- File Size: 3546 KB
- Print Length: 93 pages
- Simultaneous Device Usage: Unlimited
- Publisher: Gatekeeper Press (May 10, 2016)
- Publication Date: May 10, 2016
- Sold by: Amazon Digital Services LLC
- Language: English
- ASIN: B01F12RTY6
- Text-to-Speech: Enabled
- Word Wise: Enabled
- Lending: Enabled
- Amazon Best Sellers Rank: #1,955,570 Paid in Kindle Store (See Top 100 Paid in Kindle Store)
Washington's BARRC Is Its Bite (Restoring Care to American Healthcare Book 2) Kindle Edition
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Top Customer Reviews
nice, hard cash and thought, “I can’t just let all that beautiful money sit there and do nothing!
I can spend it in ways that will get me reelected and extend the reach of the bureaucracy!”
Although reflective of almost every (if not all) institutions in the United States, the HealthCare industry is, for lack of other terminology, an utter and complete mess. Two groups of participants left out of the calculus when it came to designing a system to handle it all: patients and doctors seem to have drawn the short straw. 535 members of Congress, and every lobbyist in the least wise connected to the HealthCare industry, seem to have drawn all the ink and gotten all the attention, whilst the rest of us were (are) simply along for the ride.
A bit of a diatribe in its opening discussions, “Washington’s BARRC is its Bite,” by Dr. Deane Waldman, MD, MBA, eventually manages to get down to business and level some very good, and in my opinion much needed, criticism of our HealthCare system from the MD’s (Medical Professional’s) point of view.
While promised for subsequent publications (Vol 3, I guess, or whatever) it will be extremely interesting to find out how an obviously intelligent and well-informed individual (i.e. an MD) would go about designing a system to handle the ten-thousand-times-ten difficulties associated with such a task. In today’s Congress, it would appear to be a task Herculean (if not impossible) to legislate. Certainly, as of today, no one (or group) has managed to succeed - like Gordian’s Knot, it remains a fait (un)accompli. It will require nothing less than a modern day Alexander to sever the knot entirely and then begin again with fresh minds, and intellects. In the meanwhile, good luck with that.
The book itself is easily accessible to even a normal Joe such as myself, and offers an overview based upon BARRC:
BARRC stands for…
Though the words bureaucracy, administration, rules, regulations, and compliance have
somewhat different meanings, they overlap considerably in their actions. Bureaucrats
“administer” rules and regulations. Bureaucrats manage compliance oversight officers, who
are both bureaucrats as well as police officers who find and punish the noncompliant.
As would behoove our entire Nation, it is long past time that each of us took it upon ourselves to learn various points of view about HealthCare (and just about everything else) so as to fully participate in reaching out to each other, forming consensuses, and then pressuring those who for some reason we have voted into office, and finally in unison demanding a government (and a society) that works for all of us. This book could go a long way in informing us about many of those things we are up against – anytime a clinic comprised of 3-4 MDs requires a staff of a dozen or more just to assure compliance something is obviously wrong - and restore sanity and dignity to the Medical community.
Dr. Deane himself is most probably against single payer universal healthcare, but given the correct leadership and incentives, the United States could probably pull it off. Like Winston Churchill once remarked, “The United States always does the right thing, after it has tried everything else.”
So, obtain this book, absorb it into your lexicon (also has an excellent glossary appended at the end), and then begin the conversation our Nation so desperately needs.