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OverviewWritten for nonexperts, this is a brisk, engaging history of American healthcare from the advent of Medicare and Medicaid in the 1960s to the impact of the Affordable Care Act in the 2010s. Step by step, Jonathan Engel shows how we arrived at our present convoluted situation, where generic drugs prices can jump 1,000 percent in a day and primary care physicians can lose 20 percent of their income at the stroke of a Congressional pen. Unaffordable covers, in a conversational style punctuated by apt examples, topics ranging from health insurance, pharmaceutical pricing, and physician training to health maintenance organizations and hospital networks. Along the way, Engel introduces approaches that other nations have taken in organizing and paying for healthcare and offers insights on ethical quandaries around end-of-life decisions, neonatal care, life-sustaining treatments, and the limits of our ability to define death. While describing the political origins of many of the federal and state laws that govern our healthcare system today, he never loses sight of the impact that healthcare delivery has on our wallets and on the balance sheets of hospitals, doctors' offices, government agencies, and private companies. Full Product DetailsAuthor: Jonathan EngelPublisher: University of Wisconsin Press Imprint: University of Wisconsin Press Dimensions: Width: 15.20cm , Height: 1.50cm , Length: 22.90cm Weight: 0.520kg ISBN: 9780299314101ISBN 10: 0299314103 Pages: 264 Publication Date: 28 February 2018 Audience: Professional and scholarly , General/trade , Professional & Vocational , General Format: Hardback Publisher's Status: Active Availability: Manufactured on demand  We will order this item for you from a manufactured on demand supplier. Table of ContentsTimeline of Major Federal Legislation Introduction 1 A System Run Amok 2 Medical Free Markets 3 Reining in the Excess 4 The Lure of Profits 5 Efforts to Rationalize 6 HillaryCare 7 Managing Care 8 Quantity and Quality 9 Ethical Wrangling 10 Medicare and Medicaid: Evolving Government Programs 11 (Un)Affordable Care 12 Afterword Acknowledgments Notes IndexReviewsEngel's clear storyline and simple (but not simplistic) analysis make sense of a topic of mind-boggling complexity. Invaluable. - David Herzberg, author of Happy Pills in America A comprehensive, readable, balanced examination of the costs of the crazy quilt healthcare 'system' that has evolved in the United States over five decades. - Ronald L. Numbers, coeditor of Sickness and Health in America Engel's clear storyline and simple (but not simplistic) analysis make sense of a topic of mind-boggling complexity. Invaluable. - David Herzberg, author of Happy Pills in America A comprehensive, readable, balanced examination of the costs of the crazy quilt healthcare 'system' that has evolved in the United States over five decades. - Ronald L. Numbers, coeditor of Sickness and Health in America Engel, author of four previous books on healthcare policy, presents a deeply researched, authoritative, and rigorous account of healthcare's flaws. . . . An important, concise appraisal of the current situation and of the way that America got here. -Foreword Reviews Author InformationJonathan Engel is the author of American Therapy; Poor People's Medicine; Doctors and Reformers; and The Epidemic: A History of AIDS. He is a professor in the School of Public Affairs at Baruch College and an adjunct professor of health policy and management at the Mailman School of Public Health, Columbia University. Tab Content 6Author Website:Countries AvailableAll regions |
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