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Crisis of Abundance: Rethinking How We Pay for Health Care (Hardcover)

~ Arnold Kling (Author)
Key Phrases: matching funding systems, premium medicine, health care finance system, United States, Private Insurance, David Cutler (more...)
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Crisis of Abundance: Rethinking How We Pay for Health Care + The Cure: How Capitalism Can Save American Health Care + Who Killed Health Care?: America's $2 Trillion Medical Problem - and the Consumer-Driven Cure
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Editorial Reviews

Review

"This is one of the most important books written on health care." -- Tyler Cowen, Professor of Economics, George Mason University, copublisher of Marginal Revolution.

I warmly recommend his book to general readers who want to understand what economics has to say about health care. -- Arnold S. Relman, The New England Journal of Medicine, September 2006


Product Description

In Crisis of Abundance: Rethinking How We Pay for Health Care, economist Arnold Kling argues that the way we finance health care matches neither the needs of patients nor the way medicine is practiced. The availability of premium medicine, combined with patients who are insulated from costs, means Americans are not getting maximum value per dollar spent. Using basic economic concepts, Kling demonstrates that a greater reliance on private saving and market innovation would eliminate waste, contain health care costs and improve the quality of care. Kling proposes gradually shifting responsibility for health care for the elderly away from taxpayers and back to the individual. The idea of matching the health care funding system to needs is very simple, Kling writes. The very poor and the very sick need help paying for health care. The rest of us do not.
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Product Details

  • Hardcover: 120 pages
  • Publisher: Cato Institute; 1 edition (April 26, 2006)
  • Language: English
  • ISBN-10: 1930865899
  • ISBN-13: 978-1930865891
  • Product Dimensions: 9.1 x 6 x 0.8 inches
  • Shipping Weight: 10.4 ounces (View shipping rates and policies)
  • Average Customer Review: 4.4 out of 5 stars  See all reviews (13 customer reviews)
  • Amazon.com Sales Rank: #601,024 in Books (See Bestsellers in Books)

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More About the Author

Arnold S. Kling
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Front Cover | Table of Contents | First Pages | Index | Back Cover | Surprise Me!
Search Inside This Book:
Inside This Book (learn more)
Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
matching funding systems, premium medicine, health care finance system, real health insurance, invasive colonoscopy, true health insurance, health care spending, catastrophic health insurance, catastrophic insurance, nonmonetary costs
Key Phrases - Capitalized Phrases (CAPs): (learn more)
United States, Private Insurance, David Cutler, Medical Expenditure Panel Survey, Policy Ideas, Remaining Lifetime Catastrophic Insurance, Needs Figure, The Rise of Premium Medicine, Medical Guidelines Commission, John Wennberg
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Front Cover | Table of Contents | First Pages | Index | Back Cover | Surprise Me!
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Citations (learn more)
This book cites 8 books:
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Customer Reviews

13 Reviews
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Average Customer Review
4.4 out of 5 stars (13 customer reviews)
 
 
 
 
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38 of 41 people found the following review helpful:
5.0 out of 5 stars Well worth reading, May 16, 2006
By Josh (Boston) - See all my reviews
If you've ever wondered why health care is so expensive in America, Kling will fill you in. Despite what many of us believe(d), it's not because of greedy pharmas or wasteful paperwork - as Kling shows, those ideas just don't hold water to explain the obscene cost hikes in recent years. Kling makes a great case that what has caused our problems is what he calls "premium medicine" - or health care spending whose cost exceeds its benefit.

As for solutions to our problems, Kling does a good job of unraveling many of the claims made by single-payer advocates, most notably that they can control costs without reducing benefits.

And when it comes to his own solutions, I found them to be very sensible (although I think he deliberately keeps them general). For example, he proposes keeping the government involved in funding health care, but ONLY for the poor and chronically ill (unlike in its current form where it also funds the elderly rich). This idea is so sensible - and seems to appeal to those on both sides of the aisle - that I'm surprised we haven't already done it.

All in all, well worth the read. Even if you generally don't like libertarian solutions to today's problems, I think you'll find Kling's book very easy to read, with far less ideology than in most other books on anything as controversial as health care.
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12 of 14 people found the following review helpful:
5.0 out of 5 stars Short, Well-Written, and Well-Reasoned, March 26, 2007
By John P. (Kennett Square, PA USA) - See all my reviews
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"Crisis of Abundance" should be read by any educated person who wants to understand the healthcare crisis in the U.S. and proposals to remedy it. This short, intelligent book reviews the various theories in play to explain why the U.S. spends so much more (as a percentage of GDP) on healthcare than other developed nations; looks at the "awkward facts" facing each theory; describes the trade-offs that any system for healthcare spending cannot avoid; and presents realistic policy considerations for improvement.

Even if you normally don't read "public policy" books, you should make time for this one. It will give you a solid foundation for evaluating what politicians and pundits say about the healthcare crisis and all the different fixes, both good and bad, that will be offered for your support.
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6 of 7 people found the following review helpful:
4.0 out of 5 stars Difficult but worth reading, April 24, 2007
By B. Case "InquiringMind" (Redondo Beach, CA) - See all my reviews
(REAL NAME)      
For this reader, "Crisis of Abundance" by Arnold Kling was difficult to read. Fortunately, it is very short, under 100 pages. In the end, it was well worth my brief persistence.

Anyone who wants to understand the healthcare crisis in the U.S. would benefit by reading this. The author is an economist, and the book is clearly told from an economic and public policy perspective. His goal was to write this book for the "concerned citizen," while at the same time making it credible to professional economists (p. ix). I rank this book lower than most other reviews because I believe the author partially fails in his attempt to write this book clearly for the concerned citizen.

He makes the point that what ails our national health care system is what he calls "premium medicine" -- or health care spending whose cost exceeds its benefit. He defines "premium medicine" as: "frequent referrals to specialists; extensive use of high-tech diagnostic procedures; and increased numbers and variety of surgeries" (p. 4). "If our high levels of health care spending are the result of so-called premium medicine, we should be demonstrably healthier. Yet when we attempt to examine average longevity at a national level, there seems to be no connection between American's high levels of health care spending and life span." (p. 25)

I found the book most difficult when the author was presenting policy issues. Kling states that his goal is "not to offer a package of solutions. It is to raise the level of understanding of the realities, issues and tradeoffs pertaining to health care policy" (p. 95). Here, for this reader, he succeeded. I now have a far better grasp of why the U.S. spends so much more on health care than other developed nations.

Kling is a libertarian, as is my husband, and that is how the book ended up in my hands. Generally I don't like libertarian solutions to current problems, but I found this book far less ideologic than others my husband has shared with me.

The book has piqued my interest, and I will no doubt read more on this topic in the future. Personally, I would love to find a book on this topic that also takes the environmental costs (see for example, "Plan B 2.0" by Lester Brown) of "premium medicine" into consideration when discussing the cost-benefit equations. Now that would be challenging and controversial!
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Most Recent Customer Reviews

4.0 out of 5 stars Fresh policy proposals
In an effort to get up to speed on healthcare economics, I purchase Victor Fuchs' Who Shall Live?: Health, Economics, and Social Choice (Economic Ideas Leading to the 21st Century... Read more
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5.0 out of 5 stars Excellent
Having been chasing the Health care debate for 15 years, and participating almost as long, I have to say that I was basically underinformed in the past. Read more
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4.0 out of 5 stars Reading it on the Kindle
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5.0 out of 5 stars The antidote to Michael Moore
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1.0 out of 5 stars Another book from CATO
Taking out the redundancy, this (about) 100 page book could have been made into a 20 page pamphlet. The real point behind this book: expectation of medicine has been increasing... Read more
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5.0 out of 5 stars A solid argument stating that not everybody requires extensive health care
Crisis Of Abundance: Rethinking How We Pay For Health Care by professional economist Arnold Kling is an in-depth and informative study of the American health care system and the... Read more
Published on June 3, 2006 by Midwest Book Review

5.0 out of 5 stars No Other Book Like This
Health care is a diffiuclt issue for people to discuss honestly today. Arnold Kling has done something rare -- he has provided an honest and objective account of the problems with... Read more
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5.0 out of 5 stars Almost all you need to understand the healthcare debate
This is a very easy to read book, but contains a wealth of subtle thinking about what's really going on with healthcare. The debate about healthcare is complicated. Read more
Published on May 11, 2006 by Average Reader

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