7 of 7 people found the following review helpful
Health-Care Not Medical Care,
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This review is from: The Future of Health-Care Delivery: Why It Must Change and How It Will Affect You (Hardcover)I just received the book today and started reading it. What piqued my interest in this book was Dr. Stephen C. Schimpff's article on Kevinmd blog titled "America has a medical care system not a health care system". This book appears to expand on the ideas enumerated in that article.
Dr. Schimpff states that the PPACA reform is focused on expanding coverage to the uninsured and not the root cause(s) of the rising medical care cost. The biggest issue in the US is the alarming rise of Chronic illnesses - Diabetes, cardiovascular, stroke, auto-immune, Cancer. These chronic illnesses are responsible for 70% of medical care costs in the US.
The US spends $8000/year per person on medical care, almost twice the next biggest spender, but does not rank anywhere near the top in infant mortality rate or life expectancy.
Dr. Schimpff's contention is that life style choices and behavior is the main culprit: Tobacco, Diet, Exercise (lack of), Alcohol, Auto accidents, Sexual Behaviours and Illicit Drug Use. Infections and Toxic Agents being the other major causes.
His recommendations for the Delivery system are to shift the focus to complex, chronic illnesses while establishing good patient co-ordination via primary care physicians and preventive care. He also recommends error proofing the care delivery service.
His reform recommendations are to provide access, insurance, care providers payment system reform, delivery tied to payment, Cost optimization via the aforementioned items.
He talks about several misconceptions about the PPACA reform. US has the best health care system is a fallacy. The reform will advance medical science and improve delivery which he says is not true. The advances is science like bioengineering seem to be happening in isolation of the actual current needs of the populace. Electronic Medical Records are not the panacea which everyone is hoping for. Universal coverage will reduce costs - not true according to Dr. Schimpff.
Other misconceptions he addresses are about rising costs, technology, prescription drugs, fraud, saftey, patient control (health care quarterback) possibly lowering the costs, insurance premium costs, effectiveness of primary care physicians in reducing medical care costs, cost of technology, the right to health care, universal coverage, elimination of waste, disease prevention in old age.
I have not finished reading the book yet. So I am going to give it the benefit of doubt and give it a 4 star. I like what I have read so far.
One glaring omission I have noticed so far: The Food Chain problem in the United States and how the US diet has too much Sugar which appears to be linked to lot of the malaise.
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