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Best Care Anywhere, 2nd Edition: Why VA Health Care Is Better Than Yours [Paperback]

Phillip Longman
4.8 out of 5 stars  See all reviews (9 customer reviews)


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Best Care Anywhere, 3rd Edition: Why VA Health Care Would Work Better For Everyone (Bk Currents Book) Best Care Anywhere, 3rd Edition: Why VA Health Care Would Work Better For Everyone (Bk Currents Book) 4.8 out of 5 stars (6)
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Book Description

April 6, 2010

Best Care Anywhere, 2nd Edition demonstrates how an ongoing quality revolution in the nation’s veterans hospitals provides deep lessons for reforming the U.S. health care system as a whole. The new edition is particularly timely with the winding down of the national debate over health care insurance reform, which will necessarily shift focus of reform to the practice of medicine itself.  The VA, by making extensive use of electronic medical records and evidence-based medicine, has developed a model of 21st century health care that boosts safety, cost effectiveness, and patient satisfaction.  And in so doing, it has proven that most of we think we know about health care is just wrong.

New to this edition:
• Discussion of vast changes in health care politics since 2007, and how the VA model of care fits in.
• New insights on how the VA model will shape 21st century health care.
• How Bush administration policies undermined many successful aspects of VA health care, and how the Obama administration is beginning to put matter right for our wounded warriors.
• Updated coverage of federal information technology initiatives in health care, and the lessons provided by the VA’s “open source” software development.

*  New information on the continuing consequences of exposure to Agent Orange, and its deeper implications for rethinking who should have access to VA care.

*  A proposal for rolling out a new civilian version of the VA that now has gained political viability in light of the overall failure of other approaches to health care reform. A civilian VA is a true “public option” in health care for which Progressives and other Americans must rally.



Editorial Reviews

About the Author

Phillip Longman, a senior fellow at the New America Foundation, is the author of numerous articles and books on health care, demographics, and public policy. His most recent book, The Next Progressive Era, was published by PoliPointPress in April 2009. He is also the author of The Empty Cradle, published by Basic Books in March 2004. The book examines how the rapid yet uneven fall in birth rates around the globe is affecting the evolution of culture and politics.

Mr. Longman is also the author of Born to Pay: The New Politics of Aging in America (1987) and The Return of Thrift: How the Collapse of the Middle Class Welfare State Will Reawaken Values in America (1996). Mr. Longman’s work has appeared in the Atlantic, the Financial Times, Foreign Affairs, Foreign Policy, the Harvard Business Review, the New Republic, the New York Times Magazine, the Wall Street Journal, Washington Monthly, the Washington Post, and the Wilson Quarterly.

He is a frequent public speaker, including addresses to the National War College, the Department of Health and Human Services, PopTech, and Fortune Magazine’s annual “Brainstorm” conference. He is also frequently interviewed by both foreign and domestic media, including National Public Radio, MSNBC, the BBC, the Canadian Broadcasting Corporation, Der Spiegel, and many others. Formerly a senior writer and deputy assistant managing editor at U.S. News & World Report, he has won numerous awards for his business and financial writing, including UCLA’s Gerald Loeb Award and the top prize for investigative journalism from Investigative Reporters and Editors.


Product Details

  • Paperback: 216 pages
  • Publisher: Berrett-Koehler Publishers; Second Edition, Revised edition (April 6, 2010)
  • Language: English
  • ISBN-10: 0982417152
  • ISBN-13: 978-0982417157
  • Product Dimensions: 5.6 x 0.6 x 8.3 inches
  • Shipping Weight: 9.6 ounces
  • Average Customer Review: 4.8 out of 5 stars  See all reviews (9 customer reviews)
  • Amazon Best Sellers Rank: #819,636 in Books (See Top 100 in Books)

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Customer Reviews

4.8 out of 5 stars
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This book is must read for everyone in this country. Marc Mest  |  2 reviewers made a similar statement
I read this book as if it were a page-turning suspense novel. Nickolas  |  1 reviewer made a similar statement
Most Helpful Customer Reviews
12 of 12 people found the following review helpful
5.0 out of 5 stars Delivers on its central premise and way more April 28, 2010
Format:Paperback
Best care anywhere? The VA? You better believe it.

The second edition of "Best Care Anywhere: Why VA Health Care I Better Than Yours" just hit the bookstore shelves and I just lapped it up. I was offered the first edition of this book back in 2007 when I was new to working in health care and so very uninformed about it. This book really swept away the cobwebs in my mind in that I had no concept that the incentives imbedded in our system of medical care delivery did not always encourage the *best* care. It, in fact, encourages *more* care which as we know from decades of work in comparing medical effectiveness (see Dartmouth Atlas of Health Care) actually suggests a negative correlation to outcomes.

In that way, this book very much undersells itself - it's about way more than just the VHA. It does what it sets out to do by spelling out what researchers have found which is that in a broad range of metrics, the care provided our veterans in the Veterans Health Administration is the best care available in America today. It's also telling that this second edition is made available some 3+ years after the original and the data still hold true.

What is this data, you might ask:

* New England Medical Journal noted that the VHA was "significantly better" in all measures connected with fee-for-service Medicare
* Annals of Internal Medicine reported that the VHA was the best in all seven measures of quality in comparison to its private industry counterparts
* RAND study concludes that the VHA outperforms all other sectors of American health care in 294 measures of quality
* National Quality Research Center in Michigan found that the VHA had the highest patient satisfaction of any public or private sector health care system
* Journal of the AMA wrote in 2005 that the VHA "quickly emerged as a bright start of patient safety"

That's not even the whole list. And, by the way, they do it at a per-member cost that is 8% less than private sector counterparts. More value at lest cost. I thought that was only supposed to be possible in the private sector.

Well, as it turns out, another thing the author succinctly points out is medical care does not behave like other markets. The author refers to this phenomenon as Roemer's Law. Put succinctly: in typical markets, increased supply leads to lower prices, in medical care more supply just results in more utilization and higher costs. See, all this stuff in a very small package - and extremely quick read - and you have the makings of a classic. And it is.
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2 of 2 people found the following review helpful
5.0 out of 5 stars I am a disabled vet, and this book will open your eyes January 22, 2012
Format:Paperback
I wish the author would publish more, and wish everyone would read this.

First, I am one of this countries totally disabled vets.. What does that mean? I have no right to health insurance in this country. No private insurance company will cover me, ever. So the VA is my only access to health care. So if i am over 65 I have a right to health insurance, but not before then...

One thing I have noticed is that the average person has no clue how our health care system operates. It is when you become chronically ill or disabled do you really find out how terrible our system actually is. The author had that exact situation when his wife became sick. Which drove him to research our system.

Political forces have made competition sound like it is the solution to our health care ills, yet it really is laughable. Hospitals cost X amount to operate each year, and they bill whoever to cover the costs. The federal government is who pays for our healthcare, it is no longer the privte insurers who pick up the bill. So the federal government should have control over the hospitals who are not simple non-profits.

The VA provides excellent healthcare for a fraction of the cost. Of course it was not always this way, and I have been on both sides of the quality curve of the VA. It is simply because they do not treat insurance cards like every other health care provider in this country. They are not trying to fill beds and utilize every facility to cover a revenue target.

I love the VA. I get to spend 30 - 60 mins with my doctor, and I get real answers and not the answer that will make him or her the most money. For my injuries, the VA are the experts.

This book is must read for everyone in this country.
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1 of 1 people found the following review helpful
4.0 out of 5 stars Very Informative January 5, 2012
Format:Paperback|Amazon Verified Purchase
I am a graduate student doing thesis work on the healthcare industry and and I also work in the healthcare industry. This book was an excellent introduction to the state of the industry and some of the problems we face. Whether you're researching Electronic Medical Records or healthcare - this book serves as an excellent introduction and guide.
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Most Recent Customer Reviews
4.0 out of 5 stars It really could be this simple!
It's so amazing to see the very health organization that did such a poor job taking care of our veterans 20 years ago, turn it all around to be a model that the public and private... Read more
Published 14 months ago by healyr338
5.0 out of 5 stars Government getting healthcare right
When I started my career in hospital administration in the mid-70s, the VA was widely seen as the place to go for care if you couldn't afford to go anywhere else, and the place to... Read more
Published 18 months ago by Joe Tye
5.0 out of 5 stars Enlightening
I strongly recommend this book to anyone interested in understanding the disconnect between the high cost and the low quality of health care that most Americans receive. Read more
Published on May 13, 2011 by Luis E. Ibanez
5.0 out of 5 stars Seriously Impressed
I read this book as if it were a page-turning suspense novel. It took me just two days to read, and it has profoundly changed the way I view healthcare and the future of our system... Read more
Published on April 14, 2011 by Nickolas
5.0 out of 5 stars The Notes section has many GREAT links!
I received this book on Monday 1/10/2011 and consider it a page turner. I applied for VA coverage in December of 2010 before I was aware of the book. Read more
Published on January 12, 2011 by Bob Levy
5.0 out of 5 stars LJS
Good value/service/speedy delivery--recommend to all VA, other medical center employees, veterans, and others interested in US health care
Published on October 7, 2010 by Linda J. Sullivan
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