Showing posts with label policy. Show all posts
Showing posts with label policy. Show all posts

7/02/2012

The Good Doctors: The Medical Committee for Human Rights and the Struggle for Social Justice in Health Care Review

The Good Doctors: The Medical Committee for Human Rights and the Struggle for Social Justice in Health Care
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John Dittmer relates the history and development of the Medical Committee for Human Rights and the involvement of the Committee and its members in not only the civil rights movement, but in every "social justice" movement of the 1960s and early 1970s. His stated intent was to give credit to the medical professionals who put themselves into difficult and sometimes dangerous situations in the interest of advancing medical care to blacks, to the poor, and to anyone deprived of access to care because of his or her status in the community. Unfortunately, despite the author's apparent substantial knowledge of the era, the book is so poorly written that it can only leave the interested reader frustrated.
At the outset, many scenes and individuals were described in a way that made me feel they were being flashed on a screen. I have read a few books about the civil rights movement, but only after I had read about two-thirds of the book did I have a real sense of who were the significant individual participants in the movement. Someone with no prior knowledge of the events of the times would be at a complete loss to understand and follow the narrative.
There are occasional glimpses of how good this book and the telling of this story could be. Chapter 6, The Last March, and Chapter 7, The War at Home, are focused and cohesive. Most of the rest of the book, however, gave the impression of reading newspaper or magazine reports that were thrown together in an attempt to write a book. The writing was anecdotal. Analysis was lacking and there were often sweeping generalizations resulting in unsupported conclusions. Transitions between chapters, and sometimes between paragraphs, were choppy and bordered on the illogical.
For those of us interested in the civil rights movement and social justice issues of the era, the subject the author tries to illuminate holds great interest. Perhaps Dittmer wrote this book in a rush. Certainly his editors did him no favors. The information is there; I would like to see the author "take a Mulligan" and do it over.

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The untold story of the courageous doctors and nurses who fought the battle for racial justice in hospitals, in clinics, and on the streets in the 1960s.

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10/25/2011

Chronic Crisis: Critical Care for America's Collapsing Healthcare System Review

Chronic Crisis: Critical Care for America's Collapsing Healthcare System
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The perfect book for what is on the agenda in the U.S. today. Selvoy M. Fillerup covers not only the health care system we have in the U.S. but compares it to the health care systems in several other industrialized countries. For example, Canada, Great Britain, Switzerland, Germany, etc. A collection of policies that work - and ones that don't work - are proposed and explained not only in the context of effective health care but in the context of why they make good economic sense. An effective health care system is not only accessable it must also be solvent which is to say sustainable. Ironically, with universal health care individual health care costs in the U.S. go down.
What might an effective national health care policy look like?
1) Everyone has a choice between private or public health care coverage. Offering both private and public options leverages the strength of both systems. Private systems are good at innovating, reducing costs and expanding infrastructure. Public systems implement the social contract that everyone in a civilized society has access to basic health care services.
2) Everyone is enrolled in either the public or private system. This can be default or mandatory enrollment default being preferred as there are no penalties - legal actions - involved if someone fails to enroll thus the system is simpler.
3) Community rating for coverage pricing. Individual risks are not evaluated thus, again, simplifying the system and reducing one of the biggest coverage administration costs - risk analysis. The need for risk analysis of individuals is greatly reduced when coverage is guaranteed.
4) Guaranteed issue. Coverage under the uniform benefits package cannot be denied for prior history or any other reason. When you walk into a public or private health insurance office and ask for the basic coverage package you cannot be denied.
5) A uniform benefits package that includes catastrophic care. Public and private care compete on the uniform benefits package based on price, reputation, convenience and other factors but not on what the uniform benefits package actually covers.
It has been said that the U.S. has the best health care in the world... and the worst way of paying for it. Policy needs to set the guidelines or "playing field" in which the health care free market operates. With an effective policy - as outlined above - the free market can be an effective mechanism for health care delivery.

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The United States healthcare system leaks lives and dollars like a sieve. It neglects the needy and the poor. It is immoral. It is expensive. It is inefficient. It is, quite simply, broken. Dr. Selvoy Fillerup is an expert on international healthcare policy. As such, he has a uniquely informed perspective on why healthcare systems of other countries work, and why the US healthcare system does not. Chronic Crisis is straightforward, accessible, and direct to the point about one of the hottest political topics of our time. Explicitly nonpartisan, Dr. Fillerup offers a fresh look and reasonable solutions for this growing domestic crisis. Concerned Americans cannot afford to neglect this book!

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