Health Care System

With technological advances and information sharing so prevalent, health care should be more transparent and easier to access than ever before. So why does it seem like everything about it - from pricing, drug development, and the emergence of new diseases to the intricacies of biologic and precision medicine therapies - is becoming more complex, not less?

Over the past three decades, the once-efficient American health care system has evolved into a complex maze of monopolies and a racket of bureaucratic checks, approvals, denials, roadblocks, and detours. This shift has created a massive and at times redundant workforce that frustrates patients, as well as physicians, nurses, and administrative staff. Health care costs the United States more than $11,000 for each person in the country each year - more than double what it costs in most Western European countries to deliver equal or even better care.

Since FDR, the US healthcare system has been mired in politics and policy. All the while it has only increased in complexity and cost. Today half of all personal bankruptcies are attributable to healthcare costs. Many community hospitals are barely getting by with single digit profit margins. With a system teetering on the edge of a systemic crisis, we need to turn to a brand-new approach to rescue the US healthcare system.

Many know from experience that the medical system can be difficult to navigate. Take it from Randy Pherson, who struggled with a medical condition for five years before getting a proper diagnosis - and once he did, had to undergo a major surgery to save his life. Because of his experience, Pherson decided to help others facing similar situations. Using his background of analytics from the CIA, Pherson offers his readers precise, analytical techniques for using the system to their advantage.

Uwe Reinhardt was a towering figure and moral conscience of health care policy in the United States and beyond. Famously bipartisan, he advised presidents and Congress on health reform and originated central features of the Affordable Care Act. In Priced Out, Reinhardt offers an engaging and enlightening account of today's US health care system, explaining why it costs so much more and delivers so much less than the systems of every other advanced country, why this situation is morally indefensible, and how we might improve it.

Reveals the truth behind the controversial issue of vaccine-related injuries. Proponents declare that vaccines have saved millions of lives. Critics claim that the success is overstated and that vaccines may even be dangerous. Many consider mandatory vaccinations a violation of individual rights or religious principles. Many in public health argue that vaccine mandates are critical and justified and that antivaccination sentiment has resulted in outbreaks of preventable childhood illnesses.

States of Health identifies the practical relevance of federalism to people facing ethical decisions about health and health care, and it considers the theoretical justifications for permissible differences among states. It asks whether authority over important aspects of health is misaligned in the United States today, with some matters problematically left to the states while others are taken over by the federal government.

Caregiving for those who suffer from Parkinson's disease comes with many challenges, from how to deal with guilt and loneliness to avoiding burnout and figuring out what to expect from an unpredictable disease. When giving care, too often caregivers neglect their own well-being. Everything You Need to Know About Caregiving for Parkinson's Disease is not just about caring for your loved one, but also about taking care of yourself.

At its heart, polyvagal theory describes how the brain's unconscious sense of safety or danger impacts our emotions and behaviors. In this powerful book, pediatrician and neonatologist Marilyn R. Sanders and child psychiatrist George S. Thompson offer both a meditation on caregiving and a call to action. By attending to the lessons of polyvagal theory—that adult caregivers must be aware of children's unconscious processing of sensory information—the authors show how professionals can play a critical role in establishing a sense of safety even in the face of dangerous situations.

Psychiatrist Dr Mark Cross has spent most of his adult life working in the mental health system. He also suffers from anxiety, as do three out of four Australians at some point in their lives, so he knows first-hand the challenges, successes and failures facing consumers, patients and professionals. What he has discovered is that while Australia’s physical health system is world-renowned, its mental health system falls miserably short.

In Dying to Save You, Dr. William Queale takes you behind the scenes of our sickcare system. He uses deeply personal stories to explain how we got here and how systems thinking can get us out. But Dying to Save You isn’t just about medicine, science, and healthcare policy. This book is about you—and how you can stay out of the sickcare system altogether.

America’s Bitter Pill is Steven Brill’s acclaimed book on how the Affordable Care Act, or Obamacare, was written, how it is being implemented, and, most important, how it is changing—and failing to change—the rampant abuses in the healthcare industry. It’s a fly-on-the-wall account of the titanic fight to pass a 961-page law aimed at fixing America’s largest, most dysfunctional industry. It’s a penetrating chronicle of how the profiteering that Brill first identified in his trailblazing Time magazine cover story continues, despite Obamacare.

Technological innovation is deeply woven into the fabric of American culture, and is no less a basic feature of American health care. Medical technology saves lives and relieves suffering, and is enormously popular with the public, profitable for doctors, and a source of great wealth for industry. Yet its costs are rising at a dangerously unsustainable rate. The control of technology costs poses a terrible ethical and policy dilemma. How can we deny people what they may need to live and flourish?

The U.S. healthcare system is in critical condition--but this should come as a surprise to no one. Yet until now the solutions proposed have been unworkable, pie-in-the-sky plans that have had little chance of becoming law and even less of succeeding. In Code Red, David Dranove, one of the nation's leading experts on the economics of healthcare, proposes a set of feasible solutions that address access, efficiency, and quality.

Conflicts of interest, misrepresentation of clinical trials, hospital price-fixing, and massive expenditures for procedures of dubious efficacy - these and other critical flaws leave little doubt that the current US health-care system is in need of an overhaul. In this essential guide, preeminent physician Nortin Hadler urges American health-care consumers to take time to understand the existing system and to visualize what the outcome of successful reform might look like.

A courageous memoir that spans 40 years of Dinaaz Lentin's life experiences within our health care system. The story is raw, thought-provoking, and a brilliant look at complications and uncertainties when a medical challenge being faced is rare and uncertain. An extremely powerful example of how self-belief and trusting your own gut instinct can allow you to overcome any of life's challenges.

At a time when many Americans may be seeking alternatives to current health care choices, Dr. Knope offers an option that allows patients to directly contract with healthcare providers for individualized care. Using first-hand accounts and plenty of examples of how concierge medicine works, Knope offers a plan for patients looking to make a change to a medical system that is negotiated between doctor and patient, rather than through insurance and pharmaceutical companies.

How has the United States, with more resources than any nation, developed a healthcare system that delivers much poorer results, at near double the cost of any other developed country - such that legendary seer Warren Buffett calls the Medical Industrial Complex "the tapeworm of American economic competitiveness"?

Provider burnout is rampant due to bureaucratic overload, long work hours, and the lack of community, respect, and autonomy at work. But these issues can be addressed without significant expense or a major system overhaul. Dr. John McB. Hodgson’s approach to healthcare change re-empowers healthcare providers to do what they love to do—care for patients, solve problems, and influence the delivery system.

Every year, millions of Americans are overcharged and underserved while the health-care industry makes record profits. We know something is wrong, but the layers of bureaucracy designed to discourage complaints make pushing back seem impossible. Never Pay the First Bill is the guerilla guide to health care the American people and employers need. Drawing on 15 years of investigating the health-care industry, reporter Marshall Allen shows how companies and individuals have managed to force medical providers to play fair and shows how you can, too.