Catastrophic Care (eBook)
384 Seiten
Knopf Doubleday Publishing Group (Verlag)
978-0-307-96155-6 (ISBN)
A visionary investigation that will change the way we think about health care: how and why it is failing, why expanding coverage will actually make things worse, and how our health care can be transformed into a transparent, affordable, successful system.
In 2007, David Goldhill's father died from infections acquired in a hospital, one of more than two hundred thousand avoidable deaths per year caused by medical error. The bill was enormous--and Medicare paid it. These circumstances left Goldhill angry and determined to understand how world-class technology and personnel could coexist with such carelessness--and how a business that failed so miserably could be paid in full. Catastrophic Care is the eye-opening result.
Blending personal anecdotes and extensive research, Goldhill presents us with cogent, biting analysis that challenges the basic preconceptions that have shaped our thinking for decades. Contrasting the Island of health care with the Mainland of our economy, he demonstrates that high costs, excess medicine, terrible service, and medical error are the inevitable consequences of our insurance-based system. He explains why policy efforts to fix these problems have invariably produced perverse results, and how the new Affordable Care Act is more likely to deepen than to solve these issues.
Catastrophic Care is surprising, engaging, and brimming with insights born of questions nobody has thought to ask. Above all it is a book of new ideas that can transform the way we understand a subject we often take for granted.
A visionary investigation that will change the way we think about health care: how and why it is failing, why expanding coverage will actually make things worse, and how our health care can be transformed into a transparent, affordable, successful system.In 2007, David Goldhill’s father died from infections acquired in a hospital, one of more than two hundred thousand avoidable deaths per year caused by medical error. The bill was enormous—and Medicare paid it. These circumstances left Goldhill angry and determined to understand how world-class technology and personnel could coexist with such carelessness—and how a business that failed so miserably could be paid in full. Catastrophic Care is the eye-opening result.Blending personal anecdotes and extensive research, Goldhill presents us with cogent, biting analysis that challenges the basic preconceptions that have shaped our thinking for decades. Contrasting the Island of health care with the Mainland of our economy, he demonstrates that high costs, excess medicine, terrible service, and medical error are the inevitable consequences of our insurance-based system. He explains why policy efforts to fix these problems have invariably produced perverse results, and how the new Affordable Care Act is more likely to deepen than to solve these issues. Goldhill steps outside the incremental and wonkish debates to question the conventional wisdom blinding us to more fundamental issues. He proposes a comprehensive new way, where the customer (the patient) is first—a system focused on health and maintaining it, a system strong and vibrant enough for our future.If you think health care is interesting only to institutes and politicians, think again: Catastrophic Care is surprising, engaging, and brimming with insights born of questions nobody has thought to ask. Above all it is a book of new ideas that can transform the way we understand a subject we often take for granted.
How American Health Care Killed My Father Becky is a twenty--six--year--old who's worked in my company's marketing department for three years. It's her first job out of school, and she's done very well. She's smart, ambitious, and poised, and her future is promising. Becky describes herself as a 'bit hypochondriacal,' so she sees two primary care physicians a year. But she's generally healthy and has no major health care needs. With the insurance plan she's chosen, she can see any doctor she wants, but the annual deductible doubles, from $250 to $500, when she goes out of network. Most of the treatments she uses count as preventive care, which now has no cost sharing. So with her share of the company's insurance premiums and her out--of--pocket expenses, health care will cost Becky just about $2,500 a year. That may be a bit more than she would like, but all things considered, it's not terrible for someone just starting out, right? Wrong. Becky will actually contribute over $10,000 to America's health care system this year---most of it through payments she's not aware of. That's right: health care will consume just under a quarter of Becky's true compensation, not the 7 percent she believes. I'll be providing a detailed breakdown of these additional---I call them deliberately disguised---costs in chapter 2. For now, what you urgently need to understand is that beginning on the first day of her working career, the cost of health care will be the major constraint on Becky's standard of living matching---much less, surpassing--that of her parents. And it will only get worse for Becky as she settles down and starts a family. Because, as I'll show you, even if we somehow eliminate the explosive growth in health care costs---literally reduce growth to zero---our current system already ensures that Becky will pay well more than $1.2 million into it over her lifetime. If Becky's hoping the new Affordable Care Act will somehow reduce her cost, then she's unaware that the administration's own projections show per capita health costs rising by 5 percent per year over the next ten years (which would mean her lifetime contribution to the system will be $1.8 million, even assuming that after those ten years health costs don't grow at all). All this assumes she never has a major illness, in which case she will almost certainly pay much more. None of this is on Becky's radar screen today. Although she's probably spending more this year on health care than on anything else (except maybe big--city apartment rent), and while she describes herself as a 'true bargain shopper,' Becky has no awareness at all of what health care is really costing her. She thinks about her health care benefits, not about her health care costs. Becky hopes to be successful, perhaps someday earning 'several hundred thousand' a year. That would put her in the top 1 percent of earners in America. When I ask her how much she would need over her lifetime to pay for health care, she mentions the possibility of dealing with cancer or other major issues and says 'millions.' There is 'no way' she could afford to pay for her care on her own. But then I ask her how a society can afford health care for anyone if even people in the top 1 percent don't have the resources to cover their care. Where would the money come from? She's a bit embarrassed: 'I'm sorry, that doesn't make any sense. I haven't really given this any thought.' I assure her there's no reason to be embarrassed: almost no one seems to have given this much thought. I started thinking about health care because of a personal tragedy: almost five years ago, my father died from a hospital--borne infection he...
Erscheint lt. Verlag | 8.1.2013 |
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Sprache | englisch |
Themenwelt | Studium ► Querschnittsbereiche ► Prävention / Gesundheitsförderung |
Recht / Steuern ► Privatrecht / Bürgerliches Recht | |
Sozialwissenschaften ► Politik / Verwaltung ► Staat / Verwaltung | |
Wirtschaft | |
ISBN-10 | 0-307-96155-9 / 0307961559 |
ISBN-13 | 978-0-307-96155-6 / 9780307961556 |
Haben Sie eine Frage zum Produkt? |
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