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Your Personal Affordable Care Act: How To Avoid Obamacare by [Khanna, Vik]
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Your Personal Affordable Care Act: How To Avoid Obamacare Kindle Edition

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Product Details

  • File Size: 1312 KB
  • Print Length: 177 pages
  • Simultaneous Device Usage: Unlimited
  • Publisher: Vikram Khanna Health Consulting (October 28, 2014)
  • Publication Date: October 28, 2014
  • Sold by: Amazon Digital Services LLC
  • Language: English
  • ASIN: B00OZSV0HA
  • Text-to-Speech: Enabled
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  • Lending: Enabled
  • Enhanced Typesetting: Enabled
  • Amazon Best Sellers Rank: #934,905 Paid in Kindle Store (See Top 100 Paid in Kindle Store)
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This book should be on the must-read list of every adult in the U.S.A. Mr. Khanna is straight forward and doesn't pull any punches, when it comes to whether (or not) Americans are taking personal responsibility for their health.

The e-book is sprinkled with links to articles and videos. You'll find yourself exclaiming "Yes!" and "He's right!"

Are you proud of getting along on 4-5-6 hours' sleep each night? You won't be, after clicking on the link to a 17-minute talk on TEDx by former Navy SEAL and now physician, Kirk Parsley.
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I am about to do a full review of Vik’s new take-no-prisoners book on my blog. I re-read much of it yesterday during my flight home from back east at my mother in law’s farm for the holidays. Even though there are a few areas regarding which I take (relatively mild) exception, I give it 5 stars and recommend it without reservation. Given its low Kindle price, it is a tremendous value. In sum:

- Eat sensibly (w/respect to quantity and variety);
- Don’t smoke, and minimize alcohol consumption;
- Exercise appropriately and consistently;
- Get enough sleep;
- Minimize adverse stressors (including dysfunctional acquaintances);
- Question Authority relentlessly (in particular the Received Wisdoms of Health Wonkistan);
- Work on truly knowing yourself and work on pursuits that give you joy and meaning in life. Lose your Jones for banal trivia (e.g., soul-sucking social media and other sedentary entertainments);
- Insure rationally against catastrophic medical misfortune, and avoid using “health insurance” as routine 3rd party intermediated pre-payment (it’s not really “insurance” anyway).

That’s pretty much it. Not rocket science, not a panacea, but, practices that, if widely adopted, would have dramatic positive population health effects is relatively short order, at nil individual cost.
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Written by an obvious expert in the field, this book provides a great perspective and offers actions that each individual can immediately effect. Critical perspective is that health care is all about personal responsibility - not reliance upon private or public sector mechanisms.
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As I read this book, it’s as if Khanna had Milton Friedman in his right ear, and Ralph Nader in his left. That, and he delivers information like it was coming out of a high-powered fire hose, which gives one the feeling of being whiplashed, while experiencing 9 Gs of force. By the time I got through the Introduction, I was at my maximum exercise heart rate.

As you read this, you might think the author is exaggerating (or has completely lost his mind). I urge you to take a look at the actual ACA law (when you have a couple spare years). Just don’t hit the print button and leave the house. It’s almost 11,000 pages, (about 11.5 million words). Hey, what could go wrong?

Khanna highlights a few things that have been going wrong in healthcare, and are now accelerating — corruption... crony capitalism... lack of transparency... collusion... higher cost... rationing care... higher taxes... poor to harmful care... bad health outcomes... and a distorted U.S. economy. He touches on all these issues with convincing data and true stories. He’s lived in the beast. He says, “... because for the past 30 years, I have seen the American healthcare industry from the inside out.” And then it hit me. Of the handful of people I know who work in the healthcare industry, almost all of them sound like Khanna when they talk about their frustrations and outrage. And they all have the same frustrations and outrage about the things he exposes.

The point Khanna and other ACA critics seem to be making is this:

The U.S. healthcare system is totally screwed up and corrupt, and the ACA law reinforces that bad behavior -- because it was actually written by the lobbyists whose industries benefit the most from it. All at the expense of patients and the U.S. taxpayer.
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Twenty years ago a prominent healthcare ceritic, Petr Skrabanek, described the shape of modern medicine in the US in the same vein as Vik does today with this new book. Skrabanek's Death of Humane Medicine (1994) wrote that "there is a point beyond which a liberal profession turns into a disabling profession, beyond which the balance between personal autonomy and medical paternalism is lost and society starts sliding towards a nanny state, and then further into techno-fascism, with 'compulsory survival in a planned and engineered hell'."

Twenty years later Vik Khanna's book enumerates all the problems with an overly aggressive, insidious, some might way `hellish' nanny state, and asserts that if you want to craft your own Personal Affordable Care Act, the best way is to continually fix yourself. How to start? In his words: "stop acting like our choices don't matter or are coerced."

There might be a million ways to discount the importance of Obamacare and yet what Vik Khanna writes rings relatively fresh and true: we can make Obamacare irrelevant by refusing to be naive medical consumers and making ourselves fitter and stronger. Fifty years ago, before America ate itself into the most obese country on the planet, Obama's "iconic Democratic ancestor" John F. Kennedy, was wisely promoting the vision of a vigorous, fit, healthy America populated by people who can re-make themselves and turn the country into a "better, safer, stronger" version of itself.

Like many who critique healthcare Vik Khanna tells us that change has to happen, but we are naïve to think that the healthcare industry is the source of that change. Change needs to be propelled by people like Vik Khanna who see the need for less, not more healthcare.
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