Customer Reviews

Epidemic of Care: A Call for Safer, Better, and More Accountable Health Care

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In clear terms, Halvorson and Isham examine why the American health care "non-" system continues to deliver some of the best health care in the world-and some of the worst-at a price fewer and fewer people can afford. The authors do an excellent job of assessing the current health care landscape, how it got that way, and what health care decision-makers and consumers can do about it. In these days of "cost shifting" and "skinny" benefits, their emphasis on health care delivery redesign is a refreshing reminder that measuring and rewarding quality is the only way to truly solve the health care crisis.

Epidemic of Care provides a succinct overview of what presently ails our nations health care delivery system. It demonstrates how our health care delivery system is really a non-system with millions of independent, uncoordinated, and separately moving parts, priorities and vested interests. The result of this morass, more than forty million uninsured citizens, inconsistent and unaccountable care, and the fastest growing and most wasteful health care delivery economy in the world.

The authors argue that it is time for all parties -- payors, providers, consumers and policymakers -- to recognize that the U.S. is approaching a major health care crisis that is driven by the way we deliver, receive, and pay for care. Epidemic of Care offers a convincing portray how this impending crisis will impact nearly every segment of our society, including:
>> diminished take-home pay for America's workers
>> increases to the rate of uninsured as smaller companies drop health care coverage altogether
>> strains to senior's incomes as premiums for Medicare supplement plans and prescription drug costs climb
>> diminished quality resulting from inconsistent or uncoordinated care

The cure -- collaboration between payors, providers, consumers and policymakers to achieve a more accountable, efficient and affordable health care delivery system.

This is an intellegently written synopsis of the current state of affairs in U.S. healthcare. Halvorson and Isham analyse the strengths and faults of the major attempts to bring the run away cost of health care into some affordable limits. They point out the strengths and weaknesses of each approach. They also have some suggestions for the future so we will not repeat the errors of the past.

Being in the Health Insurance business I have heard many alternatives proferred to correct our perceived need for health care reform. Mssrs. Halvorson and Isham have presented the best arguement I have seen so far for a workable solution.

This was a highly informative take on a topic that is sure to become even more urgent as time goes on. A must-read for health care workers as well as any citizen interested in understanding how our health care system works and what it will take to improve it.

slow but important book about the management of health care. very timely for 2009

We Americans are ambitious, aggressive, and full of self-interest. We want the best and the most, and we strive to achieve it. We are resourceful and clever, and we achieve a lot of what we set out to. Mr. Halvorson and Dr. Isham show how much we have accomplished in clinical science, especially in how doctors and institutions provide health care to individuals. But they also show how little regard we have to the financial cost of providing that care. They describe the fiscal and social trade-offs that occur in our medical economy all the time. Very few of us entrepreneurs, politicians, social leaders or patients are even minimally conscious of these costs. Reading this book will change how you listen to the next story about a premature baby or a liver transplant, and it ought to change how you think about the health care you consume.