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The Buck Stops Nowhere
 
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The Buck Stops Nowhere [Paperback]

Kathleen O'Connor (Author)
4.5 out of 5 stars  See all reviews (4 customer reviews)


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Book Description

October 15, 2001
Kathleen O'Connor has written a fascinating story of intrigue and deception, of back-stabbing characters and convoluted plot twists, of a fight for billions and trillions of dollars-and life itself.

Hers is the true story of America's health care system.

In The Buck Stops Nowhere, O'Connor shines her spotlight in all the dark corners of what has become an incredibly complex and altogether elusive industry. Unlike anyone who has come before her, she uses layman's terms to deftly explain the fatal flaws of this country's wildly confusing health care system and then sets the stage for what we can do to remedy it—the nation’s first contest to award innovative healthcare proposals with cash prizes, scholarships and the chance to influence legislation. The contest is open to the general public and will be judged in October 2003 by a panel of influential healthcare experts from around the nation.A twenty-year plus veteran of the health care industry, O'Connor dispenses insight into each of the competing stakeholders in this drama: insurance companies, business groups, hospitals, physicians and nurses, alternative care providers, non-profit organizations, pharmaceutical companies, politicians, and, most of all, the people who need health care. Terrifyingly accurate, it is a book that each of these groups will be compelled to read, and many will love to hate.

Thought-provoking, fast-paced, and compelling, The Buck Stops Nowhere promises to open a national dialogue on this most important of topics. It's time for the buck to stop here.


Editorial Reviews

Review

"Her health care analysis is courageous, insightful and highly readable." -- Brenda Loew, M.Ac., L.Ac., NW Institute of Acupuncture & Oriental Medicine

"Knows the ins and outs of the wildly confusing health industry and she can explain it all clearly-even entertainingly." -- Ann Medlock, Founder & Pres. of the Board, The Giraffe Project

"Right on target. Health care is the mission, not the price; and the trail is well documented in her book." -- Allan Morris, Former Health Care Business Executive

About the Author

Kathleen O’Connor has emerged as one of the most knowledgeable voices within the health care industry. Her credentials are impressive. Over the past twenty years, she has garnered experience in numerous sectors of the health care industry: as a bureaucrat and administrator at the University of Washington; as a Medicare marketing and sales executive at a for-profit HMO; as the founder of and executive director for a nonprofit organization; and as an entrepreneur, watchdog, and investigative publisher monitoring the health care industry.

With degrees in Japanese and Comparative Governments, and her extensive training, Kathleen has been said to speak three languages: English, Japanese, and Health Care. Her ability to translate complicated health care information into consumer-friendly language has made her a popular speaker and widely read author, both locally and nationally. Her works include: a monthly column for the editorial page of The Seattle Times; cover stories in Healthcare Infomatics, InfoCare, HealthPlan Magazine, HMO Magazine, and Washington CEO; articles in Business and Health, Managed Care Journal, Journal of Employee Benefits, Puget Sound Business Journal, and Diversity Business News; and opinion pieces in The Puget Sound Business Journal and the Seattle Post Intelligencer.

Kathleen has also been featured in national magazines, such as the Dow Jones’ Career Journal, Click Chicks, Glamour Magazine, and Women’s Day, among others. She is a paid published poet the publisher of the O’Connor Report: Insights and Commentaries on Health Care Today. Her Glossary of Health Care Terms and Definitions is in its third printing, with over 30,000 copies sold, and her latest book, The Buck Stops Nowhere, explains the problems of the health care industry—and provides possible solutions to them.

Recognized nationally for her consumer-oriented advocacy, Kathleen is consistently asked to participate in public and private forums, such as the National Medicare Coverage Advisory Commission and the first Community Leadership Project (1996-99), sponsored by the Kettering Foundation, the Kellogg Foundation, and the National Association of Community Leadership Programs. A graduate of the Leadership Tomorrow Program in Seattle (1985), she has been active in several community activities, such as Save the Pike Street Market Committee; Seattle Women’s Commission; King County Board of Mental Health; Boys and Girls Clubs; Leadership Tomorrow Governing Board; the Giraffe Project; and Senior Services of King County. She is the founder and president of W.H.E.R.E. (Women for Health Care Equity through Reform and Education); and also serves on the Women’s Health Advisory Committee, Region X, US Public Health Service; Advisory Panel, Center for Excellence in Women’s Health, University of Washington; Advisory Board, Dental Health Services; and was a member of the White House Women’s Conference Circle. She is president of the Fremont Club of Rotary International (aka the Fun Club), which is the first officially charted Rotary Club of the century (Jan. 1, 2000).

Raised on Route 66 and a past resident of California, Virginia, Florida, Washington, D.C., and Japan, Kathleen eventually settled in Seattle, Washington, where she continues to make her home.


Product Details

  • Paperback: 126 pages
  • Publisher: Hara Publishing Group (October 15, 2001)
  • Language: English
  • ISBN-10: 1883697565
  • ISBN-13: 978-1883697563
  • Product Dimensions: 8.4 x 5.4 x 0.5 inches
  • Shipping Weight: 7.2 ounces
  • Average Customer Review: 4.5 out of 5 stars  See all reviews (4 customer reviews)
  • Amazon Best Sellers Rank: #6,722,409 in Books (See Top 100 in Books)

 

Customer Reviews

4 Reviews
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Average Customer Review
4.5 out of 5 stars (4 customer reviews)
 
 
 
 
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Most Helpful Customer Reviews

3 of 3 people found the following review helpful:
4.0 out of 5 stars A Must for anyone who cares about health care!, January 8, 2002
By 
Christine (Mercer Island, Wa USA) - See all my reviews
This review is from: The Buck Stops Nowhere (Paperback)
I finished this book in an evening; I couldn't put it down. The author has succinctly outlined our present healthcare system and how we got here. More importantly, she explains why it doesn't work and some ideas on how to design a system which will work. The book is written for the layperson, but as a healthcare professional, I found this book to be a real eye-opener.
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2 of 2 people found the following review helpful:
5.0 out of 5 stars A Pithy Prescription for Reform, September 12, 2002
By 
Paul Buehrens (Seattle, WA USA) - See all my reviews
(REAL NAME)   
This review is from: The Buck Stops Nowhere (Paperback)
"Kathleen O'Connor's book "The Buck Stops Nowhere" is a pithy, down to earth primer for anyone who cares about reforming our healthcare "system" and has trouble seeing the various parts of the elephant, like the proverbial blind wise men. She cuts through mountains of material to make some large generalizations that ring true to this family practitioner of over twenty years. She ends with a plea for public engagement in a democratic process that is the only new idea going for basic reform of the world's 37th best performing and most expensive healthcare system: ours!"
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4.0 out of 5 stars A short condemnation of a huge problem., January 17, 2006
By 
Newton Ooi (Phoenix, Arizona United States) - See all my reviews
(REAL NAME)   
This review is from: The Buck Stops Nowhere (Paperback)
Harry Truman famously said, "The buck stops here" to punctuate the fact that as President of the USA, he is in charge. The title of this book then refers to the fact that in the American health care system, the buck stops nowhere because no one is really in charge. The book itself is a condensed primer on the shortfalls, inefficiencies, and immoralities of the US health care system as it exists in the beginning of the 21st century. The book examines health care plans, insurance coverage, and the medicare / medicaid problems. From such a large set of problems, the author draws out several major trends seen by all involved in the health care system, and proposes several things that we, the voters can do to help the system.

There are several drawbacks to this book. First, the book focuses on the health care system in general, and mostly neglects the social and cultural environment that has come to exist in America from 1945 to the present. Specifically, America has become a car society, such that the primary form of exercise practised in other countries - walking between work, school, store, and home - is rarely practiced in American any more. As America becomes more and more suburbanized, people will drive more and walk less. This can only lead to more obesity, and all the other problems related to it.

Second, the author should have devoted a whole chapter to the food, alcohol and tobacco industry. Major parts of the US economy gain their profit by Americans doing unhealthy things such as eating junk food, smoking, drinking alcohol, etc... As long as these industries have lobbyists working for them in D.C. and state capitols, there is only so much preventive health care that can occur in this country.

Third, and most importantly, the author should have examined the way health care professionals (doctors, dentists, nurses, pharmacists, opticians, etc...) are trained and certified / licensed in America, and compare / contrast this with what happens in other countries. Specifically, health care professionals in the US form the highest-paid union, and entry into this union is quite expensive. On the other hand, health care professionals in most other societies are not compensated so handsomely as those in the US, and getting an education in health care is quite different in other countries as compared to here. For example, one can get a B.S. degree in Medicine in China, and go on to practice medicine. This is not possible in the USA.

Overall a good book, and one that packs quite a punch for its short length. But there are topics it misses entirely.
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