhill
ISBN : 034580273X
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Format: PDF
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In 2007 David Goldhill’s father died from infections acquired in a well-regarded New York hospital. The bill, for several hundred thousand dollars, was paid by Medicare. Angered, Goldhill became determined to understand how it was possible that well-trained personnel equipped with world-class technologies could be responsible for such inexcusable carelessness—and how a business that failed so miserably could still be rewarded with full payment.
Catastrophic Care is the eye-opening result. In it Goldhill explodes the myth that Medicare and insurance coverage can make care cheaper and improve our health, and shows how efforts to reform the system, including the Affordable Care Act, will do nothing to address the waste of the health care industry, which currently costs the country nearly $2.5 trillion annually and in which an estimated 200,000 Americans die each year from preventable errors. Catastrophic Care proposes a completely new approach, one that will change the way you think about one of our most pressing national problems.
- Series: Vintage
- Paperback: 400 pages
- Publisher: Vintage; 1 edition (November 5, 2013)
- Language: English
- ISBN-10: 034580273X
- ISBN-13: 978-0345802736
- Product Dimensions: 8.4 x 5.8 x 0.7 inches
- Shipping Weight: 12.6 ounces (View shipping rates and policies)
{PRETITLE} Catastrophic Care: Why Everything We Think We Know about Health Care Is Wrong {POSTTITLE}
Written for a general (but thinking) audience, this book could really turn around all public discourse on health care and become a seminal work on the subject.By Ilya Valkovsky
The divisive health care debate of recent years is centered over WHO should shoulder astronomic medical costs. The issue of taming the exorbitant prices and costs is relegated to the side issue of waste and abuse. David Goldhill takes a new and different approach. He puts aside the standard assumption that health care is somehow exempt from the normal rules of economic activity. He focuses on WHY the costs became so exorbitant in the first place. Goldhill shows persuasively that the costs are the result of the very design of our current medical system, and the only way to bring the costs down to earth is to REPLACE entirely the current economic arrangements of our medicine - both the private insurance system and Medicare/Medicaid.
That's a book of new ideas. These ideas are breakthrough innovative, brilliant, deeply thought through; analysis superb. As with all things new and complex, it requires an effort to understand. If you have any background or interest in economics, even the economics of everyday life, give it more consideration.
We aren't going to solve our nation's fiscal problems without fresh thinking on health care, which consumes almost 18% of our GDP, with no end in sight to its enormous growth. This brilliant new book reframes the national conversation about health care. Currently the debate is framed around health coverage: who gets covered, how plans compete, what Medicare/Medicaid should and shouldn't pay for, etc. This framing assumes that paying for health care through a surrogate, like a health plan or Medicare, is a priori the only way of doing business in health care.By Leah Binder
David Goldhill believes that assumption is in fact the root cause of the problems in health care. A businessman in the entertainment industry, he was blissfully unaware of some of the failings of our health care system--until he encountered them full force with his father's hospitalization and death from infection. He wondered why the healthcare system played by an entirely different set of rules than he did in the business world.He studied the problem for a few years, and this book is the result.
He makes a strong case that surrogates drive costs up and quality down, and our health care system is on a crash-course to devastate our economy. He says that we as Americans cherish the myth that we don't really pay for our own health care, our health plan or Medicare does. That myth, says Goldhill, is the core of the problem in our health care system, and the seed of the solution.
Goldhill's perspective and his proposed solutions are unorthodox and will likely generate some controversy. But given the serious problems in our health care system, this incisive book is critical and a must-read for policymakers on both sides of the aisle.
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