Overview

America spends more than any other developed nation on healthcare,2.1 trillion in 2007 alone. But 47 million Americans remain uninsured, and of those Americans who are insured, many suffer from poor health. In his ground-breaking proposal, Dr. Ezekiel Emanuel offers up a plan to comprehensively restructure the delivery and quality of our healthcare. By eliminating employer-healthcare and establishing an independent program to evaluate healthcare plans and insurance companies, he offers a no-nonsense guide to how government can institute private insurance options that will allow each of us a choice of doctor and plan. With the rate of healthcare costs rapidly outpacing our gross domestic product, we can no longer afford to maintain our fragmented delivery of care, or entertain reforms that seek to patch, rather than cure, a fractured system. Accessible, straightforward, and revolutionary in its approach, Healthcare, Guaranteed is an inarguable guide to lasting healthcare reform.

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9781586486624

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Financial Times The best of recent books on this question is happily the shortest and clearest and comes out this month. I think it has the answer. The proposal laid out in Healthcare, Guaranteed by Ezekiel Emanuel ... has convinced me. Whether it will convince others is in doubt for reasons I will come to. But if you are going to read one book on the subject, make it Mr. Emanuel's. The Spine How to Fix Healthcare: Readers may recall an article by Ezekiel Emanuel and Nobel Laureate in Economics Victor Fuchs in TNR a while ago about their truly brilliant and, in my view, ineluctable proposal for paying for basic health care in America. Some time later we alluded in an editorial to the provocation of their plan to all the other policy contortions that pass as the foundations of legislation. Zeke has now expanded this work into a book, Healthcare, Guaranteed, published by PublicAffairs. By the way, he has a PhD in political philosophy from Harvard and an MD from the Harvard Medical School, and is now chairman of the department of bioethics at the National Institutes of Health. Years ago, he started his career as an intern at The New Republic. What a story that would make: those who began right here. In any case, Clive Crook has written a rave review, a truly rave review of the book in Monday's Financial Times. Before you read the review and the book, you should know that at the base of the financial plan is a value-added tax. This is one value-added tax that you might like. Newsweek, June 1, 2008 This Monday a modest little paperback will show up in bookstores offering a suggestion for health-care reform. It won't contain any wrenching human stories like those in last year's big health-care book, Jonathan Cohn's Sick. It won't be accompanied by gonzo stunts a la Michael Moore's Sicko. But Healthcare, Guaranteed, by Dr. Ezekiel Emanuel, may nonetheless be the most exciting book yet to come out of the country's medical crisis. What it offers is a radical yet straightforward proposal, one a layperson can understand. If the complexities of health-care policy give you a headache, this book is aspirin. Read it twice and call your congressman in the morning. Ezra Klein, American Prospect, August 12, 2008 Healthcare, Guaranteed is beautifully written. It describes many flaws of American healthcare with maddening clarity. Some of its building blocks should be included in anyone's health plan New England Journal of Medicine, August 21, 2008 Healthcare, Guaranteed is a broad discussion of pervasive problems in our health care system, and it lays out a comprehensive plan to remedy them...Policymakers and all Americans troubled by [the system's] injustices will find Healthcare, Guaranteed a valuable resource for considering solutions to our health care dilemmas. New York Times, 33: Zeke and book featured in piece about Obama's health policy team Another influential voice at the White House is that of Dr. Ezekiel J. Emanuel, an oncologist and medical ethicist. Dr. Emanuel, a brother of Rahm Emanuel, the White House chief of staff, is working for Mr. Orszag and is sometimes described as the kibitzer-in-chief on health policy...In a book published last year, for example, Dr. Emanuel proposed a guaranteed health care access plan, under which all Americans would receive vouchers to enroll in health plans offering a standard package of benefits like those available to members of Congress. The program would be administered by a National Health Board, modeled on the Federal Reserve Board...

New England Journal of Medicine, August 21, 2008<br> Healthcare, Guaranteed is a broad discussion of pervasive problems in our health care system, and it lays out a comprehensive plan to remedy them...Policymakers and all Americans troubled by [the system's] injustices will find Healthcare, Guaranteed a valuable resource for considering solutions to our health care dilemmas.

Author Information

Dr. Ezekiel Emanuel is the Chair of the Department of Bioethics at the Clinical centre of the National Institutes of Health and a breast oncologist. A visiting professor at the UCLA, John Hopkins Medical School, and Stanford Medical School, and the author of several books, he lives in Evanston, Illinois.

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