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Breaking Point - How the Primary Care Crisis Endangers the Lives of Americans Paperback – July 5, 2011

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Product Details

  • Paperback: 252 pages
  • Publisher: Copernicus Healthcare (July 5, 2011)
  • Language: English
  • ISBN-10: 0983773408
  • ISBN-13: 978-0983773405
  • Product Dimensions: 6 x 0.6 x 9 inches
  • Shipping Weight: 14.4 ounces (View shipping rates and policies)
  • Average Customer Review: 5.0 out of 5 stars  See all reviews (4 customer reviews)
  • Amazon Best Sellers Rank: #2,204,463 in Books (See Top 100 in Books)

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2 of 2 people found the following review helpful By Healthcare Advocate on August 22, 2011
Format: Paperback
As always, John Geyman's feet-on-the-ground, eyes-on-the-horizon writing about health care in America brings lucidity to the topic. Geyman tells us in Breaking Point that generalism in medicine has been run over by specialism and that's not good for the system or for us. To reverse this deterioration, he calls for a primary care "spring" that would rethink everything from the goals of medicine to the payment system for physicians. Breaking Point analyses our current dilemmas and points to the changes needed to rebuild primary care as the strong central pillar of health care in America. It is Geyman at his best. --Fitzhugh Mullan, M.D., Murdock Head Professor of Medicine and Health Policy, The George Washington University
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Primary care medicine, otherwise know as family practice, has changed so as to become in some respects unrecognizable in the forty years since I entered practice. The family doctor who knew you is a threatened species. With the incentives currently built into the medical care system that part of medicine will likely vanish.
Breaking Point is about primary care as family practice (pediatrics and obstetrics are actually specialties). It is about the struggle the family doctor has to survive in the current environment. The situation is not pretty and few are better prepared to discuss it than John Geyman, MD. He does a masterful job. He writes well and is very understandable.
I believe in Family Medicine. I practiced it for forty years. I hope it survives. I also doubt it will.
I retired sixteen months ago as much for survival as a human being as for fiscal reasons. Over the years one develops a relationship with his/her patient. This is critical in helping that patient when he or she needs a physician the most. When is that? When he or she is in the hospital. Now in most communities primary care physicians aren't given inpatient privileges to treat patients. Often I was not informed of my patient's admission. It is difficult to be effective as a physician when cut out of the system.
This is just one example; Dr. Geyman presents others, some fiscal, some psychological, some existential. Many have left primary care and by report, not so many are entering.
I thank Dr. Geyman for this book.

John A. Leraas, MD
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Format: Paperback
John Geyman continues his scholarly investigation of the structural, financial and educational origins of the crisis in American health care in Breaking Point. This book is a blueprint for restructuring the primary care workforce shortages that plague the current system and, as Geyman illustrates in great detail, will be hugely worse in the next decades with health care reform. What we need are clear, direct and achievable goals to work toward and, particularly in the chapter on Rebuilding and Transforming Primary Care, Geyman distills over fifty years as a scholar, thought leader, and national figure in health reform into ten principles that should guide that transformation. The book should be a source document for answering the question of how we got to this point as well as where we have to go next.
--John J. Frey, M.D., Professor of Family Medicine and Head of Community Health Connections, University of Wisconsin School of Medicine and Public Health
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"What good is a super high-tech health care system when you can't find a doctor when you need one? In Breaking Point, John Geyman explains why it is crucial for us to rebuild our primary care infrastructure, and how we can do it."--Don McCanne, M.D., Senior Health Policy Fellow, Physicians for a National Health Program (PNHP)
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