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Casino Healthcare: The Health of a Nation: America's Biggest Gamble Kindle Edition
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Other topics are less proficiently handled..
We are told that the insurance industry accounts for only 7% of health expenditures, so they are not "the culprits". The pharmaceutical industry accounts for 11% of health expenditures. (Although I do not recall seeing the figure in this book, clinicians account for about 10% of health expenditures.) But we are never clearly told exactly who, then, the culprit is? Where does the other 72% of the money go?
This book clearly establishes the need for something other than what we have, but leaves little clues for the best path out of the current morass.
It would also have been enlightening to compare WHO outcomes data for cancer, diabetes, hypertension, and stroke. Hint: US is not "dead last".
He supports his writing with very powerful statistics and charts that should give anyone pause. By using these facts, he unravels layer after layer of this complicated system and shows clearly how it is harmful. He points out the flaws in a way that should be understandable to all.
As an author on healthcare policy, I have to say that "Casino Healthcare" is one of the best and most complete that I have read on the subject
The author concludes the book discussing feasible goals the healthcare system needs to reach for. Many other healthcare system books fail in this regards but "Casino Healthcare" may be just the fix we need. Lawmakers should listen to his advice. Americans can no longer afford to get sick, even with healthcare coverage. This needs to change and we need a real reform that analyzes the system in the same fashion as this book has done. We can no longer apply a band-aid to a system that is bleeding out.
I applaud the author for laying out the truth and we should all heed his words.
I look forward to reading more by this author.
Linda M Girgis, MD
Also of great importance is the myth that venture capital firms will save the day by “disrupting” the status quo when most of what the VCs are investing in aren’t all that disruptive (using the technical definition), while some are outright fraudulent, and others accelerating the cost burden in healthcare.
Excellent fact finding, intriguing anecdotes, historical grounding, and an overall a substantial contribution to the dialogue in fixing healthcare.
I'm not sure he's right to push Single Payer (think Medicare for All) back in favor of Universal Coverage; to my mind, this is giving health insurers a pass on their greed and arrogance, which hasn't gone anywhere from where I sit. We might not end up with Single Payer, but only by pushing the idea as hard as possible will we be able to bring this industry around to where it needs to be.