- Explore more great deals on thousands of titles in our Deals in Books store.
Enter your mobile number below and we'll send you a link to download the free Kindle App. Then you can start reading Kindle books on your smartphone, tablet, or computer - no Kindle device required.
Getting the download link through email is temporarily not available. Please check back later.
To get the free app, enter your mobile phone number.
Critical: What We Can Do About the Health-Care Crisis Hardcover – Bargain Price, February 19, 2008
Springer Blue Sale in medicine
Save up to 40% on medical textbooks and resources.
Customers Who Bought This Item Also Bought
Special Offers and Product Promotions
From Publishers Weekly
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.
ADVANCE PRAISE FOR CRITICAL
“I may not agree with some of the political statements but Senator Daschle is right on target on the need to start a serious dialogue on health care for Americans. His thoughtful health-care proposals will move the process forward. Senator Daschle and I agree on the need for nonpartisanship in coming to grips with this number one domestic problem.” —Bob Dole, former Senate majority leader
“The American health-care system is in crisis, and workable solutions have been blocked for years by deeply entrenched ideological divisions. Sen. Daschle brings fresh thinking to this problem, and his Federal Reserve for Health concept holds great promise for bridging this intellectual chasm and, at long last, giving this nation the health care it deserves.” —Senator Barack Obama (IL)
“This book provides real solutions for America’s broken health care system.” —Senator Harry Reid (NV), Senate majority leader
“Critical provides answers to one of the most vexing challenges of our time.” —John Podesta, president and CEO of the Center for American Progress and a former White House chief of staff
“It is a must-read.” —Jerome H. Grossman M.D., senior fellow and director of the Health Care Delivery Project at Harvard University’s Kennedy School of Government
“Senator Daschle adds to his reputation as a clear thinker and leader. Critical shows us not only why we must solve our health care crisis but that—with political will—we can.” —Judy Feder, professor and dean at Georgetown Public Policy Institute
Top Customer Reviews
With that said, Daschle's main ideas gleamed from reading the book are:
1) Set up a Federal Health Board to regulate policy and provide evidence-based practices - The idea of a Federal Health Reserve is a good one. It would allow a nonjudgmental board to improve medical care at the federal policy level without political biases.
2) Expand Medicaid - This, although reasonable, is scary. Medicaid is amongst the lowest of all reimbursers. Many treatments and procedures simply cannot be done at the Medicaid reimbursement level, such that major academic centers with Federal support eat the costs of doing business with these patients. Any expansion will have to see reimbursement rates dramatically increased or physicians protesting.
3) Mandate by law (like in Massachusetts) that individuals have insurance - This seems like a good way to increase "insured individuals." What it does for quality of care remains to be proven.
4) Pay physicians based on their success - This is a slippery slope as it will reward physicians who are less apt to take risk. Also, deciding upon which outcome measures and variables to reward will be no easy task - the scientific community has only defined the variables for a very small subset of patient care items to date.
5) Open up the federal health insurance "group policy' to all employers and individuals to obtain an economy of scale - I don't know anyone with this insurance, but it seems like a fine idea.Read more ›
I'm really glad I did. In truth, Critical is a well written book and is quite interesting. Daschle cogently explains why our current health care system is broken and why there is, in fact, a desperate need to fix it. I'd heard that said many times before but did not understand why. Now I do, thanks to this book.
I am a strong believer in the free market as the best means for providing most of the goods that people want at the best price. But I now have to admit that the free market is not working when it comes to health care. It really isn't. And I am not saying this as a Democrat. I am a registered Republican.
For those who might think that this book is nothing but a left-wing, socialist rant, they would be wrong. In fact, many of Daschle's recommendations for "fixing" the system are to make our system work the way it would in a true free market environment. That is, to provide the highest quality care at the least cost to the consumer. It was really eye-opening to learn how very far away from this ideal our current system is.
Daschle's book covers most of the bases. It describes our current system and why it is so flawed (the number one cause for bankruptcy in our country cannot be called a good system of health care!) He then describes the history of trying to create a better health care system in our country, starting with Truman, up to Clinton, and on up to the current day.Read more ›
As a supposedly responsible political actor, I've found myself similarly ignorant when it comes to the droning debate on health care. And, God knows, listening to the candidates for President is not terribly edifying in this regard. "Tastes great, less filling" would pass nicely for substance on this (or almost any other) topic in this election season.
To my rescue rides Tom Daschle and his co-authors whose "Critical: What Can We Do About the Health Care Crisis" could have just as well been sub-titled "U.S. Health Care Policy for Dummies."
Unlike the "Dummies" books, this one is prescriptive. Senator Daschle et al bascically argue that the U.S. Congress is in over its head on health care and--like it did on monetary policy with the creation of the Federal Reserve in 1913--should outsource its decision making on the immensely complex topic to a Presidentially appointed panel of experts. This is a an interesting proposition, coming as it does from the former Senate Majority leader who hails from a state with deep populist roots. But the case he makes is not uncompelling.
Daschle calmly traces how health care reform has crashed repeatedly upon the same special interest shoals, at least since the Depression. The shape of the barely submerged obstacle may change (doctors, unions, insurance companies), but its sheer, hulking mass only increaseth. Congress, he argues, has neither knowledge nor institutional will to make good and far-sighted decisions on behalf of its constituents.Read more ›
Most Recent Customer Reviews
Senator Daschle brings a thoughtful and reasonable approach to our current situation with a some great ideas. Easy read over a long weekend.Published on August 30, 2013 by Garrett Holt
This very short book is a great synopsis of our current health care situation. The first section, which describes how the United States arrived at it's current health care state,... Read morePublished on April 24, 2012 by David
Former senator Tom Daschle has a greater command than many of the numerous complexities surrounding health care reform. Read morePublished on November 15, 2011 by Sagar Jethani
Daschle wrote this book and was originally tabbed for HHS Secretary as a result of it. A healthcare professional has told me that his recommendation of a healthcare overseer much... Read morePublished on May 22, 2010 by Amod A. Vaze
Senator Daschle and his policy friends are advocates for a healthcare reform agenda that is based on a Federal Healthcare Board. Read morePublished on October 23, 2009 by Daniel Wolf
Lots of good reviews here. My synopsis:
1) A lot of folks aren't covered, with tragic consequences [well written and convincing]. Read more
Senator Tom Daschle, this book's author, twice lost the chance of being the architect of a massive reformation of the United States' health care system. Read morePublished on September 7, 2009 by Barney Considine
Mostly platitudes about how broke the system is. Thinking that the government can run it better is crazy talk. Read morePublished on August 23, 2009 by J. Pellitteri