By Barbara J. Sowada
Examines the complicated interrelationships that tell the future health care process. health and wellbeing care, like any social structures, is a made of notion. prior to now, our collective pondering has been in response to attempting to deal with elements, no longer the complete. This e-book inquires into 4 age-old questions that form all wellbeing and fitness care structures: what's well-being? what's care? who's accountable? How a lot is enough?
Americans have the wealthiest future health care procedure on this planet, but the well-being prestige of american citizens ranks within the lowest quartile one of the world's 25 industrialized international locations and forty five million american citizens are with no medical health insurance. ultra-modern rate, caliber, and entry difficulties are inter-related and will be traced to taken-for-granted assumptions and overall healthiness care's superseded organizing strategies: reductionism and materialism. better fragmentation of care, an over-dependence on know-how, inattention to social and environmental determinants of overall healthiness, and severe monetary and ethical dilemmas are the various result of the final forty years of piecemeal political and financial reform.
This publication has 3 reasons. the 1st is to aid the reader see healthcare as a posh system—a half in a bigger whole—and to teach how solutions to the questions, what's healthiness? what's care? who's dependable? How a lot is sufficient? implicitly outline the aim, effectiveness, potency, and equity of a wellbeing and fitness care approach. the second one is to teach that ultra-modern entry, fee, and caliber difficulties are interrelated, and come up from superseded options, unquestioned assumptions, and a protracted path of inconsistent and contradictory solutions to the 4 questions. The 3rd objective is to acquaint readers with either the non-public and societal demanding situations of discovering coherent solutions to the 4 questions raised above and to explain a number of the budding experimental options that problem conventional conventions and assumptions.
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Additional info for A Call to Be Whole: The Fundamentals of Health Care Reform
That much, everyone agrees. The problem is, all Americans don’t see the same health care system. Answers to our four questions vary depending upon whether one is a patient, a provider, or a payer. To further complicate matters, Americans don’t agree whether health care is a commodity for those who can afford its price, or a social good necessary for the nation’s well-being. UNPACKING HEALTH CARE Because our thinking determines what we see and do, the purpose of this book is to inquire into the thought that generates our health care system.
In the name of competition, economic growth is pursued through the elimination of unproﬁtable services and unproﬁtable people, and by increasing the patients’ out-of-pocket costs. Seen solely through the lens of economics, health care is simply another process to produce capital, and human beings are another raw material Heartburn 19 consumed in the pursuit of proﬁt. Although good for business, the price to humans is dear. Forty-three million Americans—the already sick, the poor, people of color, unorganized labor, and children—are excluded from the system.
This attractiveness, augmented by the merger mania and deregulation that signiﬁed the 1980s, reinforced the growth of investor-owned, national chains of for-proﬁt hospitals, nursing homes, physician management corporations, and outpatient services, as well as insurance companies that rapidly morphed into managed care organizations. In less than two decades, investment incentives shifted health care away from solo practitioners and nonproﬁt organizations to corporate conglomerates. So profound is the corporate inﬂuence on the management practices of health care that the only difference between the forproﬁts and the nonproﬁts is that the nonproﬁts do not pay taxes and the for-proﬁts return a portion of their revenue to stockholders.